在成年人长期通风 (LTV) 服务中通过皮肤测量CO2
Wei Hann Ong1, Peter Ireland1,2, Ching Khai Ho1
1North East Assisted Ventilation Service, Royal Victoria Infirmary, The Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne NE1 4LP, UK.
通过皮肤对二氧化碳的监测对于在家治疗呼吸衰竭非常有价值. 在初次尝试后重复测量可以提高成功率,而设备选择可能会影响性能.
科学领域:
- 肺部医学 肺部医学
- 呼吸系统生理学 呼吸系统生理学
- 医疗器械技术 医疗器械技术
背景情况:
- 通过皮肤测量二氧化碳 (TcCO2) 对于诊断和监测呼吸器功能衰竭至关重要.
- 关于TCCO2测量的成功率的数据有限.
- 这项研究调查了在长期通风 (LTV) 服务中影响TcCO2测量成功的因素.
研究的目的:
- 为了确定TCCO2测量的成功率.
- 确定影响TcCO2测量成功的因素.
- 为了比较不同TcCO2设备的性能.
主要方法:
- 从2019年10月到2022年1月,对435个TCCO2测量事件进行了回顾性分析.
- 收集的数据包括患者人口统计学,适应症,测量结果,设备 (放射仪TCM5,Sentec),设置和尝试次数.
- 使用费舍尔的精确测试进行了统计比较.
主要成果:
- 每次尝试的总体成功率为62.9-67.0%,每名患者多达三次尝试.
- 放射仪TCM5设备的成功率明显高 (73.5%) 比Sentec设备 (60.6%),特别是在家庭环境中.
- 超过80%的测量是由患者或他们的护理人员进行的.
结论:
- 家庭TcCO2监测对于治疗呼吸衰竭患者是有效的.
- 在初始故障后重复TcCO2测量是有益的.
- 设备的性能可能会有所不同,这表明需要对特定设备的成功率进行进一步调查.
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