“Usambokahadzika kuti boka duku revagari vemo vane pfungwa, vakazvipira vanogona kuchinja nyika.Kutaura zvazviri, ndiyo chete iripo. "
Chinangwa cheCureus ndechekushandura iyo yakagara iripo modhi yekudhindisa yezvokurapa, umo kuendesa kutsvagisa kunogona kudhura, kwakaoma, uye kutora nguva.
ropa oxygen saturation, photoplethysmography, kuvimbika, plethysmography, perfusion index, oxygen saturation, oximeter
Taura chinyorwa ichi se: Swain SM, Lata M, Kumar S, et al.(Chivabvu 9, 2022) Chidzidzo chemuchinjiko chekuenderana kwemaparamendi eperfusion akayerwa pazvigunwe zvine ruoko rwakabata pulse oximeter muvakuru vane hutano.Kurapa 14(5): e24853.doi:10.7759/cureus.24853
Pulse oximeters inoyera kuzara kweokisijeni, kurova kwemoyo, uye perfusion index (PI) nekuongorora masaini ephotoplethysmographic.PI ipuroksi yeperipheral perfusion inoratidzwa sechikamu cheiyo pulsatile chiratidzo kana ichienzaniswa neiyo isiri-pulsatile chiratidzo.PI yakayerwa munzvimbo dzakasiyana inogona kusiyana.PI inogona kusiyana kana ikayerwa paminwe yakasiyana.Muchidzidzo ichi, takavavarira kuona shanduko muPI pakati peminwe yakasiyana yemaoko ese.
Ichi chidzidzo chekutarisa chemukati-chikamu chakaitwa pachishandiswa sampuli yakareruka yakatorwa kubva kuchipatara chepamusoro-soro kumabvazuva kweIndia.PI yakayerwa muvanhu vakuru vanoita kunge vane hutano munzvimbo yekugara mushure mekuzorora kwemaminetsi mashanu.Natanidza pulse oximeter probe pamunwe wega wega uye tora kuverenga mushure meminiti imwe.ANOVA uye intraclass correlation coefficient (ICC) yakaverengerwa kuenzanisa kuwirirana pakati pePIs.
Dhiyabhorosi yakaongororwa kubva ku391 (229 [58.57%] varume uye 162 [41.43%] vakadzi) vatori vechidzidzo chevakuru vane makore akaenzana e34.88 ± 10.65 makore.Iyo yepamusoro PI chigunwe chepakati chemaoko ese. Paive nemusiyano wakakura pakati pePI yakayerwa paminwe yakasiyana, F (9, 3900) = 15.49, p <0.0001. Paive nemusiyano wakakura pakati pePI yakayerwa paminwe yakasiyana, 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. Paive nemusiyano wakakura pakati pePI yakayerwa paminwe yakasiyana, 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 yakayerwa neminwe yakasiyana yakanga yakasiyana zvikuru, F(9, 3900) = 15.49, p <0.0001. ICC yaive 0.474, 0.368, uye 0.635 yezvigunwe zvese, kurudyi, uye kuruboshwe-ruoko, zvichiteerana, izvo zvinoratidza murombo (ICC <0.5) kusvika pakati (ICC = 0.5-0.75) mazinga ekuvimbika. ICC yaive 0.474, 0.368, uye 0.635 yezvigunwe zvese, kurudyi, uye kuruboshwe-ruoko, zvichiteerana, izvo zvinoratidza murombo (ICC <0.5) kusvika pakati (ICC = 0.5-0.75) mazinga ekuvimbika. ICC составлял 0,474, 0,368 and 0,635 для общего пальца правой и левой руки соответственно, что указывает на низкий (ICC 0,5) = ICC 0,5 уровень надежности. ICC yaive 0.474, 0.368, uye 0.635 yemunwe wakajairika wemaoko ekurudyi nekuruboshwe, zvichiteerana, zvichiratidza yakaderera (ICC <0.5) kana mwero (ICC = 0.5-0.75) mwero wekuvimbika.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) 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 и левого пальцев составил 0,474, 0,368 uye 0,635 соответственно, что указывает на низкий (ICC <0,5) = 5,5,5 надежности. ICC yezvigunwe zvakajairwa, kurudyi, uye kuruboshwe yaive 0.474, 0.368, uye 0.635, zvichiteerana, zvichiratidza yakaderera (ICC <0.5) uye ine mwero (ICC = 0.5-0.75) mazinga ekuvimbika.
PI yakayerwa pazvigunwe zvakasiyana neimba pulse oximeter inogona kupa kuverenga kwakasiyana.Iyo yepamusoro PI kukosha iri pamunwe wepakati.Makiriniki uye vanachiremba vekutanga vanofanirwa kuziva kusiyana kwePI kuyerwa paminwe uye kushandisa kuverenga nekuchenjerera kune chero chinangwa chekuongorora.
Pulse oximetry ndiyo yakareruka isiri-invasive nzira yekuyera ropa kuzara kweokisijeni [1].Inotakurika, mutengi uye inokwanisika pulse oximeter yatove pamusika semidziyo yekutarisa hutano hwepamba [2].Mumusha uye muchipatara, pulse oximeters inowanzobatanidzwa kune zvigunwe uye dzimwe nguva kune nzeve kana zvigunwe.Iyo meter probe ine photoplethysmographic sensor inobatsira kuongorora kubatwa kwemavara matsvuku uye infrared neokisijeni uye deoxygenated pulsatile kuyerera kweropa [3].
Pamusoro pekuyera oxygen saturation, pulse oximeters inopawo perfusion index (PI).PI ipuroksi yechimiro cheperipheral perfusion.Chiratidzo chinoputika (chinogadzirwa nearerial kuyerera) chinoratidzwa sechikamu cheiyo isiri-pulsatile chiratidzo (blood stasis) kuverenga PI [4].MaPI anoshandiswa munzvimbo dzakasiyana-siyana dzekiriniki, kusanganisira makamuri ekuchengetedza zvakanyanya, perioperative monitoring panguva yecaesarean chikamu, uye stellate ganglion blockade kuyera kushanda kwavo [5-7].
Chidzidzo chakapfuura naSapra et al.Pakati pevashandi vekurapa, PI yepamusoro imunwe wemhete yeruoko rwerudyi, uye yakaderera chigunwe cheruoko rwerudyi [8].Mukupesana, Tripathy et al.Zvave zvichiratidzwa kuti PI yakayerwa paminwe yakasiyana yakasiyana, ine kukosha kwepamusoro kwemunwe wepakati uye kukosha kwakaderera kwemunwe muduku [9].Nekudaro, kuruzivo rwedu, hapana zvidzidzo zvakasimbisa huchokwadi hwePI kuyerwa neminwe.
Muchirevo chechinyorwa ichi, chidzidzo ichi chine chinangwa chekuenzanisa PI yeminwe yemaoko ese mune vanhu vanoita kunge vane hutano.Mhedzisiro yechidzidzo ichi ichabatsira kuona kusiyanisa uye kuve kwechokwadi kwePI kukosha kwakayerwa pakati peminwe yakasiyana uchishandisa pulse oximetry.Zvichienderana nemhedzisiro, vanachiremba vekutanga vanogona kusarudza kana iyo PI yakayerwa neinotakurika oximeter inogona kushandiswa kuona yakashata kupera.
Ichi chidzidzo chakaitwa pakati pevakuru (vane makore> 18 makore) vatori vechikamu vakatsvaga kubva kuchipatara chekudzidzisa chepamusoro chiri kumabvazuva kweIndia. Ichi chidzidzo chakaitwa pakati pevakuru (vane makore> 18 makore) vatori vechikamu vakatsvaga kubva kuchipatara chekudzidzisa chepamusoro chiri kumabvazuva kweIndia.Ichi chidzidzo chakaitwa muvakuru (vanopfuura makore gumi nemasere) vatori vechikamu vakatorwa kubva kuchipatara chepamusoro chekiriniki chiri kumabvazuva kweIndia.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18 岁）研究参与者中Это исследование было проведено среди взрослых (возраст > 18 лет) участников исследования, набранных из клинической больнической больнической больницы третинков чной Индии. Ichi chidzidzo chakaitwa muvakuru (makore> 18 makore) vatori vechikamu vakatorwa kubva kuchipatara chepamusoro chekiriniki chiri kumabvazuva kweIndia.Vatori vechikamu vakaziviswa nezvezvinangwa, hunhu uye kukosha kwechidzidzo, nekutarisisa maitiro ekudzidza.Pashure pekurukurirano, avo vakapa mvumo yakanyorwa yokutora rutivi vakabatanidzwa muchidzidzo chacho.Chidzidzo ichi chakabvumidzwa zviri pamutemo neInstitutional Ethics Committee (referensi: HMCH/IEC/2022/160).
Ichi chaive chemukati-chikamu chekutarisa chidzidzo chakaitwa mukiriniki physiology laboratori yechipatara.Rabhoritari inovhenekerwa nechiedza chepanyama uye chiedza chichena chakapararira.Hapana chiedza chezuva chakananga kana mwaranzi yekugadzira pedyo nenzvimbo yakatorwa zviyero.Chidzidzo ichi chakaitwa kubva muna Ndira kusvika Kukadzi 2022.
Chidzidzo chakaitwa naTripathi et al.Kusiyana mukuzara kweokisijeni uye PI zvakawanikwa muminwe yeruboshwe neruoko rworudyi [9].Tichishandisa chidzidzo sechiyero chekuenzanisa, takaverenga saizi shoma shoma tichishandisa zvinotevera: α = 0.05 (p kukosha ≤ 0.05 yaionekwa seyakakosha), β = 0.1 (simba rekudzidza raive 90%), zvinoreva PI kuruboshwe uye kurudyi. pakati.chigunwe = 3.3 uye 2.7, inotarisirwa kutsauka kwechiyero ndeye 1.7.Inofungidzirwa saizi yemuenzaniso ndeye 337 [10].
Isu takawana poindi-mu-nguva yekureruka sampuro (Ndira 2022 kusvika Kukadzi 2022) kubva kuchipatara chepamusoro chekiriniki. Maitiro ekubatanidzwa aisanganisira chiziviso chechimiro chehutano hwevatori vechikamu uye kupa mvumo yakanyorwa yekutora chikamu nekuzvidira nevakuru vane makore> 18 makore. Maitiro ekubatanidzwa aisanganisira chiziviso chechimiro chehutano hwevatori vechikamu uye kupa mvumo yakanyorwa yekutora chikamu nekuzvidira nevakuru vane makore> 18 makore.Mamiriro ekubatanidza aisanganisira chirevo chemamiriro ehutano anooneka evatori vechikamu uye kupihwa kwemvumo yakanyorwa yekutora chikamu nekuzvidira nevanhu vakuru vanopfuura makore gumi nemasere.Mamiriro ekubatanidza aisanganisira chirevo chechirwere cheari kutora chikamu uye mvumo yakanyorwa yekuzvidira kutora chikamu kwevakuru vanopfuura makore gumi nemasere.Vatori vechikamu vane chirwere chero chipi zvacho chakaoma kana chisingaperi, kutora chero mishonga yechirwere, vane high blood pressure, vane chero chirwere chevascular, uye kuva nepigmentation disorder yeminwe yakabviswa kubva pamuenzaniso wekupedzisira wekudzidza.
Zviyero zvese zvakatorwa pakati pe10:00 na12:00 kudzivirira chero chingangoitika che circadian rhythms.Zera rakarekodhwa muhuwandu hwemakore hwakaziviswa nevatori vechidzidzo.Shandisa handheld rangefinder kuyera kureba ne 0.1 cm.Huremu hunoyerwa pachikero chedhijitari nekururama kwe ± 0.1 kg.Shandisa tepi yefiberglass kuyera chiuno chako uye chiuno kusvika padyo 0.1 cm kuverenga chiuno chako kusvika kuhudyu.Zviyero zvese zvakaitwa nenyanzvi dzekiriniki dzakasangana neanthropometric zviyero pamberi pevashandi verabhoritari yebonde.
Takashandisa BPL Smart Oxy pulse oximeter (BPL Medical Technologies Pvt. Ltd., Bangalore, India) kuyera PI.Pamusoro pemuonde.1a inoratidza kuverenga kwemuenzaniso pachiratidziro chepulse oximeter, uye mufig.1b inoratidza sensor yakasungirirwa pamunwe.
(a) Chidzitiro chinoratidza kurova kwemoyo, kuzara kweokisijeni, uye kuverenga kwe index index.(b) Kuyerwa kwezvipimo neoximeter pamunwe wepakati peruoko rweruboshwe.
Vatori vechikamu chekudzidza vakagara uye zviyero zvePI zvakatorwa mushure mekuzorora kwemaminetsi mashanu.Kunyangwe paine humbowo hwekuti PI yakadzikira munzvimbo yekugara, takafunga chinzvimbo ichi kuitira kuti vatori vechikamu zvive nyore uye nekuisa miganhu [11].Zvakare, sezvo ichi chaive chidzidzo chekuenzanisa, mhedzisiro yekumisikidza pane yakayerwa PI haina kukosha.Zvipikiri hazvina ruvara uye hapana ma tatoo enguva pfupi kana asingagumi paminwe.Iyo pulse oximeter sensors inosungirirwa kuminwe imwe neimwe.Mushure meminiti imwe yekunyorera kune chaiyo chigunwe, tora kuverenga uye uzvichengete kuti uwedzere kuongororwa nekuona kwakagadzikana kuverenga pachiratidziro kweanoda kusvika masekondi matatu.
Iyo data yakaedzwa kuti ive yakajairwa uchishandisa Shapiro-Wilk bvunzo.Saizvozvo, bvunzo dzenhamba dzakasarudzwa (parametric bvunzo dzeanowanzo kugovaniswa data uye isiri-parametric bvunzo yeisingawanzo kugovaniswa data) [12].Kusiyana pakati pevarume nevakadzi kwakaongororwa pachishandiswa unpaired t-test.Kusiyana kwePI pakati peminwe kwakaedzwa uchishandisa ongororo yekusiyana (ANOVA).Kuenderana pakati pezviyero kwakaedzwa uchishandisa intra-class coefficient coefficient (ICC) modhi inoenderana neyedu yekuyera rudzi [13]. ICCs ye <0.5, 0.5-0.75, 0.76-9, uye> 0.9 yaionekwa se "varombo," "yepakati," "yakanaka," uye "yakanaka" kuvimbika, zvichienderana [14]. ICCs ye <0.5, 0.5-0.75, 0.76-9, uye> 0.9 yaionekwa se "varombo," "yepakati," "yakanaka," uye "yakanaka" kuvimbika, zvichienderana [14]. ICC <0,5, 0,5-0,75, 0,76-9 и >0,9 считались «плохими», «умеренными», «хорошими» и «отличными» надежностью соответственно [14]. ICC <0.5, 0.5-0.75, 0.76-9 uye> 0.9 vaionekwa se "varombo", "pakati", "zvakanaka", uye "zvakanakisa" kuvimbika, zvichiteerana [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 uye>0.9 的ICC ICC <0,5, 0,5-0,75, 0,76-9 и >0,9 считались «плохими», «умеренными», «хорошими» и «отличными» надежностью соответственно [14]. ICC <0.5, 0.5-0.75, 0.76-9 uye> 0.9 vaionekwa se "varombo", "pakati", "zvakanaka", uye "zvakanakisa" kuvimbika, zvichiteerana [14].Coefficients yekubatanidza kubva ± 0.0 kusvika ± 0.3, kubva ± 0.31 kusvika ± 0.5, kubva ± 0.51 kusvika ± 0.7, kubva ± 0.71 kusvika ± 0.9 uye kubva ± 0, 91 kusvika ±1 zvaionekwa se "zvidiki", "pasi", "zvine mwero" ", "pamusoro"., ", uye" yakakwirira kwazvo ", maererano [15]. Kuongorora kwenhamba kwakaitwa pachishandiswa GraphPad Prism 6.01 (GraphPad Software, Inc., USA) uye SPSS version 20 (IBM Corp., Armonk, New York, USA). Kune ese bvunzo, p-tsika dze <0.05 dzakaonekwa sechiverengero chakakosha. Kune ese maedzo, p-values ye <0.05 yaionekwa seyakakosha. Для всех тестов значения p <0,05 считались статистически значимыми. Kune ese bvunzo, p kukosha <0.05 yaionekwa seyakakosha.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 p. A p kukosha <0.05 yaionekwa seyakakosha kune ese bvunzo.
Nhamba yevatori vechikamu chidzidzo pakutanga yakabatanidzwa muchidzidzo uye muenzaniso wekupedzisira mushure mekuregererwa unoratidzwa muMufananidzo 2.
Dhiyabhorosi yakaongororwa kubva kune 391 vatori vechikamu chekudzidza kwevanhu vakuru vane makore akaenzana e34.88 ± 10.65 makore.Makore akareba aiva 35.1 ± 10.76 makore evarume (n = 229 [58.57%]) uye 34.56 ± 10.52 makore evakadzi (n = 162 [41.43%]) (isina t-test, p = 0.62).Tafura 1 inopa zera uye anthropometric zvinosiyana nebonde.Vatori vechikamu vechirume vaive nehurefu hwepamusoro, uremu, uye body mass index (BMI).
R: munwe weruoko rwerudyi;L: munwe weruboshwe;1-5: zvigunwe zvemunwe kubva pachigunwe kusvika kumunwe muduku;CI: nguva yekuvimba
MaPI kubva pachigunwe kusvika kumunwe muduku weruoko rworudyi aiva 3.98 ± 1.91, 3.57 ± 1.89, 4.66 ± 2.18, 3.45 ± 1.65, uye 3.5 ± 1.78, maererano.MaPI kubva kugunwe rekuruboshwe kusvika kumunwe muduku aiva 3.94 ± 1.99, 3.61 ± 2.11, 4.37 ± 2.07, 3.79 ± 2.32, uye 3.54 ± 2.3, maererano.Iyo yepamusoro PI inowira paminwe yepakati yemaoko maviri. Paiva nemusiyano mukuru pakati pePI yakayerwa paminwe yakasiyana (F (9, 3900) = 15.49, p <0.0001) (inodzokororwa-maitiro ANOVA) (Mufananidzo 3). Pakanga pane musiyano mukuru pakati pePI yakayerwa paminwe yakasiyana (F (9, 3900) = 15.49, p <0.0001) (inodzokororwa-yero ANOVA) (Mufananidzo 3). Наблюдалась значительная разница между PI, измеренными на разных пальцах (F (9, 3900) = 15,49, p <0,0001) (ANOVA с повториными 300). Pakanga pane musiyano mukuru pakati pePI yakayerwa paminwe yakasiyana (F (9, 3900) = 15.49, p <0.0001) (yakadzokororwa zviyero ANOVA) (Mufananidzo 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. Pakanga pane musiyano mukuru (F (9, 3900) = 15.49, p <0.0001) pakati pePI yakayerwa paminwe yakasiyana (yakadzokororwa zviyero ANOVA) (Mufananidzo 3).
"R" zvinoreva "kurudyi", "L" - "kuruboshwe", uye nhamba kubva pa1 kusvika ku5 dzinomiririra kubva pachigunwe kusvika kumunwe mudiki. Inodzokororwa-nhanho ANOVA mhedzisiro: F (9, 3900) = 15.49, p <0.0001. Zvakadzokororwa-nhanho ANOVA mhedzisiro: F(9, 3900) = 15.49, p <0.0001. Результат повторных измерений ANOVA: F (9, 3900) = 15,49, p <0,0001. Mhedzisiro yezviyero zvakadzokororwa 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. Akadzokororwa matanho eANOVA mhedzisiro: F(9, 3900) = 15.49, p <0.0001.
Zvinoenderana nebvunzo yaTukey's post hoc, pakanga paine 17 yakakosha misiyano yeboka uye 28 isina-yakakosha misiyano yeboka, sezvakaratidzwa mumufananidzo 4.
Mabhawa ekutanga anoratidza kusiyana kusingakoshi (17 misiyano yeboka yakakosha uye 28 isina-yakakosha misiyano yeboka)."R" zvinoreva "kurudyi", "L" - "kuruboshwe", uye nhamba kubva pa1 kusvika ku5 dzinomiririra kubva pachigunwe kusvika kumunwe mudiki.
Pearson's inter-element coefficients coefficients PI, yakayerwa pamusoro pezvigunwe gumi, inoratidzwa muTebhu 3. Kubatana kwakakosha kwenhamba kwakaratidzwa pakati pezviviri zvese zvezvinhu.Iyo coefficients inotangira kubva (R3 kusvika L2) 0.133 kusvika (L4 kusvika L5) 0.798.
R1-R5: chigunwe chekurudyi kuchigunwe chekurudyi;L1-L5: chigunwe chekuruboshwe kune chigunwe chidiki chekuruboshwe.Yese coefficients yekubatanidza yaive nenhamba yakakosha.Tsanangudzo yekubatanidza coefficients: kubva ± 0.0 kusvika ± 0.3, kubva ± 0.31 kusvika ± 0.5, kubva ± 0.51 kusvika ± 0.7, kubva ± 0.71 kusvika ± 0.9, kubva ± 0.91 kusvika ± 1 inonzi "diki", "pasi", " mwero", "pamusoro".uye "Zvakakwirira kwazvo" zvichiteerana.
Iko kuwirirana pakati pemunwe wepakati wekuruboshwe nekurudyi kwaiva 0.287 (CI = 0.193 kusvika 0.375; p <0.0001). Iko kuwirirana pakati pemunwe wepakati wekuruboshwe nekurudyi kwaiva 0.287 (CI = 0.193 kusvika 0.375; p <0.0001). Корреляция между средним пальцем левой и правой руки составила 0,287 (ДИ от 0,193 kusvika 0,375; p <0,0001). Iko kuwirirana pakati peminwe yepakati yekuruboshwe nekurudyi yaiva 0.287 (CI 0.193 kusvika 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 и правой руки составила 0,287 (ДИ от 0,193 до 0,375; р<0,0001). Iko kuwirirana pakati peminwe yepakati yekuruboshwe nekurudyi yaiva 0.287 (CI 0.193 kusvika 0.375; p <0.0001).Iko kuwirirana nemutsetse wemaitiro inoratidzwa mune yekuparadzira plot muFigure 5.
ICC yevose, zvigunwe zvekurudyi nekuruboshwe zvaive 0.474, 0.368, uye 0.635 (Tafura 4), zvichiratidza "varombo", "varombo", uye "pakati" chiyero chekuvimbika, zvichiteerana.
Zvinoenderana nedata, ICC Model 3 yakashandiswa nekuiswa kweSPSS se "mbiri-mativi akasanganiswa" modhi uye "inowirirana zvachose".
Nezvekukodzera pakati pePIs kuyerwa paminwe gumi, takawana misiyano yakakura pakati pezviyero.Chigunwe chepakati chinoratidza PI yepamusoro yakayerwa pakati pezvigunwe zveruoko.Kunyange zvazvo kuwirirana pakati pePI yeminwe yekuruboshwe uye yepakati yepakati yaive yakakosha, iyo coefficient of determination (r2) yakaratidza kuti inenge 8% yekuchinja kwePI yemunwe wepakati wepakati inogona kufanotaurwa kubva kumunwe wepakati wepakati uye pamwe chete [ 16].
PI inoverengerwa kubva kune photoplethysmography chiratidzo nekuenzanisa pulsatile uye isiri-pulsatile peripheral circulation.Zvinhu zviviri zvakakura zvinogona kukanganisa PI, kubuda kwemoyo, uye chiyero pakati peanonzwira tsitsi uye parasympathetic nervous system.
PI yakakwira kana kubuda kwemoyo kwakakwira uye/kana parasympathetic inotungamira.Sezvineiwo, PI yakaderera kana kubuda kwemoyo kwakadzikira uye/kana kunzwira tsitsi.Iyo yakajairika mhando yePI inoonekwa sekubva ku0.2% kusvika 20% [17].Muchidzidzo chedu, takawana PI ye4.37 ± 2.07% yemunwe wepakati wekuruboshwe uye 4.66 ± 2.18% yemunwe wepakati wekurudyi.Nekudaro, isu hatina kuyera kubuda kwemoyo uye iyo autonomic tsinga sisitimu kuti titaure pamusoro penzvimbo dzakasiyana dzemoyo uye tsinga system.Mhedzisiro yedu inosimbisa iyo data yeSavastan et al.Sezviri pachena vanhu vane hutano vane makore ane makore e42 (interquartile range = 33-47) vaiva nePI ye4.3 (interquartile range = 2.9-6.2) [18].
Mumamiriro ehupenyu, kumira kunobata iyo yakayerwa PI, iyo yakawanikwa yakadzikira munzvimbo yekugara uye yepamusoro-soro munzvimbo yeTendelenburg [11].Muchidzidzo chedu, takashandisa nzvimbo yekugara kune vese vatori vechikamu.Nokudaro, kana tichienzanisa paminwe, tinofungidzira kuti PI iri padanho rakaderera.Nemhaka yokuti PI ndiyo chiyero chekuputika kune kusinga-pulsatile kuyerera kweropa, chero chirwere chinokanganisa kubuda kweropa kunobata PI [19].PI mudhipatimendi rekukurumidzira inobatsira kuona kudiwa kwekuwedzerwa ropa [20].Inobatsirawo kuongorora njodzi yekufa kune varwere vane ropa repamusoro rekubuda ropa uye mune varwere vane mechanically ventilated [21,22].Mukuwedzera, inobatsira kuona hypotension panguva yeanesthesia uye kuona kushanda kwe ganglionic blockades [6,7].Munzvimbo yekuchengetedza yakanyanya, pulse oximeter chikamu chakakosha chekutarisa mamwe ma paramita mune imwe chipatara-level nzvimbo.Nekudaro, muchidzidzo ichi, takashandisa zvishandiso zvegiredhi revatengi.Nokudaro, migumisiro yechidzidzo ichi inogona kusaenzaniswa nezvidzidzo zvinoshandisa chipatara-giredhi oximeters.
Mutengi giredhi pulse oximeters inogona kushandiswa nevarapi vekutanga varapi nevarapi vese vekushanya kumba kuyera murwere weoxygen saturation (SpO2) uye PI.Vanofanira kutora matanho ekuderedza kutapurirwa kwechirwere pakati pevarwere vachishandisa probes kana zvigunwe [23].Nekudaro, ivo vanofanirwa kungwarira sezvo PI yakayerwa paminwe yakasiyana inogona kupa kuverenga kwakasiyana.Zvidzidzo zvekare zvakaratidza kuti chigunwe chepakati chinoratidza mazinga epamusoro eSpO2 achienzaniswa nemimwe minwe [24,25].Muchidzidzo ichi, takaona kuti PI yakaratidzawo zvibodzwa zvepamusoro pamunwe wepakati pemakumbo ese.
Ichi chidzidzo chine zvimwe zvinogumira.Takaunganidza masampuli etsvakurudzo kubva kuchipatara.Masamples ekurerutsira ndiwo mashoma-mukana sampuli.Naizvozvo, hazvigoneke kuongorora kuti anomiririra sei huwandu hwevanhu.Pamusoro pezvo, isu takangotora masampula kubva kune vanoita kunge vane hutano kuti vatsigire PI pasi pezvakajairwa mamiriro emuviri.Naizvozvo, mhedzisiro inogona kusashanda kune vanhu vane chero mamiriro ekurapa.
Inotakurika uye yemumba pulse oximeters inogona kuyera PI zvakasiyana paminwe yakasiyana yekuruboshwe nekurudyi.Iwo epamusoro PI maitiro akawanikwa pamunwe wepakati weruoko rumwe norumwe.Kuvimbika kwePI kuyerwa nepulse oximeter paminwe yakasiyana kwakaderera.Naizvozvo, PI yakawanikwa ine oximeter inofanirwa kududzirwa nekuchenjerera kune chero chinangwa chekuongorora.Kuwedzera kutsvakurudza kunodiwa kuenzanisa kuvimbika kwechipatara uye mutengi oximeters mukuyera PI yeminwe yakasiyana.
Dhipatimendi rePhysiology, Dhipatimendi rePhysiology, Chikoro cheMishonga uye Chipatara, Patna, Indiana National Insurance Company Vashandi
Dhipatimendi rePhysiology, Dhipatimendi rePhysiology, Chikoro cheMishonga uye Chipatara, Patna, Indiana National Insurance Company Vashandi
Dhipatimendi rePhysiology, Dhipatimendi rePhysiology, Chikoro cheMishonga uye Chipatara, Patna, Indiana National Insurance Company Vashandi
Zvidzidzo Zvevanhu: Vese vakapinda muchidzidzo ichi vakapa kana kusapa mvumo.Mvumo HMCH/IEC/2022/160 yakapihwa neInstitutional Ethics Committee yeBhubaneswar Medical College uye High Tech Hospital.Zvidzidzo zveMhuka: Vese vanyori vakasimbisa kuti hapana mhuka kana matishu akabatanidzwa muchidzidzo ichi.Kupesana Kwekufarira: Maererano neICMJE Uniform Disclosure Form, vanyori vose vanozivisa zvinotevera: Kubhadhara / Ruzivo Rwebasa: Vese vanyori vanotaura kuti havana kuwana rubatsiro rwemari kubva kune chero sangano rebasa rakatumirwa.Hukama Hwemari: Vese vanyori vanozivisa kuti ivo parizvino kana mukati memakore matatu apfuura vane hukama hwemari nechero sangano rinogona kufarira basa rakatumirwa.Humwe Hukama: Vese vanyori vanotaura kuti hapana humwe hukama kana zviitiko zvinogona kukanganisa basa rakatumirwa.
Tinotenda vose vakapinda muchidzidzo ichi.Tinotendawo Sarika Mondal, munyori wezvokurapa akazvimirira, nekugadziridza kwehunyanzvi kwechinyorwa ichi uye nekupa kumifananidzo yakashandiswa muchinyorwa ichi.Mutori wenhau anoda kutenda Ahana Aarshi nerutsigiro rwake runyoro panguva yekugadzirira kwechinyorwa ichi.Tinotenda vanoongorora chinyorwa ichi nekunyatsoongorora uye mhinduro dzinovaka.
Swain SM, Lata M, Kumar S et al.(Chivabvu 9, 2022) Chidzidzo chemuchinjiko chekuenderana kwemaparamendi eperfusion akayerwa paminwe neinotakurika pulse oximeter muvakuru vane hutano.Kurapa 14(5): e24853.doi:10.7759/cureus.24853
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(a) Chidzitiro chinoratidza kurova kwemoyo, kuzara kweokisijeni, uye kuverenga kwe index index.(b) Kuyerwa kwezvipimo neoximeter pamunwe wepakati peruoko rweruboshwe.
"R" zvinoreva "kurudyi", "L" - "kuruboshwe", uye nhamba kubva pa1 kusvika ku5 dzinomiririra kubva pachigunwe kusvika kumunwe mudiki. Inodzokororwa-nhanho ANOVA mhedzisiro: F (9, 3900) = 15.49, p <0.0001. Zvakadzokororwa-nhanho ANOVA mhedzisiro: F(9, 3900) = 15.49, p <0.0001. Результат повторных измерений ANOVA: F (9, 3900) = 15,49, p <0,0001. Mhedzisiro yezviyero zvakadzokororwa 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. Akadzokororwa matanho eANOVA mhedzisiro: F(9, 3900) = 15.49, p <0.0001.
Nguva yekutumira: Nov-07-2022