COPD患者不同体位Pulse与SpO2测值对照研究.docVIP

COPD患者不同体位Pulse与SpO2测值对照研究 　　[摘要] 目的 观察慢性阻塞性肺病(COPD)患者端坐位与仰卧位对脉博(pulse)、血氧饱和度(SpO2)测值的差异。方法 用韩国产脉博、血氧饱和度监测仪(PULSE\OXMETER-MP110)分别检测30例COPD患者端坐位与仰卧位的Pulse、SpO2对测值进行自身对照比较。结果 30例患者端坐位Pulse、SpO2的测值分别为79.333±2.294次/分钟和94.433±1.803%,而仰卧位测值分别为77.330±1.863次/分钟和96.287±1.767%，两种体位测值自身对照检验P?0.01，差异非常显著。结论 本组观察30例COPD患者的端坐位与仰卧位的测值有差异。本组对照观察表明，体位对COPD患者的Pulse、SpO2测值有明显的影响。因此，我们在临床检测和分析患者Pulse、SpO2测值时要注明和注意检测时被检测者的体位，体位是否影响其它病种和其它人群的测值有待进一步观察。 　　[关键词] COPD； 体位； PULSE； SpO2 　　[中图分类号] R256.1 [文献标识码] A [文章编号] 1005-0515（2011）-12-018-01 　　[Abstract] Objective To observe effects of orthopneic position and supine position for COPD patients on measured value of pulse and SpO2.Methods PULSE\OXMETER-MP110 monitor made in South Korea was used to detect values of Pulse and SpO2 for 30 COPD patients in orthopneic position and supine position respectively, and the measured values were collected for comparison based on individual. Results The measured values of Pulse and SpO2 for 30 cases of COPD patients were 79.333±2.294/min and 94.433±1.803% (for orthopneic position ),77.330±1.863/min and 96.287±1.767% (for supine position ) respectively. Comparison test for measured values of patients in the above-mentioned two kinds of positions indicated distinct difference with P?0.01.Conclusion This comparison test shows that, position of COPD patients shall pay distinct effect on measuring values of Pulse and SpO2. Thus, the position of the monitored patients should be focused on when clinical monitor and analysis for measuring values of Pulse and SpO2 are applied, and it is necessary to observe whether the position of patients suffering from other kinds of diseases shall affect clinical measuring value. 　　[Key words] COPD； Position； PULSE； SpO2 　　 慢性阻塞性肺病(COPD)是一种具有气流受限特征的可以预防和治疗的疾病，气流受限不完全可逆、呈进行性发展，与肺脏对烟草、烟雾等有害气体或有害颗粒的异常炎症反应有关，主要累及肺脏，也可引起全身或称肺外的不良反应。 　　 COPD由于其患病人数多，死亡率高，社会经济负担重已成为一个重要的公共卫生问题。COPD目前居全球死亡原因的第四位，世界银行/世界卫生组织公布，至2020年COPD将是居世界疾病经济负担的第五位。在我国，COPD同样是严重危害人民身体健康的重要慢性呼吸系统疾病。氧气吸入可提高C