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標題: | 新穎且多功能之心肺壓胸裝置 A novel and multifunctional mechanical chest compressor |
作者: | Hung-Chih Wang 王弘志 |
指導教授: | 趙福杉(Fu-Shan Jaw) |
共同指導教授: | 謝建興(Jian-Shing Shieh) |
關鍵字: | 心肺復甦術,自動心肺復甦機,機械式機械復甦裝置,心跳停止, CPR device,Cardiac arrest,Cardiopulmonary resuscitation,Mechanical CPR, |
出版年 : | 2019 |
學位: | 碩士 |
摘要: | 心跳停止是臨床上的重大問題,其發生率在每10萬人中約有50至100人,且其高死亡率與嚴重的併發症是造成龐大的醫療支出的主要因素。
心肺復甦術(CPR)為心跳停止時的標準急救措施,這項技術能避免病人的腦部及其他器官因缺乏氧氣供應而逐漸壞死。其中,高品質的心肺復甦術有助於使心跳停止的病人恢復自發性心肺心跳,其特性包含足夠的按壓深度、足夠的按壓頻率、最短的中斷時間以及按壓後確保胸壁回彈。傳統的人工心肺復甦術(M-CPR)往往會因為施救者疲勞、施救環境不良或是人力不足而導致不良的心肺復甦品質,進而大幅降低了病人存活率。近年來,機械胸部按壓裝置改善了此一現象,它提供了穩定的力量與頻率。然而,過久的架設時間與僅可用於成年人的限制仍是目前的問題。 本研究參考現今的心肺復甦術標準,設計了一個快速調整定位與適用於孕婦及嬰兒的機械心肺復甦裝置。本裝置能夠在不同族群身上施行該族群的心肺復甦術,且不改變在成人族群上的施救條件。經過測試,裝置的所有特性均已證實合乎當初設計之目標。所完成之裝置能作為下一代機械胸部按壓裝置的設計雛型,提升病人經心肺復甦後的存活率。 Cardiac arrest is a clinical disaster with an incidence of approximately 50–100 per 100,000 individuals. The high mortality and serious complications make cardiac arrest one of the significant reasons for high medical expenses. Cardiopulmonary resuscitation (CPR) is the standard measure implemented when cardiac arrest occurs. CPR prevents the patient’s brain and other organs from hypoxic injury. High-quality CPR involves sufficient compression rate, sufficient compression depth, minimal interruptions, and chest recoil. The quality of traditional manual chest compression CPR (M-CPR) is often poor due to rescuer fatigue, bad performing circumstances, or the lack of rescuers, which drastically reduce the survival rate of patients. Recently, mechanical chest compression CPR devices have ameliorated this phenomenon. It provides constant power and compression rate and can also be used under different circumstances. However, long set-up time and the limitation of only use in adult patients are issues that remain in current devices. Our study used current CPR guidelines as a reference and designed a novel and multifunctional mechanical chest compression device that can adjust compression location and can be used on infant and pregnant patients. This novel device provides exclusive CPR for specific patient groups and can still be used for regular adult patients. We used Resusci Anne products as models. The results indicated that our design exhibited performance similar to that of LUCAS-2 in adults (557.8 vs. 623.6 mmHg, P = .217) and met the current CPR standard guidelines. Notably, our device is applicable to pregnant women [565 vs. 564.5 (adults) mmHg, P = .987] and infants [570.8 vs. 564.5 (adults) mmHg, P = .801] without reducing the compression quality. More robust negative feedback systems operated by sensors should be investigated and implemented in the future to further increase the quality and safety of CPR. |
URI: | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/73704 |
DOI: | 10.6342/NTU201903252 |
全文授權: | 有償授權 |
顯示於系所單位: | 醫學工程學研究所 |
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