实用医学杂志2013，Vol.29Issue(6)：916-919,4.DOI:10.3969/j.issn.1006-5725.2013.06.022
经皮脉搏血氧饱和度测定筛查新生儿复杂性先天性心脏病
Screening Newborns for Critical Congenital Heart Disease with Pulse Oximetry
摘要
Abstract
Objective To explore the accuracy and validity of detecting critical congenital heart disease (cCHD))by Pulse oximetry screening (POS). Method 331 neonates were monitored by POS and perform echocardiography or computerized tomography (CT) from June 2011 to December 2011. They were divided into 3 groups: the normal group include 125 case; the mild congenital heart disease group include 86 case; the cCHD group include 120 case. The gestational age, birth weight and arterial oxygen saturation (SpO2) were compared between the three groups. The SpO2 value and diagnosis time of the cCHD cases were classified and analyzed. Result The premature birth and low birth weight were the high risk factors of mild congenital heart disease. The SpO2 difference between the mild congenital heart disease group and the normal group was no Significant(P > 0.05). Significant difference appeared in the SpO2 between the cCHD group and the normal group (P < 0.05). Combining POS and Clinical Examination in screening for cCHD, can play a role in reducing the missing diagnosis rate. Conclusions POS is simple, practicable and unnecessary for special training, POS can be an effective way to screen cCHD.关键词
先天性心脏病/复杂性先天性心脏病/经皮脉搏血氧饱和度测定筛查法/脉搏血氧饱和度/新生儿Key words
Congenital heart disease (CHD)/ Critical congenital heart disease (cCHD)/ Pulse oximetry screening (POS) / Arterial oxygen saturation (SpO2) / Newborn引用本文复制引用
吴淑燕,韩凤珍,庄建..经皮脉搏血氧饱和度测定筛查新生儿复杂性先天性心脏病[J].实用医学杂志,2013,29(6):916-919,4.基金项目
"十二五"国家科技支撑计划项目(编号2011BAI11B22) （编号2011BAI11B22）
广东省科技计划项目(编号:2010B060900059) （编号:2010B060900059）
