重症监护中人工气道气囊压力智能管理系统的设计与应用  

Design and Application of Intelligent Management System of Artificial Airway Airbag Pressure in Intensive Care

作　　者：金锦江[1] 邹瞿超 刘红[1,2] 曾妃[1] 褚永华[1] 陈星[2] JIN Jinjiang;ZOU Quchao;LIU Hong;ZENG Fei;CHU Yonghua;CHEN Xing(The Second Affiliated Hospital of Zhejiang University School of Medicine,Hangzhou,310009;National Professional Laboratory of Biosensors,Zhejiang University,Hangzhou,310009)

机构地区：[1]浙江大学医学院附属第二医院,杭州市310009 [2]浙江大学生物传感器国家专业实验室,杭州市310009

出　　处：《中国医疗器械杂志》2021年第6期645-649,共5页Chinese Journal of Medical Instrumentation

基　　金：浙江省医药卫生科技计划项目(2019KY401)。

摘　　要：为了解决目前重症监护室无法连续监测和自动调节患者气囊压力的问题,该研究设计了一种人工气道气囊 压力智能管理系统,实现气囊压力的实时监测和智能控制,且通过串口通讯,将实时压力数据发送至计算 机上位机,实现压力数据的显示、存储、回顾和分析,并探讨其临床应用效果。实验表明,该系统能实时 监测气囊压力并控制压力稳定在25~30 cmH2O(1 cmH2O=98.1 Pa),与对照组相比,试验组在监测患 者气囊压力的操作时间、气囊压力变化、护理操作时瞬间最高值、误吸返流例数差异有统计学意义。该系 统大大减轻了医护人员的工作量,有效地减少了患者发生误吸和返流的次数,降低呼吸机肺炎的发生率。In order to solve the problem of continuous monitoring and automatic regulation of patient airbag pressure in intensive care unit, the study designed an intelligent management system of artificial airway airbag pressure. It can realize real-time monitoring and automatic control of airbag pressure. Its pressure data was sent to the PC in real time by the serial port. It can realize the display, store, review and analysis of pressure data. Its clinical application effect was discussed. Experiments showed that the system can monitor airbag pressure in real time and control the pressure to stabilize at 25~30 cm H;O. Compared with the control group, the experimental group had a statistically significant difference in the operation time of monitoring patients’ airbag pressure, changes in airbag pressure, the instantaneous maximum value during nursing operation, and the number of aspiration and reflux cases. The clinical application of the system can reduce the workload of medical staff greatly, effectively reduce the number of patients with aspiration and reflux, reduce the incidence of ventilator pneumonia.

关 键 词：重症监护 气囊压力 智能管理系统 

分 类 号：R197.39[医药卫生—卫生事业管理]