摘要
目的 探讨改良方法监测儿童末梢脉搏氧饱和度(SpO_2)的可行性。方法 前瞻性对比观察20例手术儿童,将一次性儿童SpO_2探头伸直后粘贴于耳垂表面,另一探头固定于手指末梢,同时连续监测患儿SpO_2,每5min等时点记录脉搏、SpO_2基础值,比较麻醉后5min、10min、15min、30min、60min、120min SpO_2变化,结果作组内对照。结果 同一时点脉搏读数相同,偶有±1次差别。探头粘贴于耳垂表面监测得平均脉搏氧饱和度(SeO_2)为98.03±1.64％,手指未悄SpO_2平均为98.08±1.63％,差值为1.39±1.15％,两组比较,差异无显著性(P>0.05)。两种方法监测的结果有良好的一致性(Kappa值为0.92)。结论 探头伸直后粘贴于小儿耳垂表面监测SeO_2的结果可靠,且简便易行,建议使用于麻醉管理和危重监测中。
Objective To investigate the feasibility of eralobe as a new monitoring site for pulse oxygen saturation. Methods 20 children were involved. Pediatric pulse oximetry probe was slicked straight on the surface of earlobe. Another one was pasted around the end of fingers. The readings of both earlobe pulse oximetry probe(SeO2) and finger it (SpO2) were observed continuously and recorded per 5 minut simultaneously. The results of basic, 5, 10, 15, 30, 60, 120 minutes were contrasted after anaesthesia. Results The average of SpO2 was 98. 08 ± 1. 63% and the average of SeO2 was 98. 03 ± 1. 64 % . The difference of SpO2 and SeO2 was 1. 39 ± 1. 15 % . Their changes were no significant(P >0.05). The KAPPA was 0. 92 and intraobserver agreement was better between SeO2 and SpO2. Conclusions The sensor proved to be clinically accurate in the tested range. It is feasible to monitor the earlobe puts oxygen saturation continuously in children.
出处
《遵义医学院学报》
2003年第4期330-331,共2页
Journal of Zunyi Medical University
关键词
麻醉学
脉搏氧饱和度
无创监测
儿童
earlobc pulse oxygen saturation
noninvasive monitoring
children
