“Musakayikire konse kuti kagulu kakang’ono ka nzika zolingalira, zodzipatulira zingathe kusintha dziko.M'malo mwake, ndi yokhayo yomwe ilipo."
Ntchito ya Cureus ndikusintha chitsanzo chomwe chakhalapo nthawi yayitali cha kusindikiza kwachipatala, momwe kuperekera kafukufuku kungakhale kodula, kovuta, komanso nthawi yambiri.
magazi oxygen saturation, photoplethysmography, kudalirika, plethysmography, perfusion index, oxygen saturation, oximeter
Tchulani nkhaniyi monga: Swain SM, Lata M, Kumar S, et al.(May 9, 2022) Kafukufuku wosiyanasiyana wokhudzana ndi kusasinthika kwa magawo amadzimadzi omwe amayezedwa pazala zonse ndi chala cham'manja cha pulse oximeter mwa akulu athanzi.Kuchiza 14(5): e24853.doi:10.7759/cureus.24853
Ma pulse oximeter amayesa kuchuluka kwa okosijeni, kugunda kwa mtima, ndi index ya perfusion (PI) posanthula ma sign a photoplethysmographic.PI ndi projekiti ya kununkhira kwapang'onopang'ono komwe kumawonetsedwa ngati kuchuluka kwa siginecha ya pulsatile poyerekeza ndi siginecha yopanda pulsatile.PI yoyezedwa m'malo osiyanasiyana imatha kusiyanasiyana.PI imatha kusiyanasiyana ikayesedwa pa zala zosiyanasiyana.Mu phunziro ili, tinkafuna kuwona kusintha kwa PI pakati pa zala zosiyanasiyana za manja onse awiri.
Phunziro loyang'ana pagawoli linachitidwa pogwiritsa ntchito chitsanzo chosavuta chochokera ku chipatala chapamwamba chakum'mawa kwa India.PI inayesedwa mwa anthu achikulire omwe akuwoneka kuti ali ndi thanzi labwino atakhala pansi atatha kupuma kwa mphindi zisanu.Gwirizanitsani pulse oximeter probe pa chala chilichonse ndikuwerenga pakatha mphindi imodzi.ANOVA ndi intraclass coefficient coefficient (ICC) adawerengedwa kuti afananize kusasinthika pakati pa ma PI.
Deta idasanthulidwa kuchokera ku 391 (229 [58.57%] amuna ndi 162 [41.43%] akazi) omwe adachita nawo maphunziro achikulire omwe ali ndi zaka zapakati pa 34.88 ± 10.65 zaka.PI yapamwamba kwambiri ndi chala chapakati cha manja onse awiri. Panali kusiyana kwakukulu pakati pa PI yoyesedwa pa zala zosiyana, F (9, 3900) = 15.49, p <0.0001. Panali kusiyana kwakukulu pakati pa PI yoyesedwa pa zala zosiyanasiyana, 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. Panali kusiyana kwakukulu pakati pa PI yoyesedwa pa zala zosiyana, 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. PI yoyezedwa ndi zala zosiyanasiyana inali yosiyana kwambiri, F(9, 3900) = 15.49, p <0.0001. ICC inali 0.474, 0.368, ndi 0.635 kwa zala zonse, kumanja, ndi zala zakumanzere, motero, zomwe zimasonyeza kusauka (ICC <0.5) kuti ikhale yodalirika (ICC = 0.5-0.75) yodalirika. ICC inali 0.474, 0.368, ndi 0.635 kwa zala zonse, kumanja, ndi zala zakumanzere, motero, zomwe zimasonyeza kusauka (ICC <0.5) kuti ikhale yodalirika (ICC = 0.5-0.75) yodalirika. ICC ili ndi 0,474, 0,368 ndi 0,635 для общего пальца правой и левой руки соответственно, что указывает на низкий (ICC 0,5) (ICC = 5,5) уровень надежности. ICC inali 0.474, 0.368, ndi 0.635 ya chala chodziwika bwino cha dzanja lamanja ndi lamanzere, motero, kusonyeza kudalirika (ICC <0.5) kapena kudalirika (ICC = 0.5-0.75).总体、右手和左手手指的ICC 分别為0.474、0.368 和0.635，這表明可靠性较差(ICC < 0.5) kufika 中孉(5-0) 到 中等(5-0).总体、右手和左手手指的ICC 分别為0.474、0.368和0.635，這表明可靠性较差(ICC <0.5) ICC для общего, правого ndi левого пальцев составил 0,474, 0,368 ndi 0,635 соответственно, что указывает на низкий (ICC <0,5) = 5 (5) = 5, 5 надежности. ICC ya zala wamba, kumanja, ndi kumanzere zinali 0.474, 0.368, ndi 0.635, motero, kusonyeza otsika (ICC <0.5) ndi moderate (ICC = 0.5-0.75) milingo yodalirika.
PI yoyezedwa pa zala zosiyanasiyana ndi pulse oximeter yakunyumba imatha kuwerengera mosiyanasiyana.Mtengo wapamwamba kwambiri wa PI uli pa chala chapakati.Madokotala ndi madokotala oyambirira ayenera kudziwa kusiyana kwa miyeso ya PI pa zala zonse ndikugwiritsa ntchito kuwerenga mosamala pazifukwa zilizonse za matenda.
Pulse oximetry ndiyo njira yosavuta yosasokoneza yoyezera kuchuluka kwa okosijeni m'magazi [1].Ma oximeter onyamula, ogula komanso otsika mtengo ali kale pamsika ngati zida zowunikira zaumoyo [2].M'nyumba ndi m'chipatala, ma pulse oximeters nthawi zambiri amamangiriridwa kunsonga za zala ndipo nthawi zina kumakutu kapena kumapazi.Kufufuza kwa mita kumakhala ndi sensor ya photoplethysmographic yomwe imathandiza kusanthula mayamwidwe ofiira ndi mafunde a infrared ndi kutuluka kwa magazi okosijeni ndi deoxygenated pulsatile [3].
Kuphatikiza pa kuyeza kuchuluka kwa okosijeni, ma pulse oximeters amaperekanso index ya perfusion (PI).PI ndi gwero la mawonekedwe a peripheral perfusion.Chizindikiro cha pulsatile (chopangidwa ndi kutuluka kwa mitsempha) chimasonyezedwa ngati peresenti ya siginecha yopanda pulsatile (magazi stasis) kuti awerengetse PI [4].Ma PI amagwiritsidwa ntchito m'malo osiyanasiyana azachipatala, kuphatikiza zipinda zosamalira odwala kwambiri, kuyang'anira pafupipafupi panthawi ya opaleshoni, ndi blockade ya stellate ganglion kuti ayeze kugwira ntchito kwawo [5-7].
Kafukufuku wam'mbuyomu ndi Sapra et al.Pakati pa ogwira ntchito zachipatala, PI yapamwamba kwambiri ndi chala cha mphete cha dzanja lamanja, ndipo chotsika kwambiri ndi chala chachikulu cha dzanja lamanja [8].Mosiyana, Tripathy et al.Zasonyezedwa kuti PI yoyesedwa pa zala zosiyanasiyana ndi yosiyana, ndi mtengo wapamwamba kwambiri wa chala chapakati ndi mtengo wotsika kwambiri wa chala chaching'ono [9].Komabe, m'chidziwitso chathu, palibe kafukufuku yemwe watsimikizira kutsimikizika kwa miyeso ya PI pazala zonse.
M'nkhaniyi, phunziroli likufuna kufanizitsa PI ya zala za manja onse mwa anthu omwe akuwoneka kuti ali ndi thanzi labwino.Zotsatira za phunziroli zithandizira kuzindikira kusinthasintha ndi kutsimikizika kwa PI yoyezedwa pakati pa zala zosiyanasiyana pogwiritsa ntchito pulse oximetry.Kutengera ndi zotsatira, madokotala oyambira amatha kusankha ngati PI yoyezedwa ndi oximeter yonyamula ingagwiritsidwe ntchito kuti azindikire kutulutsa koyipa.
Kafukufukuyu adachitika pakati pa anthu achikulire (zaka> 18) omwe adachita nawo kafukufuku yemwe adatengedwa kuchokera ku chipatala cha maphunziro apamwamba chomwe chili kum'mawa kwa India. Kafukufukuyu adachitika pakati pa anthu achikulire (zaka> 18) omwe adachita nawo kafukufuku yemwe adatengedwa kuchokera ku chipatala cha maphunziro apamwamba chomwe chili kum'mawa kwa India.Kafukufukuyu adachitidwa mwa anthu achikulire (opitilira zaka 18) omwe adatenga nawo gawo kuchokera kuchipatala chapamwamba chachipatala chomwe chili kum'mawa kwa India.這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> 18 岁中）行的成人（年龄> 18 岁中)18 岁）研究参与者中Это исследование было проведено среди взрослых (возраст > 18 лет) участников исследования, набранных из клинической больнической больнической больнической больнической больстинон чной Индии. Kafukufukuyu adachitika mwa anthu akuluakulu (zaka> 18) omwe adachita nawo kafukufuku yemwe adatengedwa kuchokera ku chipatala chapamwamba chachipatala chomwe chili kum'mawa kwa India.Ophunzira adadziwitsidwa za zolinga, chikhalidwe ndi kufunika kwa phunziroli, ndikuyang'ana njira yophunzirira.Pambuyo pachidulecho, omwe adapereka chilolezo cholembedwa kuti atenge nawo mbali adaphatikizidwa m'phunzirolo.Kafukufukuyu adavomerezedwa ndi Institutional Ethics Committee (zolemba: HMCH/IEC/2022/160).
Uku kunali kufufuza kwapang'onopang'ono komwe kunachitika mu labotale yachipatala ya physiology yachipatala.Laborator imayatsidwa ndi kuwala kwachilengedwe komanso kuwala koyera kosiyana.Palibe kuwala kwa dzuwa kapena kuwala kochita kupanga pafupi ndi malo omwe miyesoyo inayesedwa.Kafukufukuyu adachitika kuyambira Januware mpaka February 2022.
Kafukufuku wopangidwa ndi Tripathi et al.Kusiyanasiyana kwa machulukidwe a okosijeni ndi PI kunapezeka mu zala za kumanzere ndi kumanja [9].Pogwiritsa ntchito phunzirolo monga chizindikiro, tinawerengera kukula kwachitsanzo chochepa pogwiritsa ntchito zotsatirazi: α = 0.05 (p mtengo ≤ 0.05 inkaonedwa kuti ndi yofunika kwambiri), β = 0.1 (mphamvu yophunzira inali 90%), kutanthauza PI kumanzere ndi kumanja. pakati.chala = 3.3 ndi 2.7, kuyembekezera kupatuka koyenera ndi 1.7.Kuyerekeza kukula kwake ndi 337 [10].
Tinapeza chitsanzo chothandizira nthawi (Januware 2022 mpaka February 2022) kuchokera ku chipatala chapamwamba chachipatala. Njira zophatikizirazo zinaphatikizapo chilengezo chowoneka kuti ali ndi thanzi labwino kwa omwe atenga nawo gawo ndikupereka chilolezo cholembedwa kuti achite nawo mwakufuna kwawo akuluakulu azaka> 18. Njira zophatikizirazo zinaphatikizapo chilengezo chowoneka kuti ali ndi thanzi labwino kwa omwe atenga nawo gawo ndikupereka chilolezo cholembedwa kuti achite nawo mwakufuna kwawo akuluakulu azaka> 18.Njira zophatikizira zinaphatikizapo chiganizo cha mkhalidwe wowoneka bwino wa omwe atenga nawo mbali komanso kupereka chilolezo cholembedwa kuti atenge nawo gawo modzifunira ndi akuluakulu azaka zopitilira 18.Kuphatikizikako kumaphatikizapo chiganizo chosonyeza kuti wodwalayo ali ndi vuto lachipatala komanso chilolezo cholembedwa kuti akuluakulu azaka za 18 azitenga nawo mbali modzifunira.Ophunzira omwe ali ndi matenda aakulu kapena aakulu, kumwa mankhwala aliwonse a matenda, kukhala ndi kuthamanga kwa magazi, kukhala ndi matenda a mitsempha ya mitsempha, komanso kukhala ndi vuto la mtundu wa pigmentation wa zala sizinaphatikizidwe pa phunziro lomaliza.
Miyezo yonse idatengedwa pakati pa 10:00 ndi 12:00 kuti apewe mphamvu zilizonse zamtundu wa circadian.Zaka zinalembedwa mu chiwerengero cha zaka zomwe zalengezedwa ndi ochita nawo kafukufuku.Gwiritsani ntchito chojambulira cham'manja kuti muyeze kutalika ndi kulondola kwa masentimita 0.1.Kulemera kwake kumayesedwa pa sikelo ya digito ndi kulondola kwa ± 0.1 kg.Gwiritsani ntchito tepi ya fiberglass kuyeza m'chiuno ndi m'chiuno mwanu kufika pafupi ndi 0.1 cm kuti muwerengere kuchuluka kwa chiuno chanu ndi chiuno.Miyezo yonse idachitidwa ndi akatswiri azachipatala odziwa kuyeza kwa anthropometric pamaso pa ogwira ntchito za labotale amuna kapena akazi okhaokha.
Tidagwiritsa ntchito BPL Smart Oxy pulse oximeter (BPL Medical Technologies Pvt. Ltd., Bangalore, India) kuyeza PI.Pa mkuyu.1a ikuwonetsa kuwerengera kwachitsanzo pazenera la pulse oximeter, ndi mkuyu.1b ikuwonetsa sensor yolumikizidwa ndi chala.
(a) Sikirini yosonyeza kugunda kwa mtima, kuchuluka kwa oxygen, ndi kuwerengera kwa perfusion index.(b) Kuyeza magawo ndi oximeter chala chapakati chakumanzere.
Ophunzirawo adakhala pansi ndipo miyeso ya PI idatengedwa mutatha kupuma kwa mphindi zisanu.Ngakhale pali umboni wosonyeza kuti PI ndi yotsika kwambiri pakukhala, tidaganizira za udindowu kuti athe kumasuka kwa omwe atenga nawo mbali ndikuyika malire [11].Komanso, popeza iyi inali phunziro loyerekeza, zotsatira za kaimidwe pa PI yoyezera sizinali zofunikira.Misomali ilibe mtundu ndipo palibe zojambula zosakhalitsa kapena zokhazikika pa zala.Ma pulse oximeter sensors amamangiriridwa ku zala chimodzi ndi chimodzi.Pambuyo pa mphindi imodzi yogwiritsira ntchito pa chala china, pezani zowerengera ndikuzisunga kuti muwunikenso powona zowerengera zokhazikika pazenera kwa masekondi osachepera atatu.
Detayo idayesedwa kuti ikhale yabwinobwino pogwiritsa ntchito mayeso a Shapiro-Wilk.Chifukwa chake, mayeso a ziwerengero adasankhidwa (mayeso a parametric a data yomwe imagawika nthawi zonse komanso mayeso osakhala a parametric a data yomwe sinagawidwe mwachizolowezi) [12].Zosintha pakati pa amuna ndi akazi zidawunikidwa pogwiritsa ntchito mayeso a t osalumikizana.Kusiyana kwa PI pakati pa zala kunayesedwa pogwiritsa ntchito kusanthula kwa kusiyana (ANOVA).Kusasinthasintha pakati pa miyeso kunayesedwa pogwiritsa ntchito mtundu wa intra-class coefficient (ICC) wolingana ndi muyeso wathu [13]. Ma ICC a <0.5, 0.5-0.75, 0.76-9, ndi> 0.9 ankaonedwa kuti ndi "osauka," "odziletsa," "abwino," ndi "zabwino" zodalirika, motero [14]. Ma ICC a <0.5, 0.5-0.75, 0.76-9, ndi> 0.9 ankaonedwa kuti ndi "osauka," "odziletsa," "abwino," ndi "zabwino" zodalirika, motero [14]. ICC <0,5, 0,5-0,75, 0,76-9 ndi >0,9 считались «плохими», «умеренными», «хорошими» ndi «отличными» надежностью соответственно [14]. ICC <0.5, 0.5-0.75, 0.76-9 ndi> 0.9 ankaonedwa kuti ndi "osauka", "zolimbitsa thupi", "zabwino", ndi "zabwino kwambiri" zodalirika, motero [14]. <0.5, 0.5-0.75, 0.76-9 和>0.9 的ICC 分别被认為是“差”、“中等”、“好”和“优秀”的可靠性[14]. <0.5, 0.5-0.75, 0.76-9 ndi> 0.9 的ICC ICC <0,5, 0,5-0,75, 0,76-9 ndi >0,9 считались «плохими», «умеренными», «хорошими» ndi «отличными» надежностью соответственно [14]. ICC <0.5, 0.5-0.75, 0.76-9 ndi> 0.9 ankaonedwa kuti ndi "osauka", "zolimbitsa thupi", "zabwino", ndi "zabwino kwambiri" zodalirika, motero [14].Ma coefficients amalumikizidwe kuchokera ku ± 0.0 mpaka ± 0.3, kuchokera ± 0.31 mpaka ± 0.5, kuchokera ± 0.51 mpaka ± 0.7, kuchokera ± 0.71 mpaka ± 0.9 ndi ± 0, 91 mpaka ± 1 amaonedwa ngati "aang'ono", "otsika", "ochepa" ", "wamkulu"., ", ndi "chapamwamba kwambiri", motsatira [15]. Kusanthula kwachiwerengero kunachitidwa pogwiritsa ntchito GraphPad Prism 6.01 (GraphPad Software, Inc., USA) ndi SPSS version 20 (IBM Corp., Armonk, New York, USA). Pamayeso onse, p-values ya <0.05 idawonedwa ngati yofunika kwambiri. Pamayeso onse, p-values ya <0.05 idawonedwa ngati yofunika kwambiri. Для всех тестов значения p <0,05 считались статистически значимыми. Pamayeso onse, ma p <0.05 adawonedwa ngati ofunika kwambiri.对于所有测试, p 值<0.05 被认為具有统计学意义.对于所有测试, p 值<0.05 被认為具有统计学意义. Значение p <0,05 สดี่ม่กีเกีเกตเมมม่ Mtengo wa p <0.05 unkawoneka ngati wofunikira pamayeso onse.
Chiwerengero cha omwe adachita nawo kafukufuku woyambirira adaphatikizidwa mu kafukufukuyu ndipo chitsanzo chomaliza pambuyo pa kuchotsedwa chikuwonetsedwa mu Chithunzi 2.
Deta idawunikidwa kuchokera kwa omwe adachita nawo maphunziro achikulire a 391 omwe ali ndi zaka 34.88 ± 10.65 zaka.Zaka zapakati zinali zaka 35.1 ± 10.76 kwa amuna (n = 229 [58.57%]) ndi 34.56 ± 10.52 zaka kwa akazi (n = 162 [41.43%]) (mayeso osayenerera, p = 0.62).Gome 1 likuwonetsa zaka ndi kusintha kwa anthropometric pogonana.Amuna omwe adatenga nawo gawo anali ndi kutalika, kulemera, ndi index ya thupi (BMI).
R: chala chakumanja;L: chala chakumanzere;1-5: zala zolozera kuchokera pa chala chachikulu mpaka chala chaching'ono;CI: nthawi yodalirika
Ma PIs kuyambira chala chachikulu mpaka chala chaching'ono cha dzanja lamanja anali 3.98 ± 1.91, 3.57 ± 1.89, 4.66 ± 2.18, 3.45 ± 1.65, ndi 3.5 ± 1.78, motsatira.Ma PIs kuchokera ku chala chakumanzere kupita ku chala chaching'ono anali 3.94 ± 1.99, 3.61 ± 2.11, 4.37 ± 2.07, 3.79 ± 2.32, ndi 3.54 ± 2.3, motsatira.PI yapamwamba kwambiri imagwera pa zala zapakati za manja onse awiri. Panali kusiyana kwakukulu pakati pa PI yoyesedwa pa zala zosiyana (F (9, 3900) = 15.49, p <0.0001) (zobwerezabwereza ANOVA) (Chithunzi 3). Panali kusiyana kwakukulu pakati pa PI yoyesedwa pa zala zosiyana (F (9, 3900) = 15.49, p<0.0001) (zobwereza-zoyesa ANOVA) (Chithunzi 3). Наблюдалась значительная разница между PI, измеренными на разных пальцах (F (9, 3900) = 15,49, p <0,0001) (ANOVA с повторными) (ANOVA с повторны. Panali kusiyana kwakukulu pakati pa PI yoyesedwa pa zala zosiyana (F (9, 3900) = 15.49, p <0.0001) (zobwerezabwereza ANOVA) (Chithunzi 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) (重复测量方差分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) Наблюдалась значительная разница (F(9, 3900) = 15,49, p <0,0001) между PI, измеренными на разных пальцах (повторные из. Panali kusiyana kwakukulu (F (9, 3900) = 15.49, p <0.0001) pakati pa PI yoyesedwa pa zala zosiyana (zobwerezabwereza ANOVA) (Chithunzi 3).
"R" amatanthauza "kumanja", "L" - "kumanzere", ndipo manambala kuyambira 1 mpaka 5 amaimira kuchokera pa chala chachikulu mpaka chala chaching'ono. Zotsatira za ANOVA zobwerezabwereza: F (9, 3900) = 15.49, p <0.0001. Zotsatira za ANOVA zobwerezabwereza: F(9, 3900) = 15.49, p <0.0001. Результат повторных измерений ANOVA: F (9, 3900) = 15,49, p <0,0001. Zotsatira za miyeso yobwerezabwereza 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. Результаты повторных измерений ANOVA: F (9, 3900) = 15,49, p <0,0001. Zotsatira zobwerezabwereza za ANOVA: F(9, 3900) = 15.49, p <0.0001.
Malinga ndi mayeso a Tukey's post hoc, panali kusiyana kwakukulu kwamagulu 17 ndi kusiyana kwamagulu 28 komwe sikunali kofunikira, monga momwe tawonetsera pa Chithunzi 4.
Mipiringidzo yoyambira imasonyeza kusiyana kosafunikira (17 kusiyana kwakukulu kwamagulu ndi 28 kusiyana kwamagulu kosafunikira)."R" amatanthauza "kumanja", "L" - "kumanzere", ndipo manambala kuyambira 1 mpaka 5 amaimira kuchokera pa chala chachikulu mpaka chala chaching'ono.
Pearson's inter-element coefficients coefficients PI, yoyezedwa kupitirira zala za 10, ikuwonetsedwa mu Table 3. Kugwirizana kwakukulu kofunikira kunawonetsedwa pakati pa awiriawiri azinthu.Ma coefficients amachokera ku (R3 mpaka L2) 0.133 mpaka (L4 mpaka L5) 0.798.
R1-R5: chala chachikulu chakumanja kupita ku chala chaching’ono chakumanja;L1-L5: chala chakumanzere kupita ku chala chaching'ono chakumanzere.Ma coefficients onse olumikizana anali ofunikira powerengera.Kutanthauzira kwa ma coefficients olumikizana: kuchokera ± 0.0 mpaka ± 0.3, kuchokera ± 0.31 mpaka ± 0.5, kuchokera ± 0.51 mpaka ± 0.7, kuchokera ± 0.71 mpaka ± 0.9, kuchokera ± 0.91 mpaka ± 1 amaonedwa ngati "zing'ono", "zotsika", " zapakati", "zapamwamba".ndi "okwera kwambiri" motsatana.
Kulumikizana pakati pa chala chapakati chakumanzere ndi chakumanja kunali 0.287 (CI = 0.193 mpaka 0.375; p <0.0001). Kulumikizana pakati pa chala chapakati chakumanzere ndi chakumanja kunali 0.287 (CI = 0.193 mpaka 0.375; p <0.0001). Корреляция между средним пальцем левой ndi правой руки составила 0,287 (ДИ от 0,193 до 0,375; p <0,0001). Kulumikizana pakati pa zala zapakati kumanzere ndi kumanja kunali 0.287 (CI 0.193 mpaka 0.375; p <0.0001).左右中指之间的相关性為0.287（CI = 0.193 至0.375;p <0.0001）.左右中指之间的相关性為0.287（CI = 0.193 至0.375;p <0.0001）. Корреляция между средними пальцами левой ndi правой руки составила 0,287 (ДИ от 0,193 до 0,375; р<0,0001). Kulumikizana pakati pa zala zapakati kumanzere ndi kumanja kunali 0.287 (CI 0.193 mpaka 0.375; p<0.0001).Kulumikizana ndi mzere wotsatira kukuwonetsedwa pagawo lobalalitsa mu Chithunzi 5.
ICC ya onse, zala zakumanja ndi zakumanzere zinali 0.474, 0.368, ndi 0.635 (Table 4), kusonyeza "osauka", "osauka", ndi "zapakati" muyeso kudalirika, motero.
Malingana ndi deta, ICC Model 3 idagwiritsidwa ntchito ndi kulowetsa kwa SPSS monga chitsanzo cha "mbali ziwiri zosakanikirana" komanso mtundu "wosasinthika".
Ponena za kukwanira pakati pa ma PI omwe amayezedwa pa zala za 10, tapeza kusiyana kwakukulu pakati pa miyeso.Chala chapakati chikuwonetsa PI yapamwamba kwambiri pakati pa zala za dzanja.Ngakhale kuti mgwirizano pakati pa PI wa zala zakumanzere ndi zapakati zapakati zinali zofunikira kwambiri, coefficient of determination (r2) inasonyeza kuti pafupifupi 8% ya kusintha kwa PI ya chala chapakati chakumanzere kunganenedweratu kuchokera ku chala chapakati chakumanja ndi mosemphanitsa [ 16].
PI imawerengedwa kuchokera ku chizindikiro cha photoplethysmography poyerekezera kuyendayenda kwapang'onopang'ono ndi kopanda pulsatile.Zinthu ziwiri zazikuluzikulu zimatha kukhudza PI, kutulutsa kwamtima, komanso kusamvana pakati pa machitidwe amanjenje achifundo ndi a parasympathetic.
PI ndi yokwera ngati kutulutsa kwa mtima kuli kokulirapo komanso/kapena parasympathetic ndiyotsogola.Mosiyana ndi zimenezi, PI imakhala yotsika pamene kutulutsa kwa mtima kumakhala kochepa komanso / kapena chifundo chimakhala chachikulu.Mtundu wabwinobwino wa PI umadziwika kuti umachokera ku 0.2% mpaka 20% [17].Mu phunziro lathu, tapeza PI ya 4.37 ± 2.07% ya chala chapakati chakumanzere ndi 4.66 ± 2.18% chala chapakati chakumanja.Komabe, sitinayese kutulutsa kwa mtima ndi dongosolo lamanjenje lodziyimira pawokha kuti lipereke ndemanga pazigawo zosiyanasiyana za mtima ndi dongosolo lamanjenje.Zotsatira zathu zimatsimikizira zomwe Savastan et al.Zikuoneka kuti anthu omwe ali ndi thanzi labwino omwe ali ndi zaka zapakati pa 42 (interquartile range = 33-47) anali ndi PI ya 4.3 (interquartile range = 2.9-6.2) [18].
Mu chikhalidwe cha thupi, kaimidwe zimakhudza PI yoyezera, yomwe inapezeka kuti ndiyotsika kwambiri pakukhala komanso yapamwamba kwambiri pa malo a Trendelenburg [11].Mu phunziro lathu, tinagwiritsa ntchito malo okhala kwa onse omwe atenga nawo mbali.Choncho, tikayerekezera pa zala, timaganiza kuti PI ili pamunsi kwambiri.Chifukwa PI ndi chiŵerengero cha pulsatile to non-pulsatile blood flow, matenda aliwonse omwe amalepheretsa kutuluka kwa magazi kumakhudza PI [19].PI mu dipatimenti yodzidzimutsa imathandizira kudziwa kufunikira kwa kuthiridwa magazi [20].Zimathandizanso kuyesa kuopsa kwa imfa kwa odwala omwe ali ndi magazi apamwamba m'mimba komanso odwala omwe ali ndi mpweya wabwino [21,22].Kuphatikiza apo, zimathandizira kuzindikira hypotension panthawi ya anesthesia ndikuzindikira mphamvu ya blockade ya ganglionic [6,7].M'malo osamalira odwala kwambiri, pulse oximeter ndi gawo lofunikira poyang'anira magawo ena pachipatala chimodzi chachipatala.Komabe, mu phunziro ili, tinagwiritsa ntchito zipangizo zamagulu ogula.Choncho, zotsatira za phunziroli sizingafanane ndi maphunziro ogwiritsira ntchito ma oximeter a chipatala.
Consumer grade pulse oximeters angagwiritsidwe ntchito ndi madotolo a chisamaliro chapadera ndi madotolo wamba poyendera kunyumba kuti ayese kuchuluka kwa oxygen (SpO2) ndi PI kwa wodwala.Ayenera kusamala kuti achepetse kufala kwa matendawa pakati pa odwala pogwiritsa ntchito ma probe kapena nsonga zala [23].Komabe, ayenera kusamala chifukwa PI yoyezera pa zala zosiyanasiyana imatha kuwerengera mosiyanasiyana.Kafukufuku wam'mbuyomu awonetsa kuti chala chapakati chikuwonetsa kuchuluka kwa SpO2 poyerekeza ndi zala zina [24,25].Mu kafukufukuyu, tapeza kuti PI adawonetsanso zigoli zapamwamba kwambiri chala chapakati cha miyendo yonse.
Kafukufukuyu ali ndi malire.Tinasonkhanitsa zitsanzo za kafukufuku kuchokera kuchipatala.Zitsanzo zosavuta ndizo zitsanzo zotsika kwambiri.Choncho, n'zosatheka kuwunika momwe akuyimira bwino chiwerengero cha anthu.Kuphatikiza apo, tidangotenga zitsanzo kuchokera kwa anthu omwe akuwoneka kuti ali ndi thanzi labwino kuti adziwe PI pansi pamikhalidwe yokhazikika.Chifukwa chake, zotsatira zake sizingagwire ntchito kwa anthu omwe ali ndi matenda enaake.
Ma oximeter onyamula komanso am'nyumba amatha kuyeza PI mosiyanasiyana pazala zakumanzere ndi kumanja.Makhalidwe apamwamba kwambiri a PI adapezedwa chala chapakati chadzanja lililonse.Kudalirika kwa PI kuyeza ndi pulse oximeter pa zala zosiyanasiyana ndikotsika.Chifukwa chake, PI yopezedwa ndi oximeter iyenera kutanthauziridwa mosamala pazifukwa zilizonse zowunikira.Kufufuza kwina kumafunika kuyerekeza kudalirika kwa chipatala ndi oximeters ogula poyesa PI ya zala zosiyanasiyana.
Dipatimenti ya Physiology, Dipatimenti ya Physiology, School of Medicine ndi Chipatala, Patna, Indiana National Insurance Company Staff
Dipatimenti ya Physiology, Dipatimenti ya Physiology, School of Medicine ndi Chipatala, Patna, Indiana National Insurance Company Staff
Dipatimenti ya Physiology, Dipatimenti ya Physiology, School of Medicine ndi Chipatala, Patna, Indiana National Insurance Company Staff
Nkhani Za Anthu: Onse omwe adachita nawo kafukufukuyu adapereka kapena sanapereke chilolezo.Chivomerezo cha HMCH/IEC/2022/160 chinaperekedwa ndi Institutional Ethics Committee ya Bhubaneswar Medical College ndi High Tech Hospital.Nkhani za Zinyama: Olemba onse adatsimikizira kuti palibe nyama kapena minyewa yomwe idakhudzidwa ndi kafukufukuyu.Kutsutsana kwa Chidwi: Mogwirizana ndi Fomu Yodziwitsa Zofanana za ICMJE, olemba onse amalengeza zotsatirazi: Malipiro / Utumiki Wautumiki: Olemba onse amalengeza kuti sanalandire thandizo la ndalama kuchokera ku bungwe lililonse pa ntchito yoperekedwa.Ubale Wazachuma: Olemba onse amalengeza kuti pakali pano kapena m'zaka zitatu zapitazi alibe maubwenzi azachuma ndi bungwe lililonse lomwe lingakhale ndi chidwi ndi ntchito yomwe yatumizidwa.Maubale Ena: Olemba onse amalengeza kuti palibe maubale kapena zochitika zina zomwe zingakhudze ntchito yotumizidwa.
Tikuthokoza onse omwe atenga nawo gawo pa kafukufukuyu.Tikuthokozanso Sarika Mondal, wolemba zachipatala wodzipangira yekha, chifukwa chokonza zolemba pamanja komanso kuthandizira pazithunzi zomwe zagwiritsidwa ntchito m'bukuli.Mtolankhaniyo akufuna kuthokoza Ahana Aarshi chifukwa cha thandizo lake lachifundo panthawi yokonzekera zolemba izi.Tikuthokoza omwe amawunikiranso bukuli chifukwa chowunikira mosamala komanso ndemanga zolimbikitsa.
Swain SM, Lata M, Kumar S et al.(May 9, 2022) Kafukufuku wosiyanasiyana wokhudzana ndi kusasinthika kwa magawo otulutsa mafuta omwe amayezedwa pazala zonse ndi pulse oximeter yonyamula mwa akulu athanzi.Kuchiza 14(5): e24853.doi:10.7759/cureus.24853
© Copyright 2022 Swain et al.Iyi ndi nkhani yotseguka yopezeka yoperekedwa motsatira malamulo a Creative Commons Attribution License CC-BY 4.0.Kugwiritsa ntchito mopanda malire, kugawa, ndi kutulutsanso m'njira iliyonse ndikololedwa, malinga ngati wolemba ndi gwero loyambirira adayamikiridwa.
Iyi ndi nkhani yotseguka yofikira yomwe imagawidwa pansi pa Layisensi ya Creative Commons Attribution, yomwe imalola kugwiritsa ntchito mopanda malire, kugawa, ndi kutulutsa munjira iliyonse, malinga ngati wolemba ndi gwero atamandidwa.
(a) Sikirini yosonyeza kugunda kwa mtima, kuchuluka kwa oxygen, ndi kuwerengera kwa perfusion index.(b) Kuyeza magawo ndi oximeter chala chapakati chakumanzere.
"R" amatanthauza "kumanja", "L" - "kumanzere", ndipo manambala kuyambira 1 mpaka 5 amaimira kuchokera pa chala chachikulu mpaka chala chaching'ono. Zotsatira za ANOVA zobwerezabwereza: F (9, 3900) = 15.49, p <0.0001. Zotsatira za ANOVA zobwerezabwereza: F(9, 3900) = 15.49, p <0.0001. Результат повторных измерений ANOVA: F (9, 3900) = 15,49, p <0,0001. Zotsatira za miyeso yobwerezabwereza 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. Результаты повторных измерений ANOVA: F (9, 3900) = 15,49, p <0,0001. Zotsatira zobwerezabwereza za ANOVA: F(9, 3900) = 15.49, p <0.0001.
Nthawi yotumiza: Nov-07-2022