Embodiments of the present disclosure relate to the field of medical apparatus and instruments, in particular to a method for determining a respiratory phase, an apparatus for determining a respiratory phase, an electronic device, and a readable storage medium.
Ventilation therapy devices continuously supply oxygen through a nasal oxygen tube inserted into the nasal cavity of a patient. The patient's respiratory process is divided into two processes, that is, an inspiratory process and an expiratory process. During the inspiratory process, the patient needs to inspirate a large amount of oxygen, and no oxygen is needed during the expiratory process. Accordingly, it is necessary to identify the patient's respiratory phase (inspiratory or expiratory) in real time to adjust the oxygen supply according to the respiratory phase.
Since the nasal oxygen tube is an open airway, the gas flow and pressure values of the nasal oxygen tube collected by the device are difficult to directly reflect the patient's own respiration conditions. Therefore, an additional measurement method is usually added for the identification of the respiratory phase. A common method is to introduce a pressure measurement conduit from the nasal oxygen tube for directly measuring the pressure change inside the nasal oxygen tube, so as to determine the respiratory phase. Alternatively, the patient's respiration conditions are measured through thermal sensors, chest and abdominal belts and the like, so as to determine the respiratory phase. However, both of such two methods require the addition of additional devices and have complex structures.
Embodiments of the present disclosure provide a method and an apparatus for determining a respiratory phase, an electronic device and a readable storage medium.
In a first aspect, an embodiment of the present disclosure provides a method for determining a respiratory phase, applied to a ventilation therapy device including a respiratory conduit, and the method includes:
Optionally, the converting the gas flow value and the pressure value into a first value and a second value under a same reference includes:
Optionally, the converting the gas flow value and the pressure value into the first value and the second value under the same physical quantity includes:
Optionally, the converting the gas flow value into a first value under the pressure physical quantity includes:
Optionally, the converting the gas flow value and the pressure value into the first value and the second value under the same physical quantity includes:
Optionally, the converting the pressure value into a second value under the flow physical quantity includes:
Optionally, the converting the gas flow value and the pressure value into a first value and a second value under a same reference includes:
Optionally, the determining a current respiratory phase of the patient based on a difference of the first value and the second value includes:
Optionally, the determining the current respiratory phase of the patient based on the first difference includes:
In a second aspect, an embodiment of the present disclosure provides an apparatus for determining a respiratory phase, which is applied to a ventilation therapy device including a respiratory conduit, and the apparatus includes:
In a third aspect, an embodiment of the present disclosure provides an electronic device, including a processor, a memory, and a program or instruction stored in the memory and executable on the processor, wherein the program or instruction implements the described method when executed by the processor.
In a fourth aspect, an embodiment of the present disclosure provides a readable storage medium storing a program or instruction that, when executed by a processor, implements the described method.
In order to explain technical solutions of the embodiments of the present disclosure more clearly, accompanying drawings used in the illustration of the embodiments will be briefly introduced. Apparently, the accompanying drawings in the following explanation illustrate merely some embodiments of the present disclosure, and those skilled in the art may obtain other accompanying drawings based on these accompanying drawings without paying any creative effort.
A clear and thorough description for technical solutions in the embodiments of the present disclosure will be given below in conjunction with the accompanying drawings in the embodiments of the present disclosure. Apparently, the described embodiments are a part of embodiments of the present disclosure, not all the embodiments. All other embodiments obtained, based on the embodiments in the present disclosure, by those skilled in the art without paying creative effort fall within the protection scope of the present disclosure.
The method and apparatus for determining a respiratory phase, an electronic device and a readable storage medium provided in the embodiments of the present disclosure are described in detail below with reference to the accompanying drawings.
In a first aspect, an embodiment of the present disclosure provides a method for determining a respiratory phase, which is applied to a ventilation therapy device. As shown in
At step 101, a gas flow value of a respiratory conduit is acquired, and a pressure value of a pressure sensor is acquired. The pressure sensor is used for collecting the pressure in the respiratory conduit.
The ventilation therapy device in the embodiments of the present disclosure may include a device body, a respiratory conduit, a patient interface, a flow sensor and a pressure sensor. The device body is configured to output gas with a preset pressure and a preset flow, and the device body includes a gas outlet. The respiratory conduit includes a first end and a second end that communicate with each other, the first end of the respiratory conduit being connected to the gas outlet, and the second end being connected to the patient interface. The patient interface is used to be worn at the patient's nasal cavity, and when the patient interface is worn at the patient's nasal cavity, an air outlet gap is provided between the patient interface and the patient's nasal cavity. The pressure sensor is configured to acquire the pressure value of the respiratory conduit, and the flow sensor is configured to acquire the gas flow value of the respiratory conduit.
In specific applications, a flow sensor may be used to acquire the gas flow value of the respiratory conduit, and a pressure sensor may be used to acquire the pressure value of the respiratory conduit.
At step 102, the gas flow value and the pressure value are converted into a first value and a second value under the same reference.
The pressure value and gas flow value in the respiratory conduit may change when the patient breathes. Similarly, the pressure value and gas flow value in the respiratory conduit may change when the output pressure and output flow of the ventilation therapy device are adjusted. In other words, the obtained pressure value and gas flow value are a cooperation result of the patient's respiration and the ventilation therapy device.
As shown in
As shown in
The pressure value and gas flow value may be expressed as follows through formulas: pressure value=change in pressure value caused by patient's respiration+change in pressure value caused by the ventilation therapy device; gas flow value=change in gas flow value caused by patient's respiration+change in gas flow value caused by the ventilation therapy device. Assuming that an increase in pressure value or gas flow value is defined as positive, and a decrease in pressure value or gas flow value is defined as negative, since the changes in the pressure value and the gas flow value caused by the patient's respiration are inverse, the signs for the factor of patient's respiration in the two formulas are inverse; while the changes in the pressure value and the gas flow value caused by the ventilation therapy device are in the same direction, the signs for the factor of the ventilation therapy device in the two formulas are the same. Therefore, the changes caused by the factor of the ventilation therapy device may be eliminated by subtracting the two formulas.
Since the pressure value and the gas flow value are physical quantities of different dimensions and their numerical values are also different, the two formulas cannot be directly subtracted and a conversion is required. The gas flow value and the pressure value are converted to the first value and the second value under the same reference.
The same reference may mean that the first value and the second value belong to physical quantities of the same dimension, or may mean that an average of the first value and the second value is within a predetermined range.
In specific applications, the pressure value may be used as a reference, and the gas flow value is converted to a value with the same reference as the pressure value. Alternatively, the gas flow value may be used as a reference, and the pressure value is converted to a value with the same reference as the gas flow value. Alternatively, the pressure value and the gas flow value may also be converted to another same reference.
At step 103, a current respiratory phase of the patient is determined based on a difference between the first value and the second value.
As can be seen from the above formulas, a difference obtained through subtraction of the converted first value and the second value is only related to the change caused by the factor of patient's respiration, so the current respiratory phase of the patient can be determined based on the difference.
In the embodiment of the present disclosure, the pressure value and the gas flow value of the respiratory conduit are acquired, and the pressure value and the gas flow value are converted into a first value and a second value under the same reference, and the current respiratory phase of the patient is determined based on the difference between the first value and the second value. The first value and the second value are values obtained through conversion, and are values under the same reference, so a subtraction maybe performed on the first value and the second value to obtain a difference related to the factor of the patient's respiration, thereby determining the patient's current respiratory phase based on the difference. In other words, the patient's respiratory phase can be determined by using only the pressure value and the gas flow value of the respiratory conduit, without adding additional auxiliary judgment device, thereby simplifying the structure of the ventilation therapy device.
Optionally, in an embodiment of the present disclosure, step 102, in which the gas flow value and the pressure value are converted into a first value and a second value under the same reference, includes:
converting the gas flow value and the pressure value into a first value and a second value under the same physical quantity.
Generally speaking, the gas flow value and the pressure value in the gas circuit satisfy the following formula:
among them, P is the pressure value; F is the gas flow value; μ is a drag coefficient, which is an inherent parameter of the ventilation therapy device, and can be measured in advance through experiments or be iteratively calculated during operation.
Thus, it can be known that the obtained pressure value and gas flow value can be converted through the above formula to obtain a first value and a second value of the same physical quantity, so as to perform a subtraction on the first value and the second value to obtain a difference related to the patient's respiration.
Optionally, in an embodiment of the present disclosure, the converting the gas flow value and the pressure value into a first value and a second value of the same physical quantity includes:
The obtained pressure value is converted through the above formula to obtain a second value under the flow physical quantity, so as to perform the subtraction on the first value and the second value to obtain a difference value related to the patient's respiration.
Further, the converting the pressure value into a second value under the flow physical quantity includes:
In specific applications, the pressure value is divided by the drag coefficient to obtain an intermediate value, which is the square of the gas flow value. The square root of the intermediate value is then found to obtain the second value under the flow physical quantity.
The obtained pressure value is converted through the above formula to obtain a second value under the flow physical quantity, so as to perform the subtraction on the first value and the second value to obtain a difference value related to the patient's respiration.
Optionally, in an embodiment of the present disclosure, the converting the gas flow value and the pressure value into a first value and a second value under the same physical quantity includes:
The obtained gas flow value is converted through the above formula to obtain a first value under the pressure physical quantity, so as to perform the subtraction on the first value and the second value to obtain a difference related to the patient's respiration.
Optionally, in an embodiment of the present disclosure, the converting the gas flow value into a first value under the pressure physical quantity includes:
The obtained pressure value is converted through the above formula to obtain a second value under the flow physical quantity, so as to perform the subtraction on the first value and the second value to obtain a difference value related to the patient's respiration.
It should be noted that in the above embodiments, it is not necessary to calculate the precise values when converting the gas flow value into the pressure value and vice versa, as long as the calculated first value and second value can reflect an approximate variation rule of the values. For example, when converting the gas flow value into a pressure value, the pressure value P converted from the gas flow value=the square of the change in the gas flow value caused by the patient's respiration+the square of the change in the gas flow value caused by the ventilation therapy device±2*the change in the gas flow value caused by the patient's respiration*the change in the gas flow value caused by the ventilation therapy device. However, in the embodiment of the present disclosure, an approximate number is used, that is, the pressure value P converted from the gas flow value=the square of the change in the gas flow value caused by the patient's respiration+the square of the change in the gas flow value caused by the ventilation therapy device, which can reduce the difficulty of calculation.
Optionally, in an embodiment of the present disclosure, the gas flow value and the pressure value are converted into a first value and a second value under the same reference by:
In specific applications, the magnification ratio and reduction ratio may be flexibly selected according to actual conditions. For example, the gas flow value and pressure value collected during at least one respiratory cycle of the patient are acquired, the gas flow value is averaged to obtain a first mean, and the pressure value is averaged to obtain a second mean. The magnification ratio and reduction ratio may be a ratio of the first mean to the second mean.
After the gas flow value or the pressure value is scaled, the gas flow value and the pressure value are under the same reference, so a subtraction is performed on the first value and the second value to obtain a difference related to the patient's respiration, thereby determining the respiratory phase of the patient based on the difference.
Optionally, in an embodiment of the present disclosure, a current respiratory phase of the patient is determined based on a difference between the first value and the second value by:
Since the changes in the pressure value and the gas flow value caused by the patient's respiration are in inverse trends, and the changes in the pressure value and the gas flow value caused by the ventilation therapy device are in the same trend, the changes caused by the ventilation therapy device can be eliminated by subtracting the second value from the first value to obtain the first difference related to the patient's respiration, and the patient's respiration phase may be determined based on the first difference.
Optionally, in an embodiment of the present disclosure, the determining the current respiratory phase of the patient based on the first difference includes:
It should be noted that, in a procedure of processing the pressure value and the gas flow value in the above embodiment, a pressure value change curve and a gas flow value change curve can be obtained respectively according to the pressure value and the gas flow value, which are converted to obtain a first value change curve and a second value change curve, and a difference change curve is obtained according to the first value change curve and the second value change curve, and then the respiratory phase of the patient is determined based on the difference change curve.
For ease of understanding, the following description will be given assuming that the ventilation therapy device is in a constant flow mode. As shown in
After converting the gas flow value into a pressure value, a curve graph as shown on the left side of
A part of the difference curve over the horizontal axis is the inspiratory phase, and a part of the difference curve below the horizontal axis is the expiratory phase.
When the gas flow value and the pressure value are acquired, since the signal-to-noise ratio of the collected signal is relatively low, high-frequency noise is it generally contained, and the frequency of the respiratory signal that we are concerned about is generally lower than 1 Hz. Therefore, as shown in
In a second aspect, an embodiment of the present disclosure provides an apparatus for determining a respiratory phase, which is applied to a ventilation therapy device including a respiratory conduit, and the apparatus includes:
In the embodiment of the present disclosure, the pressure value and gas flow value of the respiratory conduit are acquired, and the pressure value and the gas flow value are converted into a first value and a second value under the same reference, thereby determining the current respiratory phase of the patient based on the difference of the first value and the second value. The first value and the second value are obtained through conversion, and are values under the same reference. Therefore, the subtraction may be performed on the first value and the second value to obtain a difference related to the factor of the patient's respiration, thereby determining the current respiratory phase of the patient based on the difference. In other words, the patient's respiratory phase can be determined by using only the pressure value and gas flow value of the respiratory conduit without adding additional auxiliary judgment device, thus simplifying the structure of the ventilation therapy device.
The apparatus in the embodiment of the present disclosure may be a device, or a component, integrated circuit, or chip in a terminal. The device may be a mobile electronic device, or a non-mobile electronic device. Exemplarily, the mobile electronic device may be a mobile phone, a tablet computer, a laptop computer, a PDA, an in-vehicle electronic device, a wearable device, an ultra-mobile personal computer (UMPC), a netbook, or a personal digital assistant (PDA), etc., and the non-mobile electronic device may be a server, a network attached storage (NAS), a personal computer (PC), a television (TV), a teller machine, or a self-service machine, etc., which is not specifically limited in the embodiments of the present disclosure.
The apparatus in the embodiment of the present disclosure may be a device with an operating system. The operating system may be an Android operating system, an iOS operating system, or other possible operating systems, which are not specifically limited in the embodiment of the present disclosure.
The apparatus provided in the embodiment of the present disclosure can implement various processes implemented by the method embodiment shown in the figures, which is not repeated here.
As shown in
It should be noted that the electronic device provided in the embodiments of the present disclosure includes the mobile electronic devices and non-mobile electronic devices mentioned above.
The electronic device 1000 includes but is not limited to: a radio frequency unit 1001, a network module 1002, an audio output unit 1003, an input unit 1004, a sensor 1005, a display unit 1006, a user input unit 1007, an interface unit 1008, a memory 1009, and a C 1010.
Those skilled in the art will appreciate that the electronic device 1000 may also include a power source (such as a battery) for supplying power to various components, and the power source may be logically connected to the processor 1010 through a power management system, thereby implementing functions such as managing charging, discharging, and power consumption management through the power management system. The electronic device structure shown in
It should be understood that in the embodiment of the present disclosure, the input unit 1004 may include a graphics processing unit (GPU) 10041 and a microphone 10042. The graphics processing unit 10041 is configured to processes image data of a still picture or a video obtained by an image capture device (such as a camera) in a video capture mode or an image capture mode. The display unit 1006 may include a display panel 10061, and the display panel 10061 may be configured in the form of a liquid crystal display, an organic light emitting diode, or the like. The user input unit 1007 includes a touch panel 10071 and other input devices 10072. The touch panel 10071 is also called a touch screen. The touch panel 10071 may include two parts, that is, a touch detection device and a touch controller. Other input devices 10072 may include, but are not limited to, a physical keyboard, function keys (such as a volume control key, a switch key, etc.), a trackball, a mouse, and a joystick, which will not be described in detail here. The memory 1009 may be used to store software programs and various data, including but not limited to application programs and operating systems. The processor 1010 may integrate an application processor and a modem processor, among them, the application processor mainly processes the operating system, user interface, and application programs, and the modem processor mainly processes wireless communications. It is understandable that the modem processor may not be integrated into the processor 1010.
An embodiment of the present disclosure also provides a readable storage medium, on which a program or instruction is stored. When the program or instruction is executed by a processor, the various processes of the above-mentioned method embodiment are implemented and the same technical effect can be achieved. To avoid repetition, it will not be repeated here.
The processor is the processor in the electronic device described in the above embodiment. The readable storage medium includes a computer readable storage medium, such as a computer read-only memory (ROM), a random access memory (RAM), a magnetic disk or an optical disk.
An embodiment of the present disclosure also provides a chip, including a processor and a communication interface. The communication interface is coupled to the processor, and the processor is used to run programs or instructions to implement the various processes of the above-mentioned method embodiment, and can achieve the same technical effect. To avoid repetition, it will not be repeated here.
It should be understood that the chip mentioned in the embodiments of the present disclosure can also be called a system level chip, a system chip, a chip system or a system-on-chip chip, etc.
Finally, it should also be noted that relational terms such as “first”, “second” as used herein are merely used to distinguish an object or operation from another object or operation, and are not necessarily used to describe or imply that such an accrual relationship or sequence exists between these objects and operations. Furthermore, the terms “comprising” and “having”, as well as any variations thereof, are intended to cover a non-exclusive inclusion, e.g. a process, method, item or terminal device including a series of steps or elements is not necessarily limited to those elements explicitly listed, but may include other elements not explicitly listed or inherent to the process, method, item or terminal device. In the absence of further restrictions, the elements limited by the phrase ‘including a . . . ’ do not preclude the existence of additional identical elements in the process, method, item, or terminal device that includes the said element.”
The above are only preferred embodiments of the present disclosure and is not intended to limit the present disclosure. Any modifications, equivalent substitutions and improvements made within the spirit and principles of the present disclosure should be included in the protection scope of the present disclosure.
The above is only specific embodiments of the present disclosure, and the protection scope of the application is not limited thereto. Those skilled in the art can easily conceive of changes or replacements within the scope of the technology disclosed in present disclosure, which should be covered within the scope of protection of the present disclosure. Therefore, the protection scope of the present disclosure should be determined by the protection scope of the claims.
Number | Date | Country | Kind |
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202111678010.7 | Dec 2021 | CN | national |
This application is the national phase entry of International Application No. PCT/CN2022/142089, filed on Dec. 26, 2022, which is based upon and claims priority to Chinese Patent Application No. 202111678010.7, filed on Dec. 31, 2021, the entire contents of which are incorporated herein by reference.
Filing Document | Filing Date | Country | Kind |
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PCT/CN2022/142089 | 12/26/2022 | WO |