使用MC传感器进行非侵入性和持续的腹内压力评估
Boštjan Plešnik1,2, Mihajlo Djokić3,4, Srdjan Djordjević5
1University Medical Centre Ljubljana, Zaloška cesta 7, Ljubljana, Slovenia. bostjan.plesnik@gmail.com.
Scientific reports
|March 29, 2025
概括
一种新型的肌肉收缩传感器精确监测腹内压力 (IAP),有助于在重症监护患者中早期检测腹内高血压 (IAH) 和腹腔综合征 (ACS).
科学领域:
- 关键护理医学 关键护理医学
- 医疗器械技术 医疗器械技术
- 手术监测手术监测的情况
背景情况:
- 腹腔内压力 (IAP) 监测对于预防严重并发症如腹腔内高血压 (IAH) 和腹腔综合征 (ACS) 至关重要.
- 现有的IAP测量方法可能具有侵入性或缺乏持续监测能力.
研究的目的:
- 评估用于监测IAP的新型非侵入性肌肉收缩 (MC) 传感器的准确性和可重复性.
- 评估MC传感器读数与通过CO2灌气获得的客观IAP测量之间的相关性.
主要方法:
- 纳入了41名经过腹腔镜胆囊切除术的患者.
- 两个MC传感器被应用到腹部,并使用CO2灌气逐步增加IAP.
- 将MC传感器读数与来自CO2灌气器的随机IAP值进行比较.
主要成果:
- 该MC传感器展示了连续和准确的IAP检测.
- 在MC传感器和灌气器测量之间发现了一个强大的正线性相关性 (皮尔森r = 0.963,R2 = 0.927).
- 在识别IAH (AUC = 0.996) 和ACS (AUC = 0.981) 时,MC系统显示出高准确度.
结论:
- 穿皮MC传感器是IAP评估的准确,非侵入性方法,与CO2灌气测量有很强的相关性.
- 这种创新设备为传统的IAP监控方法提供了潜在的替代方案.
- 来自MC传感器的实时数据可以促进积极的患者护理和危急情况的早期干预.
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