Takahashi T, Suwa K, Numata K
Masui. 1989 Aug;38(8):986-91.
For checking the reliability of pulse oximetry in the operating rooms, we compared values of arterial O2 saturation measured by a blood gas analyzer (SAT) with values monitored by pulse oximetry (SaO2). SaO2's were found to be significantly different from SAT's. The regression equation was SAT = 0.31 X SaO2 + 68.4 and the correlation coefficient was 0.66. P value of paired comparison was 0.0001 indicating that the two sets of values were not equal to each other. When one observer performed a similar study using a high-fidelity pulse oximeter, SaO2's were not different from SAT's. The regression equation in this case was SAT = 0.85 X SaO2 + 15.0 and the correlation coefficient was 0.95. P value of paired comparison was 0.3244. The reliability of pulse oximetry differs from one anesthesiologist to another and depends upon the accuracy of each pulse oximeter. In clinical experiment, using the data by pulse oximetry in operating room is misleading.
为了检验手术室中脉搏血氧饱和度测定法的可靠性,我们将血气分析仪测得的动脉血氧饱和度(SAT)值与脉搏血氧饱和度测定法监测到的值(SaO2)进行了比较。发现SaO2与SAT存在显著差异。回归方程为SAT = 0.31×SaO2 + 68.4,相关系数为0.66。配对比较的P值为0.0001,表明这两组值不相等。当一名观察者使用高保真脉搏血氧仪进行类似研究时,SaO2与SAT没有差异。在这种情况下,回归方程为SAT = 0.85×SaO2 + 15.0,相关系数为0.95。配对比较的P值为0.3244。脉搏血氧饱和度测定法的可靠性因麻醉医生而异,并且取决于每个脉搏血氧仪的准确性。在临床实验中,在手术室使用脉搏血氧饱和度测定法的数据会产生误导。