无线穿戴监测设备在无痛胃肠镜超重患者中有效性研究

Effectiveness of Wireless Wearable Monitoring Devices in Overweight Patients with Painless Gastroenteroscopy

目的:通过自身对照研究无痛胃肠镜术中超重患者采用无线可穿戴监护仪的有效性和可行性。方法:采用自身对照的方法收集2023年11月~2024年2月在本院进行无痛胃肠镜监测的超重患者(25≤BMI<28kg/cm2)。每组数据分为有线组(Y组)和无线组(W组),分别记录麻醉开始后有线组和无线组SPO2从100%下降到90%的时间记录为Y1和W1;经过头后仰和托起下颌处理后SPO2恢复到100%的有线组和无线组时间记录为Y2和W2。结果:无线监测比有线监测能更早监测出低氧血症,时间提早的均值为(4.52±1.75)s(t=14.38,P<0.05)。相关性分析显示可穿戴无线监测与有线监测具有显著的相关性。结论:无线可穿戴SPO2监测设备应用于无痛胃肠镜检查中超重患者安全有效可行,与传统有线监测相比效率更高,灵敏度更好。

Objective:To conduct a self controlled study on the effectiveness and feasibility of using wireless wearable monitors for overweight patients undergoing painless gastroscopy.Methods:Overweight patients(25≤BMI<28kg/cm2)who underwent painless gastrointestinal endoscopy in our hospital from November 2023 to February 2024 were enrolled in this self-control study.Each group was divided into a wired group(group Y)and a wireless group(group W).The time at which SPO2 decreased from 100%to 90%in the wired group and the wireless group was recorded as Y1 and W1,respectively.The time for SPO2 to return to 100%after head reclining and jaw lifting was recorded as Y2 and W2 in the wired and wireless groups.Results:Hypoxemia could be detected earlier by wireless monitoring than by wired monitoring,with an average early time of(4.52±1.75)s(t=14.38,P<0.05).Correlation analysis showed a significant correlation between wearable wireless monitoring and wired monitoring.Conclusion:The wireless wearable SPO2 monitoring device is safe,effective and feasible in overweight patients undergoing painless gastrointestinal endoscopy.Compared with traditional wireless monitoring,it is more efficient and sensitive.