协和医学杂志

2021, v.12(01) 105-109

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可穿戴式生命体征监测设备的围手术期应用
Value of Wearable Vital-sign Monitors During Perioperative Period

孙琛;裴丽坚;车璐;张越伦;黄宇光;
SUN Chen;PEI Li-jian;CHE Lu;ZHANG Yue-lun;HUANG Yu-guang;Department of Anesthesiology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences &Peking Union Medical College;

摘要(Abstract):

外科手术患者围手术期死亡一直备受关注,尽管在过去30年间术中死亡率明显下降,但术后30 d内死亡率仍居高不下。其重要原因是医护人员对患者术后生命体征的监测频率和护理强度不足,未能及时发现术后病情恶化。围手术期连续生命体征动态监测有助于医护人员早期发现病情变化并及时干预,对降低围手术期死亡率及各种术后重大并发症的发生率至关重要,而可穿戴式生命体征监测设备有望实现这一愿景。目前连续监测生命体征的无线可穿戴式设备已应用于临床,但仍有很大的研发空间。本文将对围手术期生命体征监测现状及可穿戴式生命体征监测设备在围手术期的应用进行综述。
Perioperative mortality has long been a concern. Although the intraoperative mortality rate has made a 10-fold reduction in the past 3 decades, the thirty-day postoperative mortality rate remains high. Patients die because signs of deterioration are missed. Deterioration of patients is often overlooked or not detected at all. One of the reasons is that the intensity of nursing and the frequency of monitoring vital signs are decreased from the Intensive Care Unit via wards to home. Early detection of physiological instability is crucial to prevent death and disability. Therefore, perioperative continuous monitoring of vital signs and other information is crucial to detect physiological instability and may have the potential benefit to reduce the perioperative mortality and the incidence of major postoperative complications. Wearable continuous vital-sign monitors are expected to achieve this vision. Nowadays this kind of device is available, but further research on it is still needed. This article reviewed the current status of vital-sign monitoring and the value of wearable vital-sign monitors during the perioperative period.

关键词(KeyWords): 可穿戴式生命体征监测设备;围手术期死亡;动态预测模型;人工智能;医疗相关感染
wearable vital-sign monitor;perioperative mortality;dynamic prediction model;artificial intelligence;health care-associated infection

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作者(Author): 孙琛;裴丽坚;车璐;张越伦;黄宇光;
SUN Chen;PEI Li-jian;CHE Lu;ZHANG Yue-lun;HUANG Yu-guang;Department of Anesthesiology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences &Peking Union Medical College;

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