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Hengitystilavuuden jatkuvan seurannan toteutettavuus epäsuorin mittausmenetelmin

机译:通过间接测量方法连续监测潮气量的可行性

摘要

Respiratory rate is a routinely monitored vital parameter in hospitals. Despite the change in respiratory rate often being the first sign of patient deterioration, it is not always a sufficient indicator of patient’s ventilatory status. A number of adverse events could be reacted to earlier if also the respiratory volume was monitored.In this work, feasibility of indirect respiratory volume measurements was assessed. Impedance pneumography (IP) and respiratory inductance plethysmography (RIP) measurement data from 15 measurement sessions with voluntary test subjects were analyzed. Signal amplitude was used to track relative minute volume values. Furthermore, a signal quality indicator was developed to detect sections of signal where the relative volume estimate was unreliable.The average coefficient of determination, R2, for the best RIP signal evaluation method was 0.71 while it was 0.53 for IP. RIP is more accurate than IP, but requires an extra sensor whereas IP can be measured simultaneously with ECG using the same electrodes. The developed signal quality index method improved coefficient of determination between the reference method and IP measurement to R2 = 0.66. The relative volume information is lost with patient posture change, but this change could be detected using other methods. These results show that IP and RIP can detect trends in respiratory volume.
机译:呼吸频率是医院常规监测的重要参数。尽管呼吸频率的变化通常是患者恶化的首要征兆,但这并不总是表明患者通气状态的充分指标。如果还监测呼吸量,可以对许多不良事件做出更早的反应。在这项工作中,评估了间接呼吸量测量的可行性。分析了来自自愿测试对象的15次测量会议中的阻抗肺图(IP)和呼吸电感体积描记(RIP)测量数据。信号幅度用于跟踪相对分钟体积值。此外,开发了一种信号质量指示器来检测相对体积估计不可靠的信号部分。最佳RIP信号评估方法的平均测定系数R2为0.71,而IP为0.53。 RIP比IP更精确,但是需要额外的传感器,而IP可以使用相同的电极与ECG同时测量。改进的信号质量指标方法将参考方法和IP测量之间的确定系数提高到R2 = 0.66。病人体位变化会丢失相对体积信息,但是可以使用其他方法检测到此变化。这些结果表明,IP和RIP可以检测呼吸量的趋势。

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    Mäntylä Janne;

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  • 年度 2016
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  • 原文格式 PDF
  • 正文语种 en
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