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[手指探头与鼻探头在通过脉搏染料密度测定法测量心输出量、血容量和平均通过时间中的比较]

[A comparison of finger and nose probes in pulse dye-densitometry measurements of cardiac output, blood volume and mean transit time].

作者信息

Fukuda H, Kawamoto M, Yuge O

机构信息

Department of Anesthesiology and Critical Care, Hiroshima University Faculty of Medicine, Hiroshima 734-8551.

出版信息

Masui. 2001 Dec;50(12):1351-6.

Abstract

We compared finger and nose probes in measurement of cardiac output (CO), blood volume (BV) and mean transit time (MTT) with pulse dye-densitometry. These probes were intraoperatively applied to 6 patients under general and continuous epidural anesthesia. Indocyanine green (ICG) 20 mg, was given via peripheral venous route, and CO, BV and MTT were measured with DDG-2001 (NihonKoden, Japan). Eighteen measurements were done successfully. There was no significant difference between F-CO (CO with a finger probe, 4.48 +/- 1.40 l.min-1, mean +/- SD) and N-CO (CO with a nose probe, 4.14 +/- 1.87 l.min-1). F-MTT (32.9 +/- 11.1 sec) was significantly longer than N-MTT (19.9 +/- 6.4 sec, P < 0.01). The limits of agreement of F-CO and N-CO (mean difference +/- 2 SD) were -3.6 and +4.2 l.min-1, respectively. There was a significant negative correlation between differences in MTT and F-CO/N-CO (R2 = 0.448, P < 0.01). There was no significant difference between F-BV (3.97 +/- 1.23 l) and N-BV (3.97 +/- 0.98 l). The limits of agreement of F-BV and N-BV were -1.3 and +1.3 l, respectively. In conclusion, the measured values in BV showed good agreement and reliability with both finger and nose probes, while CO was less reliable when differences in MTT increased.

摘要

我们使用脉搏染料密度测定法比较了手指探头和鼻探头在测量心输出量(CO)、血容量(BV)和平均通过时间(MTT)方面的差异。这些探头在全身麻醉和连续硬膜外麻醉下术中应用于6例患者。通过外周静脉途径给予20mg吲哚菁绿(ICG),并使用DDG - 2001(日本光电)测量CO、BV和MTT。成功完成了18次测量。手指探头测量的心输出量(F - CO,4.48±1.40l.min⁻¹,均值±标准差)与鼻探头测量的心输出量(N - CO,4.14±1.87l.min⁻¹)之间无显著差异。手指探头测量的平均通过时间(F - MTT,32.9±11.1秒)显著长于鼻探头测量的平均通过时间(N - MTT,19.9±6.4秒,P < 0.01)。F - CO和N - CO的一致性界限(平均差异±2标准差)分别为 - 3.6和 + 4.2l.min⁻¹。MTT差异与F - CO/N - CO之间存在显著负相关(R² = 0.448,P < 0.01)。手指探头测量的血容量(F - BV,3.97±1.23l)与鼻探头测量的血容量(N - BV,3.97±0.98l)之间无显著差异。F - BV和N - BV的一致性界限分别为 - 1.3和 + 1.3l。总之,血容量的测量值在手指探头和鼻探头测量中显示出良好的一致性和可靠性,而当平均通过时间差异增加时,心输出量的可靠性较低。

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