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[无创双水平气道正压通气治疗系统建模及模拟应用]

[Modeling the noninvasive bi-level positive airway pressure ventilation therapy system and simulated application].

作者信息

Yuan Yueyang, Zhou Li, Huang Haoxuan, Liu Wei, Hu Xingshuo, Xie Lixin

机构信息

The Innovation Base of Diagnostic and Therapeutic Respiratory Equipment, Hunan City University, Yiyang, Hunan 413099, P. R. China.

Hunan Micomme Medical Development Co., Ltd, Changsha 410221, P. R. China.

出版信息

Sheng Wu Yi Xue Gong Cheng Xue Za Zhi. 2023 Apr 25;40(2):343-349. doi: 10.7507/1001-5515.202201051.

Abstract

Without artificial airway though oral, nasal or airway incision, the bi-level positive airway pressure (Bi-PAP) has been widely employed for respiratory patients. In an effort to investigate the therapeutic effects and measures for the respiratory patients under the noninvasive Bi-PAP ventilation, a therapy system model was designed for virtual ventilation experiments. In this system model, it includes a sub-model of noninvasive Bi-PAP respirator, a sub-model of respiratory patient, and a sub-model of the breath circuit and mask. And based on the Matlab Simulink, a simulation platform for the noninvasive Bi-PAP therapy system was developed to conduct the virtual experiments in simulated respiratory patient with no spontaneous breathing (NSB), chronic obstructive pulmonary disease (COPD) and acute respiratory distress syndrome (ARDS). The simulated outputs such as the respiratory flows, pressures, volumes, etc, were collected and compared to the outputs which were obtained in the physical experiments with the active servo lung. By statistically analyzed with SPSS, the results demonstrated that there was no significant difference ( > 0.1) and was in high similarity ( > 0.7) between the data collected in simulations and physical experiments. The therapy system model of noninvasive Bi-PAP is probably applied for simulating the practical clinical experiment, and maybe conveniently applied to study the technology of noninvasive Bi-PAP for clinicians.

摘要

对于没有经口、鼻或气道切开建立人工气道的呼吸患者,双水平气道正压通气(Bi-PAP)已被广泛应用。为了研究无创Bi-PAP通气下呼吸患者的治疗效果及措施,设计了一种用于虚拟通气实验的治疗系统模型。在该系统模型中,包括无创Bi-PAP呼吸机子模型、呼吸患者子模型以及呼吸回路和面罩子模型。基于Matlab Simulink开发了无创Bi-PAP治疗系统的仿真平台,以对无自主呼吸(NSB)、慢性阻塞性肺疾病(COPD)和急性呼吸窘迫综合征(ARDS)的模拟呼吸患者进行虚拟实验。收集模拟输出的呼吸流量、压力、容积等,并与使用主动伺服肺进行物理实验获得的输出进行比较。通过SPSS进行统计分析,结果表明模拟和物理实验收集的数据之间无显著差异(P>0.1)且相似度较高(r>0.7)。无创Bi-PAP治疗系统模型可能适用于模拟实际临床实验,并且可能方便临床医生用于研究无创Bi-PAP技术。

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