"Mai kānalua i kahi hui liʻiliʻi o nā kamaʻāina noʻonoʻo a hoʻolaʻa hiki ke hoʻololi i ka honua.ʻOiaʻiʻo, ʻo ia wale nō ma laila."
ʻO ka hana a Cureus ke hoʻololi i ke kumu hoʻohālike lōʻihi o ka hoʻopuka ʻana i ka lāʻau lapaʻau, kahi e uku nui ai ka hoʻouna noiʻi ʻana, paʻakikī, a hoʻopau manawa.
koko oxygen saturation, photoplethysmography, reliability, plethysmography, perfusion index, oxygen saturation, oximeter
E haʻi i kēia ʻatikala e like me: Swain SM, Lata M, Kumar S, et al.(Mei 9, 2022) He noiʻi cross-sectional o ke kūlike o nā ʻāpana perfusion i ana ʻia ma nā manamana lima me kahi oximeter pulse paʻa i nā pākeke olakino.Laau 14(5): e24853.doi:10.7759/cureus.24853
ʻO ka pulse oximeters e ana i ka oxygen saturation, heart rate, a me perfusion index (PI) ma ke kālailai ʻana i nā hōʻailona photoplethysmographic.ʻO PI kahi mea koho no ka peripheral perfusion i hōʻike ʻia ma ke ʻano he pakeneka o ka hōʻailona pulsatile i hoʻohālikelike ʻia me ka hōʻailona non-pulsatile.ʻOkoʻa paha ka PI i ana ʻia ma nā wahi like ʻole.Hiki ke ʻokoʻa ka PI ke ana ʻia ma nā manamana lima like ʻole.Ma kēia haʻawina, manaʻo mākou e nānā i nā loli i ka PI ma waena o nā manamana lima ʻelua.
Ua alakaʻi ʻia kēia haʻawina ʻike cross-sectional me ka hoʻohana ʻana i kahi laʻana maʻalahi i huki ʻia mai kahi haukapila kiʻekiʻe ma India hikina.Ua ana ʻia ʻo PI i nā poʻe mākua olakino ma kahi noho ma hope o ka hoʻomaha ʻelima mau minuke.E hoʻopili i kahi ʻimi pulse oximeter i kēlā me kēia manamana lima a lawe i nā heluhelu ma hope o hoʻokahi minuke.Ua helu ʻia ka ANOVA a me intraclass correlation coefficient (ICC) e hoʻohālikelike i ka kūlike ma waena o nā PI.
Ua kālailai ʻia ka ʻikepili mai 391 (229 [58.57%] kāne a me 162 [41.43%] wahine) i komo i loko o ke aʻo ʻana o nā mākua me ka mean makahiki o 34.88 ± 10.65 makahiki.ʻO ka PI kiʻekiʻe loa ka manamana waena o nā lima ʻelua. He ʻokoʻa koʻikoʻi ma waena o ka PI i ana ʻia ma nā manamana lima like ʻole, F (9, 3900) = 15.49, p <0.0001. He ʻokoʻa koʻikoʻi ma waena o ka PI i ana ʻia ma nā manamana lima like ʻole, F (9, 3900) = 15.49, p <0.0001. Между PI, измеренными на разных пальцах, была достоверная разница, F (9, 3900) = 15,49, p <0,0001. He ʻokoʻa koʻikoʻi ma waena o PI i ana ʻia ma nā manamana lima like ʻole, F(9, 3900) = 15.49, p<0.0001.不同手指测得的PI 有显着差异，F (9, 3900) = 15.49, p <0.0001.不同手指测得的PI 有显着差异，F(9, 3900) = 15.49, p<0.0001. PI, измеренный разными пальцами, достоверно различался, F (9, 3900) = 15,49, p < 0,0001. ʻOkoʻa loa ka PI i ana ʻia me nā manamana lima like ʻole, F(9, 3900) = 15.49, p <0.0001. ʻO ka ICC he 0.474, 0.368, a me 0.635 no nā manamana lima āpau, lima ʻākau, a me nā manamana lima hema, e hōʻike ana i ka ʻilihune (ICC <0.5) a i ka haʻahaʻa (ICC = 0.5-0.75) mau pae hilinaʻi. ʻO ka ICC he 0.474, 0.368, a me 0.635 no nā manamana lima āpau, lima ʻākau, a me nā manamana lima hema, e hōʻike ana i ka ʻilihune (ICC <0.5) a i ka haʻahaʻa (ICC = 0.5-0.75) mau pae hilinaʻi. ICC составлял 0,474, 0,368 и 0,635 для общего пальца правой и левой руки соответственно, что указываюкит лина й (ICC = 0,5-0,75) уровень надежности. ʻO ka ICC he 0.474, 0.368, a me 0.635 no ka manamana lima maʻamau o ka lima ʻākau a me ka lima hema, e hōʻike ana i kahi haʻahaʻa haʻahaʻa (ICC <0.5) a i ʻole ka haʻahaʻa (ICC = 0.5-0.75) pae hilinaʻi.总体、右手和左手手指的ICC 分别为0.474、0.368 和0.635，这表明可靠性行差(ICC 分差)(ICC 分 0.5) < . 5) 水平。总体、右手和左手手指的ICC 分别为0.474、0.368和0.635，这表明可靠性较差(ICC) < 0.5 ICC для общего, правого и левого пальцев составил 0,474, 0,368 и 0,635 соответственно, что указызвает и 5 мен (ICC) CC = 0,5-0,75) уровни надежности. ʻO ka ICC no nā manamana lima maʻamau, ʻākau, a me ka hema he 0.474, 0.368, a me 0.635, e hōʻike ana i ka haʻahaʻa (ICC <0.5) a me ka haʻahaʻa (ICC = 0.5-0.75) pae hilinaʻi.
ʻO PI i ana ʻia ma nā manamana lima ʻokoʻa me kahi oximeter pulse hale hiki ke hāʻawi i nā heluhelu like ʻole.Aia ka waiwai PI kiʻekiʻe ma ka manamana waena.Pono nā kauka lapaʻau a me nā kauka mālama mua i nā ʻokoʻa o nā ana PI ma nā manamana lima a hoʻohana i nā heluhelu me ka akahele no nā kumu diagnostic.
ʻO ka Pulse oximetry ka mea maʻalahi loa no ke ana ʻana i ka saturation oxygen koko [1].Loaʻa nā oximeters pulse portable, mea kūʻai aku a me nā mea kūʻai aku ma ka mākeke e like me nā mea mālama olakino home [2].Ma ka home a me ka halemai, hoʻopili pinepine ʻia nā oximeters pulse i nā manamana lima a i kekahi manawa i nā pepeiao a i ʻole nā manamana wāwae.Loaʻa i ka ʻimi mika kahi mea ʻike photoplethysmographic e kōkua ana i ka nānā ʻana i ka pili ʻana o nā nalu ʻulaʻula a me nā nalu infrared e ka kahe koko pulsatile oxygenated a deoxygenated [3].
Ma waho aʻe o ke ana ʻana i ka saturation oxygen, hāʻawi pū ka pulse oximeters i kahi perfusion index (PI).ʻO PI kahi mea koho no ke kūlana o ka peripheral perfusion.Hōʻike ʻia ka hōʻailona pulsatile (i hana ʻia e ke kahe arterial) ma ke ʻano he pākēneka o ka hōʻailona non-pulsatile (hoʻopaʻa koko) e helu i ka PI [4].Hoʻohana ʻia nā PI i nā ʻano hoʻonohonoho maʻi like ʻole, me nā ʻāpana mālama koʻikoʻi, ka nānā ʻana i ka perioperative i ka wā caesarean, a me ka stellate ganglion blockade e ana i ko lākou pono [5-7].
ʻO kahi haʻawina mua e Sapra et al.Ma waena o nā limahana lapaʻau, ʻo ka PI kiʻekiʻe loa ka manamana lima o ka lima ʻākau, a ʻo ka haʻahaʻa loa ka manamana lima o ka lima ʻākau [8].Ma keʻano likeʻole,ʻo Tripathy et al.Ua hōʻike ʻia he ʻokoʻa ka PI i ana ʻia ma nā manamana lima like ʻole, me ka waiwai kiʻekiʻe no ka manamana waena a me ka waiwai haʻahaʻa no ka manamana liʻiliʻi [9].Eia naʻe, i ko mākou ʻike, ʻaʻohe haʻawina i hoʻokumu i ka pono o nā ana PI ma nā manamana lima.
Ma kēia pōʻaiapili, ua manaʻo kēia noiʻi e hoʻohālikelike i ka PI o nā manamana lima ʻelua i nā poʻe olakino olakino.E kōkua nā hopena o kēia noiʻi e ʻike i ka loli a me ka pono o nā waiwai PI i ana ʻia ma waena o nā manamana lima like ʻole me ka pulse oximetry.Ma muli o nā hopena, hiki i nā kauka mālama mua ke hoʻoholo inā hiki ke hoʻohana ʻia ka PI i ana ʻia e kahi oximeter portable e ʻike i ka perfusion maikaʻi ʻole.
Ua alakaʻi ʻia kēia noiʻi ma waena o nā poʻe mākua (ʻoi aku ma mua o 18 mau makahiki) nā mea noiʻi i kiʻi ʻia mai kahi hale hoʻomaʻamaʻa aʻoaʻo kula kiʻekiʻe ma India hikina. Ua alakaʻi ʻia kēia noiʻi ma waena o nā poʻe mākua (ʻoi aku ma mua o 18 mau makahiki) nā mea noiʻi i kiʻi ʻia mai kahi hale hoʻomaʻamaʻa aʻoaʻo kula kiʻekiʻe ma India hikina.Ua alakaʻi ʻia kēia haʻawina i nā poʻe mākua (ʻoi aku ma mua o 18 mau makahiki) i hoʻopaʻa ʻia mai kahi haukapila maʻi kula kiʻekiʻe ma India hikina.这项研究是在从位于印度东部的一家三级护理教学医院招募的成人（年龄> （年龄> ）年龄> ）年龄> ）年龄>进行的。18 岁）研究参与者中Это исследование было проведено среди взрослых (woзраст > 18 лет) , расположенной в восточной Индии. Ua mālama ʻia kēia noiʻi ʻana i nā poʻe ʻōpio (makahiki> 18 makahiki) i hoʻopaʻa ʻia mai kahi haukapila maʻi kula kiʻekiʻe ma India hikina.Ua hoʻomaopopo ʻia nā mea komo e pili ana i nā pahuhopu, ke ʻano a me ke koʻikoʻi o ka haʻawina, me ka nānā ʻana i ke kaʻina hana noiʻi.Ma hope o ke aʻo ʻana, ua hoʻokomo ʻia ka poʻe i hāʻawi i ka ʻae kākau e komo i loko o ka haʻawina.Ua ʻae ʻia ke aʻo ʻana e ke Kōmike Kūʻai Kūʻai Kūʻai (hōʻike: HMCH/IEC/2022/160).
He noiʻi ʻike cross-sectional kēia i mālama ʻia ma ke keʻena physiology clinical o ka haukapila.Hoʻomālamalama ʻia ke keʻena hana me ke kukui kūlohelohe a me ke kukui keʻokeʻo pālahalaha.ʻAʻohe mālamalama o ka lā a i ʻole nā kukuna hana ma kahi kokoke i kahi i ana ʻia ai nā ana.Ua mālama ʻia ke aʻo ʻana mai Ianuali a Pepeluali 2022.
ʻO kahi haʻawina na Tripathi et al.Loaʻa nā ʻano like ʻole o ka saturation oxygen a me ka PI ma nā manamana lima hema a me nā lima ʻākau [9].Me ka hoʻohana ʻana i ke aʻo ʻana ma ke ʻano he benchmark, ua helu mākou i ka liʻiliʻi liʻiliʻi liʻiliʻi me ka hoʻohana ʻana i kēia mau mea hoʻokomo: α = 0.05 (p waiwai ≤ 0.05 i manaʻo ʻia he koʻikoʻi helu), β = 0.1 (90%) ka mana haʻawina, mean PI ma ka hema a me ka ʻākau. ma ka waena.manamana = 3.3 a me 2.7, ʻo 1.7 ka haʻalele maʻamau i manaʻo ʻia.ʻO ka nui o ka laʻana he 337 [10].
Ua loaʻa iā mākou kahi laʻana maʻalahi o ka manawa (Ianuali 2022 a i Pepeluali 2022) mai kahi haukapila maʻi kula kiʻekiʻe. ʻO nā pae hoʻohui i komo pū me ka haʻi ʻana o ke kūlana olakino maikaʻi o ka poʻe i komo a hāʻawi i ka ʻae i kākau ʻia no ke komo manawaleʻa ʻana e nā poʻe makua ma mua o 18 makahiki. ʻO nā pae hoʻohui i komo pū me ka haʻi ʻana o ke kūlana olakino maikaʻi o ka poʻe i komo a hāʻawi i ka ʻae i kākau ʻia no ke komo manawaleʻa ʻana e nā poʻe makua ma mua o 18 makahiki.Hoʻokomo ʻia nā pae hoʻohui i kahi ʻōlelo o ke kūlana olakino maikaʻi o nā poʻe komo a me ka hāʻawi ʻana i ka ʻae kākau no ke komo ʻana mai e nā pākeke ma luna o 18 mau makahiki.Hoʻokomo ʻia nā pae hoʻohui i kahi ʻōlelo o ke kūlana olakino o ka mea komo a me ka ʻae i kākau ʻia no ke komo manawaleʻa ʻana e nā pākeke ma luna o 18 mau makahiki.ʻO ka poʻe i komo me ka maʻi ʻeha a i ʻole ka maʻi maʻi, ka lawe ʻana i nā lāʻau lapaʻau no ka maʻi, ke koko kiʻekiʻe, ka maʻi vascular, a me nā maʻi pigmentation o nā manamana lima i kāpae ʻia mai ka hōʻike hope loa.
Lawe ʻia nā ana a pau ma waena o 10:00 a me 12:00 i mea e pale aku ai i ka hopena o nā puʻupuʻu circadian.Ua hoʻopaʻa ʻia ka makahiki ma ka huina o nā makahiki i haʻi ʻia e nā mea komo.E hoʻohana i ka ʻimi ʻimi lima e ana i ke kiʻekiʻe me ka pololei o 0.1 knm.Ana ʻia ke kaumaha ma ka unahi kikohoʻe me ka pololei o ±0.1 kg.E hoʻohana i ka lipine fiberglass e ana i kou pūhaka a me kou pūhaka i ka 0.1 knm kokoke loa e helu ai i kou pūhaka me ka lākiō ʻūhā.Ua hana ʻia nā ana a pau e nā poʻe loea lapaʻau i ʻike i nā ana anthropometric ma ke alo o nā limahana keʻena hoʻokolohua like-sex.
Ua hoʻohana mākou i ka BPL Smart Oxy pulse oximeter (BPL Medical Technologies Pvt. Ltd., Bangalore, India) e ana i ka PI.Ma ka fig.Hōʻike ka 1a i nā heluhelu o ka hāpana ma ka pale o ka pulse oximeter, a ma ka fig.Hōʻike ʻo 1b i kahi sensor i hoʻopili ʻia i kahi manamana lima.
(a) Hōʻike ka pale i ka puʻuwai o ka naʻau, ka saturation oxygen, a me ka helu helu perfusion.(b) Ana o na palena me ka oximeter ma ka manamana waena o ka lima hema.
Noho nā haumāna aʻo a ua lawe ʻia nā ana PI ma hope o ka hoʻomaha ʻelima mau minuke.ʻOiai aia nā hōʻike e haʻahaʻa loa ka PI ma kahi noho, ua noʻonoʻo mākou i kēia kūlana no ka ʻoluʻolu o nā mea komo a kau i nā palena [11].Eia kekahi, no ka mea he haʻawina hoʻohālikelike kēia, ʻaʻole koʻikoʻi ka hopena o ka posture ma ka PI i ana ʻia.ʻAʻole waihoʻoluʻu nā kui a ʻaʻohe hoʻopaʻa manawa a paʻa paha ma nā manamana lima.Hoʻopili ʻia nā mea ʻike oximeter pulse i nā manamana lima.Ma hope o hoʻokahi minuke o ka noi ʻana i kahi manamana lima kikoʻī, e lawe i nā heluhelu a mālama iā lākou no ka nānā hou ʻana ma ka ʻike ʻana i nā heluhelu paʻa ma ka pale no ka liʻiliʻi ʻekolu kekona.
Ua ho'āʻoʻia nāʻikepili no ka maʻamau me ka hoʻohanaʻana i ka ho'āʻo Shapiro-Wilk.No laila, ua koho ʻia nā hoʻokolohua helu (nā hoʻāʻo parametric no ka ʻikepili hoʻohele maʻamau a me nā hoʻokolohua non-parametric no ka ʻikepili hoʻohele maʻamau ʻole) [12].Ua kālailai ʻia nā ʻano like ʻole ma waena o nā kāne a me nā wahine me ka hoʻohana ʻana i kahi hoʻāʻo t hoʻohālikelike ʻole.Ua hoʻāʻo ʻia ka ʻokoʻa o ka PI ma waena o nā manamana lima me ka hoʻohana ʻana i ka loiloi o ka ʻokoʻa (ANOVA).Ua hoʻāʻo ʻia ka kūlike ma waena o nā ana me ka hoʻohana ʻana i kahi ʻano hoʻohālikelike intra-class correlation coefficient (ICC) e pili ana i kā mākou ʻano ana [13]. ʻO nā ICC o <0.5, 0.5-0.75, 0.76-9, a me >0.9 i manaʻo ʻia he "ʻilihune," "kūpono," "maikaʻi," a me ka "maikaʻi" hilinaʻi, kēlā me kēia [14]. ʻO nā ICC o <0.5, 0.5-0.75, 0.76-9, a me >0.9 i manaʻo ʻia he "ʻilihune," "kūpono," "maikaʻi," a me ka "maikaʻi" hilinaʻi, kēlā me kēia [14]. ICC <0,5, 0,5-0,75, 0,76-9 и >0,9 считались «плохими», «умеренными», «хорошими» a me «отличными» надежностьвню стотот. ICC <0.5, 0.5-0.75, 0.76-9 a me >0.9 ua manaʻo ʻia he "ʻilihune", "kūpono", "maikaʻi", a me ka hilinaʻi "maikaʻi", kēlā me kēia [14]. <0.5、0.5-0.75、0.76-9 和>0.9 的 ICC 分别被认为是“差”、“中等”、“好”和“优秀”的可靠秀”的可靠 <0.5、0.5-0.75、0.76-9 和>0.9 的ICC ICC <0,5, 0,5-0,75, 0,76-9 и >0,9 считались «плохими», «умеренными», «хорошими» a me «отличными» надежностьвню стотот. ICC <0.5, 0.5-0.75, 0.76-9 a me >0.9 ua manaʻo ʻia he "ʻilihune", "kūpono", "maikaʻi", a me ka hilinaʻi "maikaʻi", kēlā me kēia [14].Ua manaʻo ʻia nā coefficients pili mai ± 0.0 a ± 0.3, mai ± 0.31 a ± 0.5, mai ± 0.51 a ± 0.7, mai ± 0.71 a ± 0.9 a mai ± 0, 91 a ± 1 i manaʻo ʻia he "mea liʻiliʻi", "haʻahaʻa", "haʻahaʻa". ", "kiʻekiʻe"., ", a me "kiʻekiʻe loa", kēlā me kēia [15]. Ua hana ʻia ka ʻikepili helu me ka hoʻohana ʻana iā GraphPad Prism 6.01 (GraphPad Software, Inc., USA) a me SPSS version 20 (IBM Corp., Armonk, New York, USA). No nā ho'āʻo a pau, ua manaʻo ʻia nā p-waiwai o <0.05 he koʻikoʻi nui. No nā ho'āʻo a pau, ua manaʻo ʻia nā p-values o <0.05 i mea koʻikoʻi. Для всех тестов значения p <0,05 считались статистически значимыми. No nā ho'āʻo a pau, ua manaʻo ʻia nā helu p <0.05 he koʻikoʻi koʻikoʻi.对于所有测试，p 值<0.05 被认为具有统计学意义。对于所有测试，p 值<0.05 被认为具有统计学意义。 Значение p <0,05 считалось статистически значимым для всех тестов. Ua manaʻo ʻia ka waiwai p <0.05 no nā hoʻokolohua āpau.
Hōʻike ʻia ka helu o ka poʻe i komo i loko o ke aʻo ʻana a me ka laʻana hope ma hope o ka wehe ʻia ʻana ma ke Kiʻi 2.
Ua kālailai ʻia ka ʻikepili mai 391 mau haumāna aʻo makua me ka mean makahiki o 34.88 ± 10.65 makahiki.ʻO ka makahiki maʻamau he 35.1 ± 10.76 makahiki no nā kāne (n = 229 [58.57%) a me 34.56 ± 10.52 makahiki no nā wāhine (n = 162 [41.43%]) (t-test unpaired, p = 0.62).Hōʻike ka Papa 1 i ka makahiki a me nā ʻano hoʻololi anthropometric ma ke kāne.Ua kiʻekiʻe ke kiʻekiʻe, ke kaumaha, a me ka helu helu kino kino (BMI) i komo nā kāne.
R: manamana lima akau;L: manamana lima hema;1-5: nā manamana lima mai ka manamana nui a i ka manamana liʻiliʻi;CI: wā hilinaʻi
ʻO nā PI mai ka manamana nui a hiki i ka manamana liʻiliʻi o ka lima ʻākau he 3.98 ± 1.91, 3.57 ± 1.89, 4.66 ± 2.18, 3.45 ± 1.65, a me 3.5 ± 1.78.ʻO nā PI mai ka manamana lima hema a i ka manamana liʻiliʻi he 3.94 ± 1.99, 3.61 ± 2.11, 4.37 ± 2.07, 3.79 ± 2.32, a me 3.54 ± 2.3.Hāʻule ka PI kiʻekiʻe ma nā manamana waena o nā lima ʻelua. Aia kekahi ʻokoʻa koʻikoʻi ma waena o ka PI i ana ʻia ma nā manamana lima like ʻole (F (9, 3900) = 15.49, p <0.0001) (nā ana hou ʻia ANOVA) (Figure 3). He ʻokoʻa koʻikoʻi ma waena o ka PI i ana ʻia ma nā manamana lima like ʻole (F(9, 3900) = 15.49, p<0.0001) (nā ana hou ʻana ANOVA) (Figure 3). Наблюдалась значительная разница между PI, измеренными на разных пальцах (F (9, 3900) = 15,49, p <0,0001) (ANOVA.мирсы) (ANOVA. 3). He ʻokoʻa koʻikoʻi ma waena o PI i ana ʻia ma nā manamana lima like ʻole (F(9, 3900) = 15.49, p <0.0001) (nā ana hou ʻana ANOVA) (Figure 3).在不同手指上测量的PI 之间存在显着差异(F (9, 3900) = 15.49, p <0.0001) (重复测鐇冹差异)在不同手指上测量的PI 之间存在显着差异(F(9, 3900) = 15.49, p<0.0001) Наблюдалась значительная разница (F(9, 3900) = 15,49, p <0,0001) между PI, измеренными на разных пальзцных (пользных пальсмах (повиторницах) (повиторницах) Aia kekahi ʻokoʻa nui (F(9, 3900) = 15.49, p <0.0001) ma waena o PI i ana ʻia ma nā manamana lima like ʻole (nā ana hou ANOVA) (Figure 3).
ʻO "R" ʻo ia hoʻi "ʻākau", "L" - "hema", a ʻo nā helu mai ka 1 a hiki i ka 5 e hōʻike ana mai ka manamana lima a i ka manamana liʻiliʻi. Nā ana i hana hou ʻia ka hopena ANOVA: F (9, 3900) = 15.49, p <0.0001. Nā ana hana hou i ka hopena ANOVA: F(9, 3900) = 15.49, p <0.0001. Результат повторных измерений ANOVA: F (9, 3900) = 15,49, p <0,0001. Ka hopena o nā ana hou ANOVA: F(9, 3900) = 15.49, p <0.0001.重复测量方差分析结果：F (9, 3900) = 15.49，p < 0.0001.重复测量方差分析结果：F(9, 3900) = 15.49，p < 0.0001. Результати повторных измерений ANOVA: F (9, 3900) = 15,49, p <0,0001. Nā ana i hana hou ʻia Nā hualoaʻa ANOVA: F(9, 3900) = 15.49, p <0.0001.
Wahi a ka ho'āʻo post hoc a Tukey, aia he 17 mau ʻokoʻa pūʻulu koʻikoʻi a he 28 ʻokoʻa pūʻulu koʻikoʻi ʻole, e like me ka hōʻike ʻana ma ke Kiʻi 4.
Hōʻike nā pahu kumu i nā ʻokoʻa nui ʻole (17 mau ʻokoʻa pūʻulu koʻikoʻi a me 28 mau ʻokoʻa pūʻulu koʻikoʻi ʻole).ʻO "R" ʻo ia hoʻi "ʻākau", "L" - "hema", a ʻo nā helu mai ka 1 a hiki i ka 5 e hōʻike ana mai ka manamana lima a i ka manamana liʻiliʻi.
Hōʻike ʻia nā coefficients correlation inter-element PI o Pearson, i ana ʻia ma luna o 10 manamana lima, ma ka Papa 3. Ua hōʻike ʻia nā pilina maikaʻi ma ka helu helu ma waena o nā mea like ʻole.Loaʻa nā helu helu mai (R3 a L2) 0.133 a (L4 a L5) 0.798.
R1-R5: manamana lima ʻākau i ka manamana lima ʻākau;L1-L5: lima lima hema i ka manamana lima hema.He koʻikoʻi ka helu helu ʻana o nā coefficient hoʻopili āpau.ʻO ka wehewehe ʻana i nā coefficients correlation: mai ± 0.0 a ± 0.3, mai ± 0.31 a ± 0.5, mai ± 0.51 a ± 0.7, mai ± 0.71 a ± 0.9, mai ± 0.91 a ± 1 ua manaʻo ʻia he "mea liʻiliʻi", "haʻahaʻa", " haʻahaʻa", "kiʻekiʻe".a me "Kiʻekiʻe loa".
ʻO ka pilina ma waena o ka lima hema a me ka lima hema ʻo 0.287 (CI = 0.193 a 0.375; p <0.0001). ʻO ka pilina ma waena o ka lima hema a me ka lima hema ʻo 0.287 (CI = 0.193 a 0.375; p <0.0001). Корреляция между средним пальцем левой и правой руки составила 0,287 (ДИ от 0,193 a hiki i 0,375; p <0,0001). ʻO ka pilina ma waena o nā manamana lima hema a me ka ʻākau he 0.287 (CI 0.193 a 0.375; p <0.0001).左右中指之间的相关性为0.287（CI = 0.193 至0.375；p < 0.0001）.左右中指之间的相关性为0.287（CI = 0.193 至0.375；p < 0.0001）. Корреляция между средними пальцами левой и правой руки составила 0,287 (ДИ от 0,193 до 0,375; р<0,000). ʻO ka pilina ma waena o nā manamana lima hema a me ka ʻākau he 0.287 (CI 0.193 a 0.375; p<0.0001).Hōʻike ʻia ka hoʻopili ʻana me ka laina au ma ka pā scatter ma ke Kiʻi 5.
He 0.474, 0.368, a me 0.635 (Papa 4) ka ICC no na manamana lima a pau, akau a hema, e hoike ana i ka hilinai ana o ka "poor", "poor", a me "moderate".
Wahi a ka ʻikepili, ua hoʻohana ʻia ʻo ICC Model 3 me ka hoʻokomo ʻana o SPSS ma ke ʻano he "ʻaoʻao ʻelua hui" a me kahi ʻano "kūlike loa".
E pili ana i ke kūpono ma waena o nā PI i ana ʻia ma nā manamana lima 10, ʻike mākou i nā ʻokoʻa nui ma waena o nā ana.Hōʻike ka manamana waena i ka PI kiʻekiʻe loa i ana ʻia ma waena o nā manamana lima.ʻOiai he mea koʻikoʻi ka pilina ma waena o ka PI o ka lima hema a me ka ʻākau waena, ʻo ka coefficient of determination (r2) i hōʻike ʻia ma kahi o 8% o nā loli i ka PI o ka manamana lima hema hiki ke wānana ʻia mai ka manamana waena ʻākau a ʻo ia hoʻi. 16].
Ua helu ʻia ʻo PI mai ka hōʻailona photoplethysmography ma ka hoʻohālikelike ʻana i ka pulsatile a me ka non-pulsatile peripheral circulation.Hiki i ʻelua mau mea nui ke hoʻololi i ka PI, ka puka naʻau, a me ke kaulike ma waena o nā ʻōnaehana sympathetic a me parasympathetic.
Kiʻekiʻe ka PI inā kiʻekiʻe ka puka ʻana o ka naʻau a/a i ʻole ka parasympathetic ma mua.ʻO ka mea ʻē aʻe, haʻahaʻa ka PI inā haʻahaʻa ka puka ʻana o ka naʻau a / a i ʻole ka manaʻo aloha.Manaʻo ʻia ka laulā maʻamau o PI mai 0.2% a 20% [17].Ma kā mākou haʻawina, loaʻa iā mākou kahi PI o 4.37 ± 2.07% no ka manamana lima hema a me 4.66 ± 2.18% no ka manamana lima ʻākau.Eia nō naʻe, ʻaʻole mākou i ana i ka puʻuwai puʻuwai a me ka ʻōnaehana neʻe autonomic e ʻōlelo ai i nā mokuʻāina o ka puʻuwai a me ka ʻōnaehana nerve.Hōʻoia kā mākou mau hopena i ka ʻikepili o Savastan et al.ʻO ka poʻe olakino olakino me ka makahiki o 42 makahiki (interquartile range = 33-47) he PI o 4.3 (interquartile range = 2.9-6.2) [18].
Ma ke kūlana physiological, pili ka posture i ka PI i ana ʻia, i ʻike ʻia he haʻahaʻa loa ma ke kūlana noho a kiʻekiʻe loa ma ke kūlana Trendelenburg [11].I kā mākou aʻo ʻana, ua hoʻohana mākou i ke kūlana noho no nā mea komo āpau.No laila, ke hoʻohālikelike mākou i nā manamana lima, manaʻo mākou aia ka PI ma ka pae haʻahaʻa.No ka mea, ʻo ka PI ka ratio o ka pulsatile i ke kahe o ke koko non-pulsatile, ʻo kēlā me kēia maʻi e hōʻino i ke kahe o ke koko e pili ana i ka PI [19].ʻO ka PI ma ke keʻena pilikia e kōkua i ka hoʻoholo ʻana i ka pono o ke kahe koko [20].Hiki ke kōkua i ka loiloi i ka hopena o ka make i nā poʻe maʻi me ke koko o ka ʻōpū o luna a me nā maʻi maʻi ventilated [21,22].Eia kekahi, kōkua ia i ka ʻike ʻana i ka hypotension i ka wā anesthesia a hoʻoholo i ka pono o nā blockades ganglionic [6,7].Ma kahi hoʻonohonoho mālama koʻikoʻi, ʻo ka pulse oximeter kahi ʻāpana o ka nānā ʻana i nā ʻāpana ʻē aʻe i loko o kahi hale hoʻokipa hoʻokahi.Eia naʻe, i loko o kēia noiʻi, ua hoʻohana mākou i nā mea hoʻohana.No laila, ʻaʻole hiki ke hoʻohālikelike ʻia nā hopena o kēia noiʻi me nā haʻawina e hoʻohana ana i nā oximeters o ka haukapila.
Hiki ke hoʻohana ʻia nā oximeters pulse o nā mea kūʻai aku e nā kauka mālama mua a me nā kauka lapaʻau no nā kipa home e ana i ka saturation oxygen o ka mea maʻi (SpO2) a me PI.Pono lākou e mālama i ka hoʻohaʻahaʻa ʻana i ka lawe ʻana i ka maʻi ma waena o nā mea maʻi e hoʻohana ana i ka probes a i ʻole ka manamana lima [23].Eia naʻe, pono lākou e makaʻala no ka mea hiki i ka PI i ana ʻia ma nā manamana lima ʻokoʻa ke hāʻawi i nā heluhelu like ʻole.Ua hōʻike nā haʻawina mua e hōʻike ana ka manamana waena i nā kiʻekiʻe kiʻekiʻe o SpO2 i hoʻohālikelike ʻia me nā manamana lima ʻē aʻe [24,25].Ma kēia haʻawina, ʻike mākou ua hōʻike pū ʻo PI i nā helu kiʻekiʻe loa ma ka manamana waena o nā lālā ʻelua.
He mau palena kēia haʻawina.Ua hōʻiliʻili mākou i nā laʻana no ka noiʻi mai ka haukapila.ʻO nā laʻana maʻalahi he mau laʻana haʻahaʻa.No laila, ʻaʻole hiki ke loiloi i ka maikaʻi o kona hōʻike ʻana i ka heluna kanaka.Eia kekahi, ua hōʻiliʻili wale mākou i nā laʻana mai nā poʻe olakino olakino no ka hoʻoholo PI ma lalo o nā kūlana physiological maʻamau.No laila, ʻaʻole pili nā hopena i nā poʻe me kekahi maʻi olakino.
Hiki ke ana ʻokoʻa ka PI ma nā manamana lima ʻokoʻa o ka lima hema a me ka lima ʻākau.Loaʻa nā koina PI kiʻekiʻe loa ma ka manamana waena o kēlā me kēia lima.ʻO ka hilinaʻi o PI i ana ʻia me ka pulse oximeter ma nā manamana lima ʻokoʻa haʻahaʻa.No laila, ʻo ka PI i loaʻa me kahi oximeter pono e unuhi me ka akahele no kekahi kumu diagnostic.Pono e noiʻi hou e hoʻohālikelike i ka hilinaʻi o ka haukapila a me nā oximeters mea kūʻai aku i ke ana ʻana i ka PI o nā manamana lima like ʻole.
Keʻena o Physiology, Department of Physiology, School of Medicine and Hospital, Patna, Indiana National Insurance Company Staff
Keʻena o Physiology, Department of Physiology, School of Medicine and Hospital, Patna, Indiana National Insurance Company Staff
Keʻena o Physiology, Department of Physiology, School of Medicine and Hospital, Patna, Indiana National Insurance Company Staff
Nā Kumuhana Kanaka: Ua hāʻawi a ʻaʻole i hāʻawi ʻae nā mea a pau i komo i kēia haʻawina.Ua hoʻopuka ʻia ʻo HMCH/IEC/2022/160 e ka Institutional Ethics Committee o Bhubaneswar Medical College a me High Tech Hospital.Nā kumuhana holoholona: Ua hōʻoia nā mea kākau a pau ʻaʻohe holoholona a ʻiʻo paha i komo i kēia noiʻi.Nā Kū'ē o ka hoihoi: E like me ka ICMJE Uniform Disclosure Form, hōʻike nā mea kākau a pau i kēia mau mea: Uku / ʻIke lawelawe: Hōʻike nā mea kākau a pau ʻaʻole lākou i loaʻa ke kākoʻo kālā mai kekahi hui no ka hana i waiho ʻia.Nā Pili Waiwai: Hōʻike nā mea kākau a pau ʻaʻole lākou i kēia manawa a i ʻole i loko o nā makahiki ʻekolu i hala aku nei i loaʻa nā pilina kālā me kekahi hui e makemake paha i ka hana i waiho ʻia.Nā Pili ʻē aʻe: Hōʻike nā mea kākau āpau ʻaʻohe pilina a i ʻole nā hana ʻē aʻe e pili ana i ka hana i waiho ʻia.
Mahalo mākou i nā mea komo a pau no ko lākou komo ʻana i kēia haʻawina.Mahalo pū mākou iā Sarika Mondal, ka mea kākau lapaʻau manuahi, no ka hoʻoponopono ʻenehana o ka manuscript a no ka hāʻawi ʻana i nā kiʻi i hoʻohana ʻia ma kēia palapala.Mahalo ka mea kākau moʻolelo iā Ahana Aarshi no kāna kākoʻo ʻoluʻolu i ka wā e hoʻomākaukau ai i kēia palapala.Mahalo mākou i ka poʻe loiloi o kēia manuscript no kā lākou nānā pono ʻana a me nā ʻōlelo hoʻoikaika.
Swain SM, Lata M, Kumar S et al.(Mei 9, 2022) He noiʻi cross-sectional o ke kūlike o nā ʻāpana perfusion i ana ʻia ma nā manamana lima me ka pulse oximeter portable i nā pākeke olakino.Laau 14(5): e24853.doi:10.7759/cureus.24853
© Kuleana kope 2022 Swain et al.He ʻatikala wehe ʻia kēia i hāʻawi ʻia ma lalo o nā ʻōlelo o ka Creative Commons Attribution License CC-BY 4.0.Ua ʻae ʻia ka hoʻohana palena ʻole, ka hāʻawi ʻana, a me ka hana hou ʻana ma kekahi ʻano, inā ʻae ʻia ka mea kākau kumu a me ke kumu.
He ʻatikala hiki ke wehe ʻia kēia ma lalo o ka Creative Commons Attribution License, e ʻae ana i ka hoʻohana ʻole ʻia, ka hāʻawi ʻana, a me ka hana hou ʻana ma kekahi ʻano, ke hāʻawi ʻia ka mea kākau a me ke kumu.
(a) Hōʻike ka pale i ka puʻuwai o ka naʻau, ka saturation oxygen, a me ka helu helu perfusion.(b) Ana o na palena me ka oximeter ma ka manamana waena o ka lima hema.
ʻO "R" ʻo ia hoʻi "ʻākau", "L" - "hema", a ʻo nā helu mai ka 1 a hiki i ka 5 e hōʻike ana mai ka manamana lima a i ka manamana liʻiliʻi. Nā ana i hana hou ʻia ka hopena ANOVA: F (9, 3900) = 15.49, p <0.0001. Nā ana hana hou i ka hopena ANOVA: F(9, 3900) = 15.49, p <0.0001. Результат повторных измерений ANOVA: F (9, 3900) = 15,49, p <0,0001. Ka hopena o nā ana hou ANOVA: F(9, 3900) = 15.49, p <0.0001.重复测量方差分析结果：F (9, 3900) = 15.49，p < 0.0001.重复测量方差分析结果：F(9, 3900) = 15.49，p < 0.0001. Результати повторных измерений ANOVA: F (9, 3900) = 15,49, p <0,0001. Nā ana i hana hou ʻia Nā hualoaʻa ANOVA: F(9, 3900) = 15.49, p <0.0001.
Ka manawa hoʻouna: Nov-07-2022