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夜间血氧监测在诊断慢性心力衰竭伴睡眠相关呼吸障碍中的应用
引用本文:林劲松,周艺,麦华玉,卢燕珊.夜间血氧监测在诊断慢性心力衰竭伴睡眠相关呼吸障碍中的应用[J].中国临床实用医学,2009,3(12):120-122.
作者姓名:林劲松  周艺  麦华玉  卢燕珊
作者单位:顺德第一人民医院呼吸内科,528300
摘    要:目的评价夜间非吸氧状态下脉搏血氧仪血氧监测在慢性心力衰竭(CHF)患者中诊断睡眠相关呼吸障碍(SRBD)的意义。方法已经诊断CHF的76例患者进行夜间非吸氧状态下脉搏血氧仪血氧监测;同步进行实验室多导睡眠图(PSG)监测;对脉搏血氧仪血氧监测结果和PSG血氧测定的结果进行可靠性比较。结果CHF患者夜间非吸氧状态下脉搏血氧仪血氧监测结果与PSG的血氧饱和度变化一致;SpO2能够很好地反映CHF患者合并SRBD,并且与SRBD病隋轻重程度有一定相关性。结论脉搏血氧仪血氧监测是CHF患者简易的筛查SRBD的方法。

关 键 词:慢性心力衰竭(CHF)  睡眠相关呼吸障碍(SRBD)  血氧饱和度(SpO)

Diagnostic value of nocturnal oximetry in theSRBD patients of CHF
Institution:LIN Jin-song,ZHOU Yi, Mai Hua- yu, et al( Department of Respiratory, The first People ,s Hospital of ShunDe, GuangDong 528300, China
Abstract:Objective To explore the diagnotic value of nocturnal oximetry in the SRBD patients of CHF.Methods The peripheral SpO_2 and PSG were clinically monitored synchronously in 76 CHF patients.At dawn of the second day.compared with nocturnal oxygen saturation monitor and result of PSG.Results The results between peripheral SpO_2 and PSG in CHF patients were very concordant.SpO_2 can well reflect the existence of SRBDin CHF patients,and there is significant correlation between SpO_2 and the severity of SRBD.Conclusion Nocturnal oximetry is a simple and easy method to screening the SRBD patients of CHF.
Keywords:CHF  SRBD  SpO_2
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