CAJ | 학술논문

目的探讨气囊测压表监测人工气道气囊压力在临床应用中的价值.方法应用气囊测压表测量29例患者气囊实际压力,与经验法判断进行对比.结果 29例中,27.59％高于理想值,48.28％低于理想值,仅24.14％处于理想值;测压表与经验法的相关系数为0.469,为低度相关.经验法的准确性41.02％,敏感性为11.77％,特异性63.64％,阳性预测值20.00％,阴性预测值48.28％,P=0.140.结论用经验法判断气囊压力存在较大误差,建议定期应用气囊测压表对气囊进行压力检测,维持气囊压力在安全范围以保证机械通气患者安全.
목적 탐토기낭측압표감측인공기도기낭압력재림상응용중적개치.방법 응용기낭측압표측량29례환자기낭실제압력,여경험법판단진행대비.결과 29례중,27.59％고우이상치,48.28％저우이상치,부24.14％처우이상치;측압표여경험법적상관계수위0.469,위저도상관.경험법적준학성41.02％,민감성위11.77％,특이성63.64％,양성예측치20.00％,음성예측치48.28％,P=0.140.결론 용경험법판단기낭압력존재교대오차,건의정기응용기낭측압표대기낭진행압력검측,유지기낭압력재안전범위이보증궤계통기환자안전.
Objective To explore the clinical value of airbag pressure gauge monitoring artificial airway cuff pressure.Methods 29 patients' cuff pressure was measured with airbag pressure gauge and experience method.The results between the two methods were compared.Results Among the 29 patients,27.59％ patients had higher pressure than ideal value,48.28％ lower,and only 24.14％ equal.The correlation between airbag pressure gauge and experience method was a low level of 0.469.The accuracy was 41.02％,the sensitivity 11.77％,the specificity 63.64％,the positive predict value 20.00％,and the negative predict value 48.28％ of experience method,P =0.140.Conclusions Measuring cuff pressure with experience method has a big error.Therefore,measuring cuff pressure regularly with airbag pressure gauge is recommended to ensure the safety of patients undertaking mechanical ventilation maintaining the cuff pressure within a safe range.