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CJAP ›› 2021, Vol. 37 ›› Issue (1): 40-44.doi: 10.12047/j.cjap.0078.2021.103

• ORIGINAL ARTICLES • Previous Articles     Next Articles

The effectiveness of different respiration models to the amplitude of waveform information in arterial blood gas

CUI Yan1, SUN Xing-guo, CI Zheng1,2, GE Wan-gang1, LI Hao1, WANG Gui-zhi1,2, ZHU Jia-bao1,3, LI Yin-jun1,4, DENG Wei1,5, MA Ming-xin1,6, CHEN Rong1,6, HUANG Yan1,6, ZOU Yu-xin1,7, TAN Xiao-yue1, LIU Fang1   

  1. 1. Department of Cardiology,Fuwai Hospital,Chinese Academy of Medical Sciences/National Center for Cardiovascular Diseases/ State Key Laboratory of Cardiovascular Diseases/Chinese Academy of Medical Sciences/Peking Union Medical College, Beijing 100037;
    2. Weifang Medical University, Weifang 261053;
    3. The Second Hospital of Hebei Medical University, Shijiazhuang 050005;
    4. Kangle Hospital of Chengguan District, Lanzhou 730030;
    5. The Affiliated Rehabilitation Hospital of Chongqing Medical University, Chongqing 400050;
    6. Dalian Children's Hospital,Dalian 116000;
    7. Liaocheng People's Hospital, Liaocheng 252000, China
  • Received:2020-08-12 Revised:2021-01-07 Published:2021-10-21

Abstract: Objective: The objective is to find the characteristics of arterial blood sample waveform in different respiration models. Methods: Six post-operative patients with normal heart function and negative Allen test, were 4 male and 2 female, (59.00±16.64)year, (71.67±0.37)kg, left ventricular ejection fraction(LVEF) (61.33±2.16)%, had been placed the arterial catheterization and central venous catheterization for continuous collecting arterial in 3 different kinds of respiration models: normal breathing, no breathing and deep breathing. We selected two breaths cycles of waveform from each patient for data calculations of magnitudes and time interval. Compare the adjacent highest and lowest values of patients to verify whether there are periodic wave-like signal changes in arterial and venous blood gas in the three breathing states. In addition, statistical t-test analysis was performed on the change amplitude of the periodic wave-like signal of the patient's arterial and venous blood gas to compare whether there is a difference. Results: The heart beat numbers for drawing blood into pipe were 15-16, and all covered more than 2 breathing cycles. There were significant changes of arterial PaO2 (i.e. the highest high values compare to the next lowest values, P<0.05) in three different breathing models(normal, no breathing and high breathing), the magnitudes of which were (9.96±5.18)mmHg, (5.33±1.55)mmHg and (13.13±7.55)mmHg, with (8.09±2.43)%, (5.29±2.19)% and (10.40±2.68)% from their mean respectively. PO2 in venous blood gas did not show wavy changes under normal breathing, 20 s breath holding and high tidal volume ventilation. The amplitudes were (1.63 ± 0.41) mmHg, (1.13 ± 0.41) mmHg and (1.31 ± 0.67) mmHg, which were (3.91 ± 1.22)%, (2.92 ± 1.12)%, (3.33 ± 1.81)%, respectively, which were significantly lower than that of arterial blood gas under the same state, but there was no significant difference between groups. Conclusion: With continuous beat-by-beat arterial blood sampling and ABG analyzing method in three different breathing models, We obtain a clear evidence of the biggest periodic parameters ABG waveform in high breathing models, which followed by normal breathing models, no breathing was the smallest, and the wave variation amplitude of venous oxygen partial pressure was not obvious in the three respiratory states, which implies the oscillatory information of the arterial blood with comes from the gas exchanging in the lung.

Key words: irregular breathing pattern, beat-by-beat arterial blood, waveform breathing, respiration regulation

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