针对有自主呼吸慢阻肺患者的无创动态呼吸力学参数估计
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国家重点研发项目(2016YFC1304305)


Noninvasive Dynamic Respiratory Mechanics Parameter Estimation for Chronic Obstructive Pulmonary Patients with Spontaneous Breathing
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    摘要:

    目的 研究针对慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)患者的无创动态呼吸力学参数估计方法。方法 通过将人体呼吸系统简化为一阶线性模型,基于最优化方法 设置约束条件,估计慢阻肺患者的呼吸系统阻力和顺应性。结果 利用所构建的模型以及设置的约束条件,在模拟实验中可以估计有自主呼吸慢阻肺患者的呼吸系统阻力以及顺应性,所得结果相对准确(误差在5%以内)。利用1个呼吸周期内的数据即可获得估计结果,估计所需时间仅相当于3个呼吸时长,可以满足动态监测的要求。结论 基于最优化方法实现对慢阻肺患者呼吸系统阻力和顺应性进行无创动态估计在模拟实验中已被证明可行,可进一步开展临床实验。通过临床实验后可以帮助医生实时监测慢阻肺患者呼吸系统阻力及顺应性的变化情况,为COPD诊断及治疗提供参考。

    Abstract:

    Objective To study the method of estimating noninvasive dynamic respiratory mechanics parameters for patients with chronic obstructive pulmonary disease (COPD). Methods By simplifying the human respiratory system into a first order single compartment model and setting constraints based on optimization method, the respiratory system resistance and compliance of COPD patients were estimated. Results By using the model and setting the constraint conditions in the simulation experiment, the respiratory system resistance and compliance of COPD patients with spontaneous breathing could be estimated, and the results were relatively accurate (within 5% error). The estimated result could be obtained by data of one respiratory cycle within three respiratory cycles, which could meet the requirements of dynamic monitoring data. Conclusions Based on optimization method, the noninvasive dynamic evaluation on respiratory resistance and compliance of COPD patients were carried out in simulation experiments and proved to be feasible for further clinical trials. The research findings could help doctors to monitor the resistance and compliance changes of COPD patients in real time after clinical trial, and provided references for diagnosis and treatment of COPD.

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王哲,乔惠婷,许丽嫱,李德玉.针对有自主呼吸慢阻肺患者的无创动态呼吸力学参数估计[J].医用生物力学,2019,34(4):404-410

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  • 收稿日期:2018-03-15
  • 最后修改日期:2018-04-28
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  • 在线发布日期: 2019-08-28
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