中华麻醉学杂志
中華痳醉學雜誌
중화마취학잡지
CHINESE JOURNAL OF ANESTHESIOLOGY
2013年
11期
1372-1375
,共4页
陈洁%徐鑫%汪小海%马正良%顾小萍%吉文亮
陳潔%徐鑫%汪小海%馬正良%顧小萍%吉文亮
진길%서흠%왕소해%마정량%고소평%길문량
血氧测定法%监测,手术中%指甲油
血氧測定法%鑑測,手術中%指甲油
혈양측정법%감측,수술중%지갑유
Oximetry%Monitoring,intraoperative%nail polish
目的 评价指甲油对不同品牌监测仪测定健康志愿者脉搏血氧饱和度(SpO2)的影响.方法 女性健康志愿者20名,每名随机选取9个手指分别涂8种不同颜色指甲油(透明、红、黄、绿、蓝、紫、黑、白色),剩余1个手指作为空白对照,采用TuffSat手掌血氧仪、MPT0及PM-9800监测仪测定SpO2及脉率(PR).记录各监测仪监测9个手指所得SpO2监测数值及SpO2和脉率(PR)的反应时间.结果 (1)与空白对照相比,MP70监测仪测得各颜色对SpO2监测数值的影响差异无统计学意义(P＞0.05),蓝色可使SpO2与PR反应时间延长;PM-9800监测仪测得黑色可使SpO2监测数值降低(P＜0.05),各颜色对SpO2与PR反应时间的影响差异无统计学意义(P＞0.05);TuffSat手掌血氧仪测得绿色和蓝色可使SpO2监测数值降低,蓝色时其SpO2监测数值下降更显著(P＜0.05).蓝、紫、黑、白色可使PR反应时间延长(P＜0.05),各颜色延长PR反应时间的顺序依次为:黑、蓝、紫、白色,各颜色对SpO2反应时间的影响差异无统计学意义(P＞0.05)(2)对于绿、蓝色指甲油,TuffSat手掌血氧仪监测SpO2数值显著低于MPT0监测仪与PM-9800监测仪(P＜0.05);对于红、黄、绿色指甲油,Tuff Sat手掌血氧仪PR反应时间明显缩短于MP70监测仪与PM-9800监测仪(P＜0.05);对于空白对照及8种颜色指甲油,Tuff Sat手掌血氧仪SpO2反应时间明显缩短于MP70监测仪与PM-9800监测仪(P＜0.05).对于黑色指甲油,PM-9800监测仪监测SpO2数值显著低于MPT0监测仪与TuffSat手掌血氧仪(P＜0.05).结论 每款监测仪对指甲油的辨认及识别能力有所差别,指甲油颜色可对部分监测仪SpO2监测数值及显示时间产生影响.蓝色指甲油对TuffSat手掌血氧仪SpO2数值影响最明显,MP70监测仪监测SpO2数值最稳定,TuffSat手掌血氧仪采集SpO2数值最灵敏.
目的 評價指甲油對不同品牌鑑測儀測定健康誌願者脈搏血氧飽和度(SpO2)的影響.方法 女性健康誌願者20名,每名隨機選取9箇手指分彆塗8種不同顏色指甲油(透明、紅、黃、綠、藍、紫、黑、白色),剩餘1箇手指作為空白對照,採用TuffSat手掌血氧儀、MPT0及PM-9800鑑測儀測定SpO2及脈率(PR).記錄各鑑測儀鑑測9箇手指所得SpO2鑑測數值及SpO2和脈率(PR)的反應時間.結果 (1)與空白對照相比,MP70鑑測儀測得各顏色對SpO2鑑測數值的影響差異無統計學意義(P＞0.05),藍色可使SpO2與PR反應時間延長;PM-9800鑑測儀測得黑色可使SpO2鑑測數值降低(P＜0.05),各顏色對SpO2與PR反應時間的影響差異無統計學意義(P＞0.05);TuffSat手掌血氧儀測得綠色和藍色可使SpO2鑑測數值降低,藍色時其SpO2鑑測數值下降更顯著(P＜0.05).藍、紫、黑、白色可使PR反應時間延長(P＜0.05),各顏色延長PR反應時間的順序依次為:黑、藍、紫、白色,各顏色對SpO2反應時間的影響差異無統計學意義(P＞0.05)(2)對于綠、藍色指甲油,TuffSat手掌血氧儀鑑測SpO2數值顯著低于MPT0鑑測儀與PM-9800鑑測儀(P＜0.05);對于紅、黃、綠色指甲油,Tuff Sat手掌血氧儀PR反應時間明顯縮短于MP70鑑測儀與PM-9800鑑測儀(P＜0.05);對于空白對照及8種顏色指甲油,Tuff Sat手掌血氧儀SpO2反應時間明顯縮短于MP70鑑測儀與PM-9800鑑測儀(P＜0.05).對于黑色指甲油,PM-9800鑑測儀鑑測SpO2數值顯著低于MPT0鑑測儀與TuffSat手掌血氧儀(P＜0.05).結論 每款鑑測儀對指甲油的辨認及識彆能力有所差彆,指甲油顏色可對部分鑑測儀SpO2鑑測數值及顯示時間產生影響.藍色指甲油對TuffSat手掌血氧儀SpO2數值影響最明顯,MP70鑑測儀鑑測SpO2數值最穩定,TuffSat手掌血氧儀採集SpO2數值最靈敏.
목적 평개지갑유대불동품패감측의측정건강지원자맥박혈양포화도(SpO2)적영향.방법 녀성건강지원자20명,매명수궤선취9개수지분별도8충불동안색지갑유(투명、홍、황、록、람、자、흑、백색),잉여1개수지작위공백대조,채용TuffSat수장혈양의、MPT0급PM-9800감측의측정SpO2급맥솔(PR).기록각감측의감측9개수지소득SpO2감측수치급SpO2화맥솔(PR)적반응시간.결과 (1)여공백대조상비,MP70감측의측득각안색대SpO2감측수치적영향차이무통계학의의(P＞0.05),람색가사SpO2여PR반응시간연장;PM-9800감측의측득흑색가사SpO2감측수치강저(P＜0.05),각안색대SpO2여PR반응시간적영향차이무통계학의의(P＞0.05);TuffSat수장혈양의측득록색화람색가사SpO2감측수치강저,람색시기SpO2감측수치하강경현저(P＜0.05).람、자、흑、백색가사PR반응시간연장(P＜0.05),각안색연장PR반응시간적순서의차위:흑、람、자、백색,각안색대SpO2반응시간적영향차이무통계학의의(P＞0.05)(2)대우록、람색지갑유,TuffSat수장혈양의감측SpO2수치현저저우MPT0감측의여PM-9800감측의(P＜0.05);대우홍、황、록색지갑유,Tuff Sat수장혈양의PR반응시간명현축단우MP70감측의여PM-9800감측의(P＜0.05);대우공백대조급8충안색지갑유,Tuff Sat수장혈양의SpO2반응시간명현축단우MP70감측의여PM-9800감측의(P＜0.05).대우흑색지갑유,PM-9800감측의감측SpO2수치현저저우MPT0감측의여TuffSat수장혈양의(P＜0.05).결론 매관감측의대지갑유적변인급식별능력유소차별,지갑유안색가대부분감측의SpO2감측수치급현시시간산생영향.람색지갑유대TuffSat수장혈양의SpO2수치영향최명현,MP70감측의감측SpO2수치최은정,TuffSat수장혈양의채집SpO2수치최령민.
Objective To evaluate the effects of nail polish on measurement of pulse oxygen saturation (SpO2) by different brands of monitors in healthy volunteers.Methods Twenty healthy female volunteers were enrolled in the study.Nine fingers of each volunteer were chosen randomly,8 nails were painted 8 different colors (transparent color,red,yellow,green,blue,purple,black,white),respectively,and the left 1 nail served as blank control.SpO2 and pulse rate (PR) were measured using TuffSat Handheld Oximeter (GE) and MP70 (Philip) and PM-9800 (Mindray) monitors.SpO2 of the 9 nails monitored and the response time for SpO2 and PR were recorded.Results (1) Compared with blank control,when MP70 monitor was used,no significant change was found in each color-induced effect on the value of SpO2 obtained (P ＞ 0.05),and blue prolonged the response time for PR and SpO2 (P ＜ 0.05) ;When PM-9800 monitor was used,black could decrease the value of SpO2 measured (P ＜ 0.05),and no significant change was found in each color-induced effect on the response time for SpO2 and PR (P ＞ 0.05) ; when TuffSat Handheld Oximeter was used,green and blue could decrease the value of SpO2 monitored,and the value of SpO2 obtained was significantly lower when blue was used (P ＜ 0.05).Black,blue,purple and white could sequentially prolong the response time for PR (P ＜ 0.05),and no significant change was found in each color-induced effect on the response time for SpO2 (P ＞ 0.05).(2) For green and blue nail polish,the value of SpO2 measured with TuffSat Handheld Oximeter was significantly lower than that measured with MP70 and PM-9800 monitors(P ＜ 0.05) ; for red,yellow and green nail polish,the response time for PR obtained with TuffSat Handheld Oximeter was significantly shorter than that obtained with MP70 and PM-9800 monitors (P ＜0.05) ; for blank control group and 8 colors of nail polish,the response time for SpO2 measured with TuffSat Handheld Oximeter was significantly shorter than that measured with MP70 and PM-9800 monitors (P ＜ 0.05).For black nail polish,the value of SpO2 measured with PM-9800 monitors was significantly lower than that measured with MP70 and TuffSat Handheld Oximeter(P ＜ 0.05).Conclusion The ability for nail polish recognition and identification is different for each monitor and the color of nail polish can exert obvious effect on the value and response time for SpO2 obtained.The results of this study shows that blue nail polish-induced effect on the value of SpO2 obtained with TuffSat Handheld Oximeter is obvious,and MP70 monitor is the most stable instrument and TuffSat Handheld Oximeter is the most sensitive instrument in obtaining the value of SpO2.
