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完整後設資料紀錄
DC 欄位 | 值 | 語言 |
---|---|---|
dc.contributor.advisor | 趙福杉(Fu-Shan Jaw) | |
dc.contributor.author | Hung-Chih Wang | en |
dc.contributor.author | 王弘志 | zh_TW |
dc.date.accessioned | 2021-06-17T08:08:24Z | - |
dc.date.available | 2024-08-20 | |
dc.date.copyright | 2019-08-20 | |
dc.date.issued | 2019 | |
dc.date.submitted | 2019-08-17 | |
dc.identifier.citation | 參考文獻
[1] H. R. Halperin et al., 'Cardiopulmonary resuscitation with a novel chest compression device in a porcine model of cardiac arrest: improved hemodynamics and mechanisms,' J Am Coll Cardiol, vol. 44, no. 11, pp. 2214-20, Dec 07 2004. [2] S. Timerman, L. F. Cardoso, J. A. Ramires, and H. Halperin, 'Improved hemodynamic performance with a novel chest compression device during treatment of in-hospital cardiac arrest,' Resuscitation, vol. 61, no. 3, pp. 273-80, Jun 2004. [3] F. X. Duchateau et al., 'Effect of the AutoPulse automated band chest compression device on hemodynamics in out-of-hospital cardiac arrest resuscitation,' Intensive Care Med, vol. 36, no. 7, pp. 1256-60, Jul 2010. [4] F. Ikeno et al., 'Augmentation of tissue perfusion by a novel compression device increases neurologically intact survival in a porcine model of prolonged cardiac arrest,' Resuscitation, vol. 68, no. 1, pp. 109-18, Jan 2006. [5] S. Steen, Q. Liao, L. Pierre, A. Paskevicius, and T. Sjoberg, 'Evaluation of LUCAS, a new device for automatic mechanical compression and active decompression resuscitation,' Resuscitation, vol. 55, no. 3, pp. 285-99, Dec 2002. [6] M. E. Ong et al., 'Use of an automated, load-distributing band chest compression device for out-of-hospital cardiac arrest resuscitation,' JAMA, vol. 295, no. 22, pp. 2629-37, Jun 14 2006. [7] J. Steinmetz, S. Barnung, S. L. Nielsen, M. Risom, and L. S. Rasmussen, 'Improved survival after an out-of-hospital cardiac arrest using new guidelines,' Acta Anaesthesiol Scand, vol. 52, no. 7, pp. 908-13, Aug 2008. [8] C. Axelsson, M. J. Herrera, M. Fredriksson, J. Lindqvist, and J. Herlitz, 'Implementation of mechanical chest compression in out-of-hospital cardiac arrest in an emergency medical service system,' Am J Emerg Med, vol. 31, no. 8, pp. 1196-200, Aug 2013. [9] X. G. Lu, X. Kang, and D. B. Gong, '[The clinical efficacy of Thumper modal 1007 cardiopulmonary resuscitation: a prospective randomized control trial],' Zhongguo Wei Zhong Bing Ji Jiu Yi Xue, vol. 22, no. 8, pp. 496-7, Aug 2010. [10] K. Couper, J. Yeung, T. Nicholson, T. Quinn, R. Lall, and G. D. Perkins, 'Mechanical chest compression devices at in-hospital cardiac arrest: A systematic review and meta-analysis,' Resuscitation, vol. 103, pp. 24-31, Jun 2016. [11] C.-y. Wang and D.-c. Cai, 'Hand tool handle design based on hand measurements,' in MATEC Web of Conferences, 2017, vol. 119, p. 01044: EDP Sciences. [12] V. Balakrishnan and H. P. Y. Paul, 'A study of the effect of thumb sizes on mobile phone texting satisfaction,' J. Usability Studies, vol. 3, no. 3, pp. 118-128, 2008. [13] K. H. Kilburn and T. Asmundsson, 'Anteroposterior Chest Diameter in Emphysema: From Maxim to Measurement,' JAMA Internal Medicine, vol. 123, no. 4, pp. 379-382, 1969. | |
dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/73704 | - |
dc.description.abstract | 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。 | zh_TW |
dc.description.abstract | 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. | en |
dc.description.provenance | Made available in DSpace on 2021-06-17T08:08:24Z (GMT). No. of bitstreams: 1 ntu-108-R06548046-1.pdf: 2399534 bytes, checksum: e2bcfddab480bed3d6a013953af87cf4 (MD5) Previous issue date: 2019 | en |
dc.description.tableofcontents | 目錄
誌謝 i 中文摘要 ii Abstract iii 目錄 v 圖目錄 vii 表目錄 ix 第一章、 簡介 1 1.1 研究背景與動機 1 1.2 研究目的 5 第二章、 研究方法與系統設計 7 2.1 按壓單元 11 2.1.1 直線往復運動機構 12 2.1.2 運動分析 14 2.1.3 衝程調整機構 16 2.2 半徑替換單元 17 2.3 高度調整單元 19 2.4 傾斜及滑軌單元 21 2.5 動力組件 23 第三章、 研究結果 24 3.1 Mechelper心肺復甦系統 24 3.2 規格和比較 25 3.3 測試環境 26 3.4 測試步驟 29 3.5 測試結果 30 3.5.1 成人假體測試結果 30 3.5.2 嬰兒假體測試 35 第四章、 討論 37 4.1 裝置比較 37 4.2 壓力分析 38 第五章、 結論 39 參考文獻 40 | |
dc.language.iso | zh-TW | |
dc.title | 新穎且多功能之心肺壓胸裝置 | zh_TW |
dc.title | A novel and multifunctional mechanical chest compressor | en |
dc.type | Thesis | |
dc.date.schoolyear | 107-2 | |
dc.description.degree | 碩士 | |
dc.contributor.coadvisor | 謝建興(Jian-Shing Shieh) | |
dc.contributor.oralexamcommittee | 鄭國順(Kuo-Sheng Cheng),陳右穎(You-Yin Chen) | |
dc.subject.keyword | 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, | zh_TW |
dc.subject.keyword | CPR device,Cardiac arrest,Cardiopulmonary resuscitation,Mechanical CPR, | en |
dc.relation.page | 40 | |
dc.identifier.doi | 10.6342/NTU201903252 | |
dc.rights.note | 有償授權 | |
dc.date.accepted | 2019-08-18 | |
dc.contributor.author-college | 工學院 | zh_TW |
dc.contributor.author-dept | 醫學工程學研究所 | zh_TW |
顯示於系所單位: | 醫學工程學研究所 |
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