新型冠状病毒肺炎患者高流量鼻管气体流量稳定性及准确性分析

M. Mak’ruf, Novella Lasdrei Anna Leediman, A. Pudji, Erwin L. Rimban
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摘要

2019年12月,世界出现了一种新的冠状病毒——严重急性呼吸系统综合征(COVID-19)。COVID-19患者的主要策略是支持性护理,使用高流量鼻氧疗法(HFNC)据报道可有效改善氧合。稳定性是指医疗设备保持其性能的能力。医疗设备必须具有在一段时间内保持关键性能条件所需的稳定性。准确度是测量量的值与测量量的实际量[2]的值之间的接近程度。本研究的目的是确保HFNC装置的读数准确、稳定,使其在患者身上使用时安全、舒适。作者将使用的设备的开发在TFT液晶显示器上添加了图形,以帮助实时监测稳定的数据,以便官员可以监测设备中氧气的流量和分数是否稳定。本研究使用Arduino Nano,使用的传感器为GFS131传感器,结果显示在Nextion TFT LCD上。将TFT LCD上显示的HFNC工具的设定值与测量范围为20lpm至60lpm的气体流量分析仪进行比较,每点5次。根据气体流量分析仪的测量结果,HFNC模块的平均误差(误差%)为6.40%。平均不确定度(Ua) 0.05。从这些结果得出,校准器模块的相对误差(误差值)仍在允许的公差范围内,即±10%,由于在一定时间内进行的稳定性试验的不确定度小,稳定性好,因此该工具是精确的。
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Analysis of Stability and Accuracy of Gas Flow in High Flow Nasal Canule for COVID-19 Patients
In December 2019, the world was introduced to a new coronavirus, severe acute respiratory syndrome (COVID-19).The primary strategy for COVID-19 patients is supportive care, using high-flow nasal oxygen therapy (HFNC) reported to be effective in improving oxygenation. Stability is the ability of a medical device to maintain its performance [1]. Medical equipment must have the stability necessary to maintain critical performance conditions over a period of time. Accuracy is the closeness of agreement between the value of a measuring quantity, and the value of the actual quantity of the measuring quantity[2].The purpose of this study is to ensure that the readings of the HFNC device are accurate and stable so that it is safe and comfortable when used on patients. The development of the equipment that will be used by the author adds graphs to the TFT LCD to help monitor stable data in real time so that officers can monitor the flow and fraction of oxygen in the device to be stable. This study uses Arduino Nano while the sensor used is the GFS131 sensor, then the results are displayed on the Nextion TFT LCD. The test is carried out with comparing the setting value of the HFNC tool that appears on the TFT LCD with a gas flow analyzer with a measurement range of 20 LPM to 60 LPM 5 times at each point. Based on measurements on the gas flow analyzer, the HFNC module has an average error (error (%)) of6.40%. Average uncertainty (Ua) 0.05. Conclusion from these results that the calibrator module has a relative error (error value) that is still within the allowable tolerance limit, which is ±10%, the tool is precise because of the small uncertainty and good stability of the stability test carried out within a certain time.  
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