Lam Yu-Zhi, Atkinson John K
School of Engineering Sciences, University of Southampton, Highfield, Southampton SO17 1BJ, United Kingdom.
Med Eng Phys. 2007 Apr;29(3):291-7. doi: 10.1016/j.medengphy.2006.03.010. Epub 2006 May 22.
Transcutaneous blood gas monitoring is a non-invasive measurement technique for obtaining fast and relatively accurate responses to determine the respiratory conditions of patients. In this investigation, a screen-printed, disposable, transcutaneous oxygen sensor based on the working principle of amperometry, incorporates an integral heating element to enhance transcutaneous diffusion of blood gases typically at 44 degrees C. A Clark cell configuration is employed with gold working and counter electrodes and a silver/silver chloride reference electrode. Two different types of electrolytes namely potassium nitrate gel and polyelectrolyte (Nafion) have been studied under laboratory test conditions. A fully computer-controlled gas testing rig has been constructed to automate the varying of oxygen levels. Linear relationships have been established with an averaged sensitivity level of 0.029 microA/mmHg. In addition, a brief pilot clinical trial involving a fully grown human subject has been carried out alongside a commercial transcutaneous blood gas analyser. The investigations have shown that although the measured signals are weaker than those obtained from the laboratory test, the thick film sensor displays a repeatable and linear relationship when correlating with the commercial system. This study has greatly contributed towards the understanding for the suitability of the materials in achieving a viable, low-cost biomedical sensor.
经皮血气监测是一种非侵入性测量技术,用于快速获得相对准确的反应,以确定患者的呼吸状况。在本研究中,一种基于安培法工作原理的丝网印刷、一次性经皮氧传感器,集成了一个整体加热元件,通常在44摄氏度时增强血气的经皮扩散。采用克拉克电池配置,有金工作电极、对电极和银/氯化银参比电极。在实验室测试条件下研究了两种不同类型的电解质,即硝酸钾凝胶和聚电解质(全氟磺酸离子交换膜)。构建了一个完全计算机控制的气体测试装置,以自动改变氧气水平。已建立线性关系,平均灵敏度水平为0.029微安/毫米汞柱。此外,还与一台商用经皮血气分析仪一起,对一名成年人类受试者进行了简短的初步临床试验。研究表明,尽管测量信号比实验室测试获得的信号弱,但厚膜传感器与商用系统相关时显示出可重复的线性关系。这项研究对理解这些材料在实现可行、低成本生物医学传感器方面的适用性做出了巨大贡献。