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由氧合解离分析仪和血气分析仪检测到的 P 值。

The P value detected by the oxygenation-dissociation analyser and blood gas analyser.

机构信息

Institute of Health Service and Transfusion Medicine, Academy of Military Medical Sciences, Academy of Military Science of the Chinese People's Liberation Army, Beijing, P.R. China.

出版信息

Artif Cells Nanomed Biotechnol. 2020 Dec;48(1):867-874. doi: 10.1080/21691401.2020.1770272.

Abstract

Oxygen tension at 50% haemoglobin saturation (P), which reflects the degree of peripheral oxygen offloading and tissue oxygenation, plays an important role in the diagnosis and treatment of disease, as well as in transfusion research. Blood gas analysers are commonly used in clinical and obtain P values through complex calculations and analysis. Oxygenation-dissociation analysers are specially designed to record the oxygen dissociation curves and obtain P values of whole blood, red blood cells (RBCs), and stroma-free haemoglobin. However, whether the two equipment obtain comparable data is still uncertain. Herein, we used both equipment to detect P values of blood and stroma-free haemoglobin from human and bovine sources, venous and arterial blood of beagle and rat, and stored rat blood. For human blood, both analysers yielded similar data. P of the stroma-free haemoglobin and bovine blood could only be properly detected by oxygenation-dissociation analysers. Blood gas analysers showed different P values, while oxygenation-dissociation analysers got similar P values for arterial and venous samples. Oxygenation-dissociation analysers distinguished changes in P values during RBCs storage. Compared with the blood gas analysers, oxygenation-dissociation analysers had a stronger detection capability in P measurement with regard to both sample types and species.

摘要

在 50%血红蛋白饱和度时的氧分压(P)反映了外周氧释放和组织氧合的程度,在疾病的诊断和治疗以及输血研究中起着重要作用。血气分析仪常用于临床,并通过复杂的计算和分析获得 P 值。氧合解离分析仪专门用于记录氧解离曲线并获得全血、红细胞(RBC)和无基质血红蛋白的 P 值。然而,两种设备是否能获得可比的数据尚不确定。在此,我们使用两种设备检测了来自人和牛的血液和无基质血红蛋白、比格犬和大鼠的静脉和动脉血以及储存的大鼠血液的 P 值。对于人血,两种分析仪均得出相似的数据。无基质血红蛋白和牛血的 P 值只能通过氧合解离分析仪进行适当检测。血气分析仪显示出不同的 P 值,而氧合解离分析仪对动脉和静脉样本得到相似的 P 值。氧合解离分析仪在 RBC 储存过程中区分了 P 值的变化。与血气分析仪相比,氧合解离分析仪在样品类型和物种方面的 P 值检测能力更强。

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