穿戴式传感器测量心率中的术后昼夜模式:一项前性观察性研究
Eveline H J Mestrom1,2, Jonna A van der Stam3,4,5, Simon W Nienhuijs6
1Department of Electrical Engineering, Eindhoven University of Technology, Eindhoven, The Netherlands. eveline.mestrom@catharinaziekenhuis.nl.
Journal of clinical monitoring and computing
|October 21, 2023
概括
穿戴式传感器在手术后显示出不同的心率模式. 癌症手术患者表现出更高的心率和改变的白天节律,心率最低可能预测恶化.
科学领域:
- 心血管生理学心血管生理学
- 手术康复监测 手术康复监测
- 医疗保健中的可穿戴技术
背景情况:
- 术后监测对于患者的结果至关重要.
- 了解白天心率节奏可以为恢复提供洞察力.
- 可穿戴式传感器提供连续的,非侵入性的生理数据收集.
研究的目的:
- 用可穿戴传感器在没有复杂恢复的患者中描述24小时心率周期.
- 为了在没有恶化恢复的患者和经历术后恶化的患者之间比较心率白天节律.
- 为了研究腹部癌症手术后心率模式的差异,与腹部癌症手术相比.
主要方法:
- 一项前性观察性研究,涉及接受减肥或主要腹部癌症手术的患者.
- 连续监测心率14天使用无线加速度计贴片 (Healthdot).
- 对昼夜模式的分析,包括心率的峰值,最低点和峰值-最低点的游览.
主要成果:
- 这两种手术类型最初都破坏了白天心率节奏.
- 与癌症手术患者相比,腹部手术患者在术后表现出较低的峰值和最低心率和更大的外出.
- 癌症手术患者在恶化之前显示出明显更高的最低和最高心率.
结论:
- 手术干预,尤其是癌症手术,会扰乱手术后的白天心率节奏.
- 虽然两组都显示出节律恢复,但癌症手术患者保持了更高的心率.
- 纳迪尔心率成为预测癌症手术后病情恶化的潜在预后标记.
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