基于智能手机的光电透视图应用程序用于评估手指输液不足
Hsin-Yu Hsieh1, Chien-Chin Hsu1,2, Kuo-Tai Chen1
1Emergency Department, Chi-Mei Medical Center, Tainan, Taiwan.
Medicine
|February 6, 2026
概括
智能手机应用程序显示出在紧急情况下评估肢体 perfusion 的前景. 这些工具提供了一个用户友好的方式来选血液循环问题,与临床方法相似.
科学领域:
- 紧急医疗 紧急医疗
- 生物医学工程 生物医学工程
- 医疗技术 医疗技术 医学技术
背景情况:
- 在医院前创伤护理中,对远端肢体输液的快速评估至关重要.
- 现有的临床方法来评估输液可能是耗时的或需要专门的设备.
- 智能手机无处不在,并提供了新的诊断工具的潜力.
研究的目的:
- 评估智能手机应用程序 (APP) 的有效性,作为在模拟的医院前创伤场景中查远端肢体 perfusion 的工具.
- 为了比较两个特定的智能手机应用程序 (RhythmCam和Cardio) 与已建立的临床评估方法的性能.
主要方法:
- 在40名健康参与者身上,使用气动带系统创建了一个人工缺血肢体模型.
- 系统性动脉压 (SAP) 用于在10 mm Hg间隔内设置从-30到+30 mm Hg的闭塞压力.
- 两款智能手机应用程序的性能与毛细血管补充时间 (CRT),脉冲触摸,脉冲氧计和多普勒超声波进行了比较.
主要成果:
- 所有测试方法都显示,随着闭塞压力从-10毫米Hg增加到+10毫米Hg,阳性结果下降.
- 智能手机应用程序表现出良好的准确性 (心脏: 92.5%,RhythmCam: 96.1%),尽管存在轻微的错误.
- 应用程序的性能与远距离脉冲触摸和多普勒超声波相比,性能优于脉冲氧计和CRT.
结论:
- 基于光电脉冲扫描的智能手机应用程序 (RhythmCam, Cardiio) 显示出作为远端肢体输液的可访问查工具的潜力.
- 这些应用程序可以使非医疗保健专业人员能够评估在医院前创伤中四肢循环的紧迫性.
- 需要进一步的研究,以充分探索智能手机应用程序在紧急情况下的临床实用性.
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