中国组织工程研究

中国组织工程研究 ›› 2010, Vol. 14 ›› Issue (48): 9051-9056.doi: 10.3969/j.issn.1673-8225.2010.48.029

• 骨与关节综述 bone and joint review • 上一篇    下一篇

国内外围手术期呼吸训练器的设计

刘  鑫，张  虹，陈  岚   

  1. 上海理工大学医疗器械与食品学院，上海市     200093
  • 出版日期:2010-11-26 发布日期:2010-11-26
  • 通讯作者: 陈岚，博士，副教授，上海理工大学医疗器械与食品学院，上海市 200093 lanchen@usst.educn
  • 作者简介:刘鑫，女，1988年生，山东省青岛市人，汉族，上海理工大学在读学士，主要从事药物制剂(设备方向)的相关研究。 irenetalent@yahoo.cn 并列第一作者：张虹，女，1988年生，宁夏回族自治区人，汉族，上海理工大学在读学士，主要从事药物制剂(设备方向)的相关研究。lanmao1016@126.com
  • 基金资助:

    大学生创新性实验计划(091025208)；微创基金。

Design of respiratory trainer in perioperative period

Liu Xin, Zhang Hong, Chen Lan   

  1. School of Medical Instrument and Food Engineering, University of Shanghai for Science and Technology, Shanghai  200093, China
  • Online:2010-11-26 Published:2010-11-26
  • Contact: Chen Lan, Doctor, Associate professor, School of Medical Instrument and Food Engineering, University of Shanghai for Science and Technology, Shanghai 200093, China lanchen@usst.edu.cn
  • About author:Liu Xin, School of Medical Instrument and Food Engineering, University of Shanghai for Science and Technology, Shanghai 200093, China irenetalent@yahoo.cn Zhang Hong, School of Medical Instrument and Food Engineering, University of Shanghai for Science and Technology, Shanghai 200093, China lanmao1016@126.com Liu Xin and Zhang Hong are equally contributed to this paper.
  • Supported by:

    the Innovation Experiment Foundation for College Students, No. 091025208*; Minimal Invasion Foundation*

PDF

536

被引次数

14

摘要：

背景：围手术期由于麻醉性镇痛药、镇静药、脑损伤、胸腹部手术等因素的影响，可能会引起患者用浅呼吸的方式进行呼吸，进而导致患者肺容量的降低，引起肺部并发症，使患者更加难以痊愈。采用呼吸训练器对患者进行术前及术后呼吸功能锻炼，可以有效改善患者的呼吸功能，降低肺部并发症的发生率，有助于患者的术后恢复。
目的：将国内外围手术期呼吸训练器进行简要总结，并加以分类。
方法：由第一作者检索中国期刊全文数据库、中文科技期刊数据库和美国专利检索网站1977/2009收录的围手术期呼吸训练及呼吸训练器相关论文及专利，中文检索词为“呼吸训练，吸气量测定，呼吸机”，英文检索词为“inhalation device，respiratory exerciser”，排除重复性研究。总结专利的结构设计及理论依据。
结果与结论：共检索到15篇研究论文和15篇国内外专利设计。文章对围手术期呼吸训练器的国内外专利设计进行了分析，通过总结专利的结构设计及理论依据，将各专利从设计原理上分为3大类：基于气流速度，基于气体总体积，以及利用特殊结构产生呼吸阻力，并且从多个角度对这3种设计进行了优缺点的比较。同时还对呼吸训练器的临床实践应用进行了评述。

关键词: 呼吸训练器, 围手术期, 设计, 结构, 专利

Abstract:

BACKGROUND: Because of the effect of narcotic analgesics, sedatives, brain injury and abdominal surgery in the perioperative period, shallow breathing is the most common symptom for the patients, which may lead to the decrease of forced vital capacity (FVC) and lung congestion. Thus, the patents will be more difficult to recover. Using the respiratory trainers during pre-surgery and post-surgery can improve the respiratory systems and decrease the incident of lung congestion.
OBJECTIVE: To summarize and analyze the respiratory trainers in perioperative period.
METHODS: A computer-based online search of CNKI, VIP and USPTO Patent Full-Text and Image Database was performed for articles published between 1977 and 2009 regarding respiratory trainers in perioperative period with key words “respiratory training, inspiratory capacity, respirator” in Chinese and “inhalation device, respiratory exerciser” in English. Repetitive studies were excluded. Patent structural design and theoretical evidence were summarized.
RESULTS AND CONCLUSION: A total of 15 studies and 15 patent designs were collected. This paper analyzed patent designs of respiratory trainers and summarized patent structural design and theoretical evidence. The design principles were divided into three types: airflow rate, total gas volume, and respiratory resistance produced by special structures. The advantages and disadvantages of three types of design were compared. In addition, the clinical application of respiratory trainers was reviewed.

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