无创手段对肺心病患者缺氧量化判定的研究

目的 寻找一种无创的辅助判断肺心病患者缺氧程度的评分方法.方法 以急性生理功能和慢性健康状况评分系统Ⅱ(acute physiology and chronic health evaluation Ⅱ,简称APACHE Ⅱ)为框架,自行设计肺心病患者缺氧的量化评分表,对67例肺心病患者缺氧状况进行评分.将评分结果与动脉血气分析进行对比分析,找出其相关性.结果 评分与pH、PaO2、SaO2呈高度负相关性,评分与PaCO2呈高度正相关性.结论 缺氧评分表虽然不能替代血气分析,但作为一种无创手段用以辅助判断肺心病患者缺氧程度,既能有效地减少患者多次穿刺的痛苦,又能达到判断患者缺氧的目的,有一定的临床意义.

Abstract：

Objective To find a grading method for assisting in evaluating hypoxia degree of patients with pulmonary heart disease non-invasively. Methods To design a quantitative method to score degree of hypoxia of 67 patients with pulmonary heart disease by using acute physiology and chronic health evaluation Ⅱ (APACHE Ⅱ) as a frame and to make comparative analysis between the grading result and artery blood gas to find the correlation. Results There was a negative correlation between evaluation mark and pH、PaO2、SaO2 and a positive correlation between the evaluation mark and PaCO2, according to statistics. Conclusions Although the grading table of hypoxia evaluation can not substitute blood gas analysis, acting as a non-invasive method to assist in evaluating the hypoxia degree of patients with pulmonary heart disease, it can not only relieve patients' repeated punctuation pain, but also achieve the goal of estimating hypoxia.Consequently the non-invasive method to evaluate hypoxia is of clinical value.

The study of quantitative evaluation of hypoxia of the patients with pulmonary heart disease

Objective To find a grading method for assisting in evaluating hypoxia degree of patients with pulmonary heart disease non-invasively. Methods To design a quantitative method to score degree of hypoxia of 67 patients with pulmonary heart disease by using acute physiology and chronic health evaluation Ⅱ (APACHE Ⅱ) as a frame and to make comparative analysis between the grading result and artery blood gas to find the correlation. Results There was a negative correlation between evaluation mark and pH、PaO2、SaO2 and a positive correlation between the evaluation mark and PaCO2, according to statistics. Conclusions Although the grading table of hypoxia evaluation can not substitute blood gas analysis, acting as a non-invasive method to assist in evaluating the hypoxia degree of patients with pulmonary heart disease, it can not only relieve patients' repeated punctuation pain, but also achieve the goal of estimating hypoxia.Consequently the non-invasive method to evaluate hypoxia is of clinical value.