• 医学文献
  • 知识库
  • 评价分析
  • 全部
  • 中外期刊
  • 学位
  • 会议
  • 专利
  • 成果
  • 标准
  • 法规
  • 临床诊疗知识库
  • 中医药知识库
  • 机构
  • 作者
热搜词:
换一批
论文 期刊
取消
高级检索

检索历史 清除

医学文献 >>
  • 全部
  • 中外期刊
  • 学位
  • 会议
  • 专利
  • 成果
  • 标准
  • 法规
知识库 >>
  • 临床诊疗知识库
  • 中医药知识库
评价分析 >>
  • 机构
  • 作者
热搜词:
换一批

脉搏血氧指数监测在上消化道出血合并不同程度休克的临床意义

Clinical significance of monitoring of pulse blood oxygen saturation index in upper gastrointestinal bleeding complicated with different degrees of shock

摘要:

目的 探讨脉搏血氧指数(SpO2/FiO2)监测在上消化道出血合并不同程度休克的临床意义.方法 上消化道出血合并不同程度体克患者共82例,包括轻度休克组24例,中度休克组36例,重度休克组22例,观察下列指标:①记录各组低氧血症的发生率.②在治疗的第1个4h每隔30分钟共8个时点同步测定脉搏血氧指数和氧合指数(PaO2/FiO2)并作Spearman等级相关回归分析.结果 低氧血症发生率在轻度休克组为4.17%(1例),中度休克组为33.3%(12例),重度休克组为90.9%(20例),组间比较差异有统计学意义(x2=37.19,P< 0.01).轻度休克组两变量呈正相关(Y=45.2+0.9032X,γ=0.9943,P=0.0322),脉搏血氧指数316相当于氧合指数300.中度休克组两变量也呈正相关(Y=49.7+0.9177X,γ=0.9874,P=0.0371),脉搏血氧指数325相当于氧合指数300.重度休克组两变量相关关系无显著性(F检验,F =0.3306,P=0.1019).结论 轻度和中度休克患者脉搏血氧指数可替代氧合指数监测,重度休克患者脉搏血氧指数偏差较大,需动态监测氧合指数.

更多
abstracts:

Objective To discuss the clinical significance of monitoring of pulse blood oxygen saturation index (SpO2/FiO2) in upper gastrointestinal bleeding complicated with different degrees of shock.Methods Eight-two patients with upper gastrointestinal bleeding complicated with different degrees of shock,including mild shock group(24 cases),moderate shock group(36 cases)and severe shock group(22 cases).The following markers were investigated:①The incidence of hypoxemia in each group was recorded.②Pulse blood oxygen saturation index and oxygenation index (PaO2/FiO2) was synchronous measured every 30 minutes at totally 8 time point in the treatment of the first 4 hours,and Spearman rank correlation regression analysis were did.Results Hypoxemia incidence in mild shock group was 4.17% (1 case),in moderate shock group was 133.3% (2 cases),in severe shock group was 90.9% (20 cases),and there were significant differences between the groups(x2 =37.19,P <0.01).Two variables were positive related in mild shock group (Y =45.2 + 0.9032X,γ=0.9943,P =0.0322),pulse blood oxygen saturation index 316 was equal to 300 of oxygenation index.Two variables were positive related in moderate shock group also (Y =49.7 + 0.9177X,γ=0.9874,P =0.0371),pulse blood oxygen saturation index 325 was equal to 300 of oxygenation index.Two variables were no related in severe shock group (F test,F =0.3306,P =0.1019).Conclusions Monitoring of pulse blood oxygen saturation index can be replaced by oxygenation index in patients with mild or moderate shock.Relatively large errors occur in pulse blood oxygen saturation index in patients with severe shock,and it needs dynamic monitoring of oxygenation index.

More
作者: 苏勇 [1] 苏月南 [2] 姚越峰 [1]
分类号: R573.2
栏目名称: 论著
DOI: 10.3760/cma.j.issn.1674-4756.2012.15.011
发布时间: 2012-11-16
  • 浏览:237
  • 下载:12

加载中!

相似文献

  • 中文期刊
  • 外文期刊
  • 学位论文
  • 会议论文

加载中!

加载中!

加载中!

加载中!

扩展文献

特别提示:本网站仅提供医学学术资源服务,不销售任何药品和器械,有关药品和器械的销售信息,请查阅其他网站。

  • 客服热线:4000-115-888 转3 (周一至周五:8:00至17:00)

  • |
  • 客服邮箱:yiyao@wanfangdata.com.cn

  • 违法和不良信息举报电话:4000-115-888,举报邮箱:problem@wanfangdata.com.cn,举报专区

官方微信
万方医学小程序
new翻译 充值 订阅 收藏 移动端

官方微信

万方医学小程序

使用
帮助
Alternate Text
调查问卷