신생아에서 자세 및 경사도에 따른 경피적 산소와 이산화탄소의 분압 및 경피적 산소 포화도의 변화에 대한 연구 = Effect of Position Change and Tilting on Transcutaneous Partial Pressure of Oxygen and Carbon Dioxide and Pulse Oxygen Saturation Values in the Neonates

다국어 초록 (Multilingual Abstract)

To determine the optimal positino for the newborn, tcp02, tcpc02 and Sp02 were monitored, in 21 healthy term infants, in 21 healthy preterm infants and in those infants with respiratory disease using the Radiometer(Cophenhagen) TCM2 TC oxygen monitor, ECM 20 TC carbon dixide monitor and PULSOX-7(Minolta) oxygen saturation monitor in both supine and prone position. Also, monitored with tilting in each position.
When the healthy preterm infants were prone, tcP02 rose by a mean of 5.8mmHg(p=0.0185), an increase of 8.7%, and Sp02 was not significantly increased by a mean of 0.6%(p=0.1859). In those infants with respiratory disease, tcP02 was not significantly increased by a means of 6.9mm/Hg(p=0.1014), and Sa02 was not significantly changed. There was no change of tcPC02 in all infants.
This improved oxygenation in the prone position appears to be the result of enhanced ventilation/perfusion ratios.
Tilting the body in a 20head-down, or 20 head-down partially produce significant change in tcP02, or Sp02 in the newborns.
These findings may have important implications in the management of preterm infants requiring neonatal intensive care and the infants with respiratry disease.