脉搏血氧仪在急性呼吸窘迫综合征诊断相关研究进展
摘要
测动脉血氧饱和度[9]。急性呼吸窘迫综合征（Acute respiratory distress syndrome，ARDS）是重症患者呼吸衰竭的常见
病因，临床上常表现为呼吸窘迫和顽固性低氧血症[2]。随着急性呼吸窘迫综合征全球新定义的发表，目前脉搏血氧
仪指标（例如脉搏血氧饱和度与氧浓度之比（SpO2/FiO2）可用于ARDS患者的诊断和风险分层。该文主要从脉搏血
氧仪的历史演进、工作原理、目前存在的优略、急性呼吸窘迫综合征的历史演进及当下治疗现状这几方面进行综述，
并对未来研究方向提出展望。
关键词
全文:
PDF参考
[1]Matthay M A, Arabi Y, Arroliga A C, et al. A new
global definition of acute respiratory distress syndrome[J].
American journal of respiratory and critical care medicine,
2024, 209(1): 37-47.
[2]Ranieri V M, Rubenfeld G D, Taylor Thompson
B, et al. Acute respiratory distress syndrome: the Berlin
Definition[J]. JAMA: Journal of the American Medical
Association, 2012, 307(23).
[3]Brown S M, Grissom C K, Moss M, et al. Nonlinear
imputation of PaO2/FiO2 from SpO2/FiO2 among patients with
acute respiratory distress syndrome[J]. Chest, 2016, 150(2):
307-313.
[4]Wick K D, Matthay M A, Ware L B. Pulse oximetry
for the diagnosis and management of acute respiratory distress
syndrome[J]. The Lancet Respiratory Medicine, 2022, 10(11):
1086-1098.
[5]Severinghaus J W. Takuo Aoyagi: discovery of pulse
oximetry[J]. Anesthesia & Analgesia, 2007, 105(6): S1-S4.
[6]Squire J R. Instrument for measuring quantity of blood
and its degree of oxygenation in web of the hand[J]. Clin Sci,
1940, 4: 331-339.
[7]Sinex J E. Pulse oximetry: principles and limitations[J].
The American journal of emergency medicine, 1999, 17(1):
59-66.
[8]Pollard V, Prough D S. Signal extraction technology:
a better mousetrap?[J]. Anesthesia & Analgesia, 1996, 83(2):
213-214.
[9]Amal J .Pulse oximetry.[J].Critical care (London,
England),2015,19(1):272.
[10]Chiumello D, Fioccola A. Recent advances in
cardiorespiratory monitoring in acute respiratory distress
syndrome patients[J]. Journal of Intensive Care, 2024, 12(1): 17.
[11]Chan E D, Chan M M, Chan M M. Pulse oximetry:
understanding its basic principles facilitates appreciation of its
limitations[J]. Respiratory medicine, 2013, 107(6): 789-799.
[12]Pilcher J, Ploen L, McKinstry S, et al. A multicentre
prospective observational study comparing arterial blood gas
values to those obtained by pulse oximeters used in adult
patients attending Australian and New Zealand hospitals[J].
BMC pulmonary medicine, 2020, 20: 1-9.
[13]Wilson B J, Cowan H J, Lord J A, et al. The accuracy
of pulse oximetry in emergency department patients with severe
sepsis and septic shock: a retrospective cohort study[J]. BMC
emergency medicine, 2010, 10: 1-6.
[14]Ashbaugh D G, Bigelow D B, Petty T L, et al. Acute
respiratory distress in adults[J]. The Lancet, 1967, 290(7511):
319-323.
[15]Bernard G R, Artigas A, Brigham K L, et al. The
American-European Consensus Conference on ARDS.
Definitions, mechanisms, relevant outcomes, and clinical trial
coordination[J]. American journal of respiratory and critical
care medicine, 1994, 149(3): 818-824.
[16]Ranieri V M, Rubenfeld G D, Taylor Thompson
B, et al. Acute respiratory distress syndrome: the Berlin
Definition[J]. JAMA: Journal of the American Medical
Association, 2012, 307(23).
[17]Rice T W, Wheeler A P, Bernard G R, et al.
Comparison of the SpO2/FiO2 ratio and the PaO2/FiO2 ratio
in patients with acute lung injury or ARDS[J]. Chest, 2007,
132(2): 410-417.
[18]Schmidt M F S, Gernand J, Kakarala R. The use of the
pulse oximetric saturation to fraction of inspired oxygen ratio
in an automated acute respiratory distress syndrome screening
tool[J]. Journal of critical care, 2015, 30(3): 486-490.
[19]Simonis F D, Neto A S, Binnekade J M, et al. Effect
of a low vs intermediate tidal volume strategy on ventilatorfree days in intensive care unit patients without ARDS: a
randomized clinical trial[J]. Jama, 2018, 320(18): 1872-1880.
[20] 罗薇薇，黄添姹，张召才 . 急性呼吸窘迫综合征
相关临床研究：现状与挑战 [J/OL]. 武汉大学学报（医学
版 ），1-7[2024-12-24].https：//doi.org/10.14188/j.1671-
8852.2024.0493.
[21]National Heart, Lung, and Blood Institute Acute
Respiratory Distress Syndrome (ARDS) Clinical TrialsNetwork. Efficacy and safety of corticosteroids for persistent
acute respiratory distress syndrome[J]. New England Journal of
Medicine, 2006, 354(16): 1671-1684.
[22] 金发光，陈键，赵淇 . 急性呼吸窘迫综合征基
础 研 究 与 临 床 救 治 新 进 展 [J/OL]. 空 军 军 医 大 学 学 报，
1-10[2025-01-17].http：//kns.cnki.net/kcms/detail/61.1526.
R.20241118.1329.002.html.
[23]Stoll S E, Böttiger B W, Dusse F, et al. Impact of
Inhaled Nitric Oxide (iNO) on the Outcome of COVID-19
Associated ARDS[J]. Journal of Clinical Medicine, 2024,
13(19): 5981.
[24]Wanzala J N, Atim M R, Obungoloch J. Design
of fuzzy logic-based ARDS Berlin definition for ventilator
adjustments to ensure lung protection[J]. International Journal
of Fuzzy Systems, 2023, 25(5): 1935-1951.
[25]National Heart, Lung, and Blood Institute ARDS
Clinical Trials Network. Higher versus lower positive endexpiratory pressures in patients with the acute respiratory
distress syndrome[J]. New England Journal of Medicine, 2004,
351(4): 327-336.
[26]Ferrando C, Suarez-Sipmann F, Mellado-Artigas R,
et al. Clinical features, ventilatory management, and outcome
of ARDS caused by COVID-19 are similar to other causes of
ARDS[J]. Intensive care medicine, 2020, 46: 2200-2211.
[27]Adams J Y, Rogers A J, Schuler A, et al. Association
between peripheral blood oxygen saturation (SpO2)/fraction of
inspired oxygen (FiO2) ratio time at risk and hospital mortality
in mechanically ventilated patients[J]. The Permanente
Journal, 2020, 24.
[28]Guo L, Sun J, He Z, et al. Understanding Acute
Respiratory Distress Syndrome in High-Altitude environments:
a comprehensive review of diagnosis and treatment[J]. Medical
Science Monitor: International Medical Journal of Experimental
and Clinical Research, 2023, 29: e939935-1.
[29]Liu X, Pan C, Si L, et al. Definition of acute respiratory
distress syndrome on the plateau of Xining, Qinghai: A
verification of the Berlin Definition altitude-PaO2/FiO2-
corrected criteria[J]. Frontiers in Medicine, 2022, 9: 648835.
Ortiz G, Bastidas A, Garay-Fernández M, et al.
Correlation and validity of imputed PaO2/FiO2 and SpO2/FiO2
in patients with invasive mechanical ventilation at 2600 m
above sea level[J]. Medicina intensiva, 2022, 46(9): 501-507.
Refbacks
- 当前没有refback。
