在胃肠内镜中,无线和传统有线监控系统之间的一致性比较
Peng Zhang1, Jing Zhuang1, Ting Li1
1Department of Anesthesiology, Sichuan Provincial People's Hospital, School of Medicine, University of Electronic Science and Technology of China, 32 West Second Section First Ring Road, Chengdu, Sichuan, China.
无线监测设备在胃肠内镜检查期间显示了心率和氧和度的充分一致. 然而,血压和脉率的准确性需要进一步验证,特别是对于高风险患者.
科学领域:
- 医疗器械 医疗器械
- 胃肠病学 胃肠病学
- 麻醉学 麻醉学
背景情况:
- 有限的研究存在于穿戴式监控设备在侵袭性手术,如胃肠内镜.
- 与传统有线系统相比,评估无线监控系统的可靠性对于患者安全至关重要.
研究的目的:
- 为了比较无线与传统有线监控系统在镇静下胃肠内镜期间的一致性.
- 评估两种系统测量的各种生理参数的准确性和一致性.
主要方法:
- 使用无线和有线系统同时监测了120名接受胃肠道内镜和镇静治疗的患者.
- 记录了关键参数,包括心率 (HR),脉率,外周氧和度 (SpO2) 和血压 (心缩,腹缩,平均值).
- 统计分析包括相关系数,一致限度和极地图的趋势分析.
主要成果:
- 观察到HR (0.999) 和SpO2 (0.606) 的高相关性,HR和SpO2.6 的充分一致性.
- 发现脉率,静脉血压 (SBP),透气血压 (DBP) 和平均血压 (MAP) 的不最佳一致性.
- 血压测量符合ISO 81060-2准确性标准,但趋势分析显示了可变的一致性.
结论:
- 无线监测系统在胃肠内镜检查期间显示HR和SpO2的可接受一致性.
- 对于无线监测脉冲率和血压,特别是高风险患者群体,需要进一步验证.
- 虽然无线监控在一般情况下是可以接受的,但它需要进一步的研究才能在胃肠内镜中全面使用.
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