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題 名 | Evaluation of the Severity of Chronic Lung Disease in Premature Infants by Pulse Oximeter=以脈衝式血氧監測器評估早產兒慢性肺疾病之嚴重度 |
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作 者 | 邱曉郁; 蘇百弘; 林宗文; 林鴻志; | 書刊名 | 臺灣兒科醫學會雜誌 |
卷 期 | 45:3 民93.05-06 |
頁 次 | 頁145-150+190 |
分類號 | 417.5171 |
關鍵詞 | 血氧監測器; 早產兒; 慢性肺疾病; Premature infants; Chronic lung disease; Pulse oximeter; |
語 文 | 英文(English) |
中文摘要 | 本研究的目的是利用脈衝式血氧監測器所得到的3個指標業評估早産兒慢性肺疾病之重症度。這3個指標爲1.FiO2Sp90:維持血氧飽和度90%時的所需的氧氣濃度;2.使用空氣時之血氧飽和度(RAS);3.在使用FiO2Sp90時SpO2>90%的時間百分比。在早産兒達到矯正週數34週時,每週測定一次這3個指標,至少連續測定四週。34個極低體重早産兒爲研究對象,其中13個合併慢性肺疾病。結果顯示FiO2Sp90與患兒使用的FiO2呈正相關(r=0.991, p<0.001),RAS呈負相關(r=-0.975, p<0.001),使用FiO2Sp90時SpO2>90%的時間百分比也呈負相關(r=-0.668, p<0.05)。在連續測定的結果顯示,即使FiO2Sp90達到0.21時,RAS仍然有所進步,而當RAS達到大於90%時,使用FiO2Sp90時SpO2>90%的時間百分比也隨著早産兒年齡之增加而改善。結論:FiO2Sp90可以當做臨床上所需要氧氣濃度的指標,RAS可作爲是否需要繼續給予氧氣治療的指標,而在患兒已經停止氧氣治療後,使用FiO2Sp90時SpO2>90%的時間百分比,更可以用來作爲肺功能改善情形有追蹤指標。 |
英文摘要 | Three parameters obtained by pulse oximeter were tested to assess the severity of chronic lung disease (CLD) in premature infants. The FiO2 required to keep oxygen saturation of 90% on pulse oximeter at rest condition was defined as FiO2Sp90. The value of oxygen saturation with a FiO2 of 0.21 at rest was defined as room air saturation. The percentage of the time duration that oxygen saturation exceeded 90% during the measurement with the FiO2Sp90 was defined as time-percentage of SpO2≥90% with FiO2Sp90. These parameters were monitored for 60 minutes once weekly in very low birth weight infants for at least 4 weeks beginning at 34 weeks of postconceptional age. Thirty-four infants were enrolled; 13 of them had CLD. There were totally 57 measurements in 13 infants with CLD, and 84 measurements in 21 infants with no CLD. Values of each parameter signIcantly correlated with the Fi02 used during the measurement; the FiO2Sp90 had positive correlation with FiO2 (r=0.991, p<0.001), the room air saturation and time percentage of SpO2>90% with FiO2Sp90 had negative correlation (r=-0.975, p<0.00l and r=-0.668, p<0.05, respectively). In the serial measurements, room air saturation improved even after the FiO2Sp9O reached 0.21. Time-percentage of SpO2≥90% with FiO2Sp90 showed increase with age even after the room air saturation reached over 90%. Therefore, room air saturation was more sensitive than FiO2Sp90, and the time-percentage of SpO2 90% with FiO2Sp90 was more sensitive than room air saturation in estimating the severity of CLD. For clinical use, FiO2Sp90 may be used as a guide for oxygen concentration required. Room air saturation may offer a criterion in deciding the need of further oxygen therapy, and time-percentage of SpO2≥90% with FiO2Sp90 could be used to follow up the improvement of lung function, even after the oxygen therapy was discontinued. |
本系統中英文摘要資訊取自各篇刊載內容。