脉搏血氧饱和度监测在四肢动脉急、慢性缺血性疾病的临床应用

目的探讨脉搏血氧饱和度(SpO2)监测在四肢动脉急、慢性缺血性疾病的临床应用效果、应用价值。方法选取该院四肢动脉急、慢性缺血性疾病的患者82例,对其使用SpO2监测仪检测的结果进行回顾性分析。结果 82例患者经SPO2监测仪监测,患肢的SpO2均≤95%,其中92%~95%有17例,血管探查手术率为0;86%~91%有38例,血管探查手术率为7.9%(3/38);85%以内有27例,血管探查手术率为14.8%(4/27);以SpO2在85%以内的患者血管探查手术率为最高,92%~95%的患者血管探查手术率为最低,组间比较,差异有统计学意义(χ2=15.98,5.75,P<0.05)。结论 SpO2监测在四肢动脉急、慢性缺血性疾病中有重要的临床应用价值,具有使用方便、出结果快、数据准确等优点,可协助临床尽早观察发现患肢血液循环的改变,为及时治疗和评估预后提供科学的参考依据。尤其适合在急诊及院前科应用。

Pulse Oximetry in the Extremities Acute and Chronic Ischemic Disease Clinical Application

Objective Observation and investigation of the clinical application effect of SpO2 controlling on the acute, chronic is- chemic diseases in artery of extremity, summarize the clinical application value. Methods 82 cases patients of the acute, chronic ischemic diseases in Artery of extremity was chose from May in 2010 to May in 2012. Retrospective analysis was made for the checking result of using SpO2 monitor in our hospital. Results 82 cases patients were checked by the SpO2 monitor, the SpO2 of whose affected limbs were all less than 95%. 17 cases were range from 92% to 95% ,vascular exploration operation rate was 0.38 cases were range from86% to 91%,vascular exploration operation rate was 7.9%（3/38）. 27 cases were in the limit of 85%, vas- cular exploration operation rate was 14.8% （4/27）. The vascular exploration operation rate of the patients whose figure of Sp02 in the limit of 85% is the highest,and it of the patients whose figure of SpO2 range from 92% to 95% is the lowest. There was signif- icant difference between groups （χ2=15.98,5.75 ,P〈0.05）. It has statistical significance. Conclusion Sp02 checking has important value of clinical application in the acute, chronic ischemic diseases in Artery of extremity. It has the merits of easy to use, quickly finished,, accurate data ect.. It can help clinical doctors to observe the change of blood circulation in affected limbs as soon as pos- sible to provide scientific basis for timely treatment and assessment of prognosis. It is suitable for application for emergency and hospital particularly.