本文選題：連續(xù)無創(chuàng)血紅蛋白 + 動(dòng)脈血?dú)庋t蛋白　； 參考：《上海醫(yī)學(xué)》2015年04期

【摘要】：目的評(píng)價(jià)應(yīng)用Masimo SET Radical-7Pulse CO-Oximeter監(jiān)測(cè)儀(美國(guó)Masimo公司)連續(xù)、無創(chuàng)、實(shí)時(shí)監(jiān)測(cè)血紅蛋白(Hb)水平在小兒頭面部手術(shù)中的臨床應(yīng)用價(jià)值。方法選擇擇期在氣管插管全身麻醉下行頭面部手術(shù)的患兒30例,分別于麻醉誘導(dǎo)后5min、切皮后5min和術(shù)畢即刻各時(shí)間點(diǎn),記錄應(yīng)用Masimo SET Radical-7Pulse CO-Oximeter監(jiān)測(cè)儀連續(xù)實(shí)時(shí)無創(chuàng)地監(jiān)測(cè)的Hb水平(SpHb)和采集動(dòng)脈血樣本即刻行血?dú)夥治鰷y(cè)定的Hb水平(Hbsatlab),并對(duì)兩者進(jìn)行相關(guān)性分析和一致性分析。結(jié)果 Pearson相關(guān)性分析結(jié)果表明,以SpHb值為自變量x,Hbsatlab值為應(yīng)變量y,兩者呈線性相關(guān),相關(guān)方程為y=26.35+0.75x,相關(guān)系數(shù)r=0.622,P0.001。Bland-Altman一致性分析結(jié)果顯示,差值的平均偏倚為4.3g/L,95%CI(一致性界限)為-6~15g/L,1.1%(1/90)的點(diǎn)在一致性界限外,兩種方法測(cè)得的Hb值具有較好的一致性。結(jié)論在小兒頭面部術(shù)中采用連續(xù)無創(chuàng)Hb監(jiān)測(cè)的準(zhǔn)確性良好,能為術(shù)中輸液、輸血提供實(shí)時(shí)客觀依據(jù)。
[Abstract]:Objective to evaluate the clinical value of continuous, noninvasive and real time monitoring of hemoglobin with Masimo SET Radical-7Pulse CO-Oximeter monitor (Masimo Company) in pediatric head and facial surgery. Methods Thirty children undergoing craniofacial surgery under tracheal intubation under general anesthesia were selected at 5 minutes after anesthesia induction, 5min after skin incision and at each time point immediately after operation. The HB levels monitored continuously and noninvasively by Masimo SET Radical-7Pulse CO-Oximeter monitor and the HB levels measured by blood gas analysis were recorded. The correlation analysis and consistency analysis were carried out between the two groups. Results the results of Pearson correlation analysis showed that the SpHb value was regarded as the dependent variable, and the correlation equation was y 26.35 0.75 x, and the correlation coefficient was 0. 622 P 0.001. Bland-Altman consistency analysis showed that there was a linear correlation between the two variables, and the correlation coefficient was 0. 622% P 0. 001.Bland-Altman consistency analysis. The average bias of the difference is 4.3 g / L ~ (95) CI (consistency limit) = -6 ~ (15) g / L ~ (-1) / L ~ (-1 / 90). Outside the consistency limit, the HB values obtained by the two methods are in good agreement. Conclusion the accuracy of continuous non-invasive HB monitoring in pediatric cephalofacial surgery is good and can provide real-time objective basis for intraoperative infusion and blood transfusion.
【作者單位】： 上海交通大學(xué)醫(yī)學(xué)院;上海交通大學(xué)醫(yī)學(xué)院附屬第九人民醫(yī)院手術(shù)麻醉科;
【分類號(hào)】：R726.1

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