So sánh một số chỉ số trao đổi khí đo bằng phương pháp không xâm lấn với các chỉ số khí máu động mạch ở bệnh nhân thông khí nhân tạo xâm nhập=Comparison of some gas exchange indicators measured by both non - invasive and invasive methods in patients with invasive mechanical ventilation

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Khánh Hà Đỗ, Bùi Hải Hoàng, Huyền Trang Trần

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Nghiên cứu y học (Đại học Y Hà Nội), 2024

Mô tả vật lý: tr.79-85

Bộ sưu tập: Metadata

ID: 244736

Thêm vào giỏ

Nghiên cứu nhằm đánh giá tương quan của các thông số khí máu trên đo khí máu động mạch không xâm lấn và xâm lấn trên bệnh nhân thông khí nhân tạo xâm nhập. Nghiên cứu mô tả từ tháng 06/2023 đến tháng 9/2023. Nghiên cứu ghi nhận 50 cặp biến cùng thời điểm trên 35 bệnh nhân thở máy xâm nhập tại Khoa Cấp cứu và Hồi sức tích cực của Bệnh viện Đại học Y Hà Nội. Có mối tương quan tốt giữa gPaO2, O2 Deficit và EtCO2 từ phép đo không xâm lấn khi so sánh với PaO2, AaDO2 và PaCO2 khí máu động mạch với r là 0,83
0,98 và 0,71. Phân tích Bland - Altman về các thông số gPaO2, EtCO2 trên khí máu không xâm lấn so với PaO2, PaCO2 của khí máu động mạch xâm lấn, có sự tương đồng tốt với Mean bias lần lượt là -1,14 và 5,26
phần trăm sai số là 26,23% và 31,25%. Nghiên cứu cho thấy phương pháp đo khí máu không xâm lấn này có sự tương đồng và tương quan về chỉ số phân áp O2, phân áp CO2 so với đo bằng phương pháp xâm lấn ở bệnh nhân thở máy xâm nhập.The study aimed to evaluate the correlation between blood gas parameters in non-invasive and invasive arterial blood gas measurements in mechanically ventilated patients. A descriptive study was conducted from June 2023 to September 2023. The study collected data from 50 pairs of variables simultaneously in 35 patients undergoing invasive mechanical ventilation at the Department of Emergency Medicine and Intensive Care of Hanoi Medical University Hospital. There was a good correlation observed between gPaO2, O2 Deficit and EtCO2 from non-invasive measurements when compared with PaO2, AaDO2 and PaCO2 in the arterial blood gases, with corelation coefficients of 0.83
0.98 and 0.71, respectively. Bland - Altman analysis of gPaO2, EtCO2 parameters in non-invasive blood gas measurements compared to PaO2, PaCO2 in invasive arterial blood gas measurements showed good similarity, with Mean biases of -1.14 and 5.26, respectively. The percentage error was found to be 26.23% and 31.25%, respectively. In patients with invasive mechanical ventilation, this research suggested that the non-invasive blood gas measurement method had similarities and correlations in O2 partial pressure and CO2 partial pressure indices compared to measurements by invasive methods.

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