血气分析结果智能判断和图示软件的编制及应用

Compiling and application of computer software to evaluate and diagram blood gas results

目的编制一种便捷、快速和准确的《血气分析结果智能判断软件》,以提高临床医师的工作效率。方法根据酸碱失衡规律,采用Sw ishm ax 1.0编制血气分析结果智能判断软件。结果本软件能判断26种酸碱失衡类型。软件和人工两种方法判断正常血气及单纯性酸碱失衡的结果完全一致;判断47例混合性酸碱失衡的一致率为95.74%,两者呈高度一致性(Kappa值=8.85,P<0.01)。结论本软件界面友好,操作方便,判断快速、准确可靠。

Objective The purpose of this studv was to develop a kind of computer software to make a differential diagnosis of the acid -base disturbance quickly, accurately, and reliably. Methods According to acid - base physiology, and control mechanisms, the arterial blood gas was analyzed automatically with Swishmax 1.0 software. Results The software could analyze 26 types of acid - base imbalance. The results for analysis of normal and simple acid - base imbalance using the software were consistent with that of diagnosis with manual. The consistent rate in analysis of 47 types of simple acid - base disorder was 95.74% （ Kappa value = 8.85, P 〈 0. 01 ）. Conclusion The software is an intelligent diagnostic and graph software of arterial and venous blood gas. Its interface is friendly, application convenient, diagnosis rapid, accurate and reliable .