fa آیا 30 ثانیه شمارش نبض از شریان رادیال معتبر است؟: مقایسه با الکتروکاردیوگرام اپیدمیولوژی Epidemiology پژوهشي-کامل Research(Original) <span style="font-size:11pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">&nbsp;</span></span></span></b></span></span></span></span></span><span style="font-size:12pt"><span style="line-height:90%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><span lang="FA" style="line-height:90%"><span b="" koodak="" style="font-family:"><span style="color:black"><span style="letter-spacing:-.1pt">سابقه</span></span></span></span><span lang="AR-SA" style="line-height:90%"><span b="" koodak="" style="font-family:"><span style="color:black"><span style="letter-spacing:-.1pt"> و هدف:</span></span></span></span> <span b="" style="font-family:" zar="">لمس نبض محیطی یک ابزار بالینی ارزشمند و از مفیدترین معاینه</span><span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar="">‌</span></span><span b="" style="font-family:" zar="">های فیزیکی در مراقبت</span><span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar="">‌</span></span><span b="" style="font-family:" zar="">های پزشکی است. در مطالعه حاضر، همبستگی بین تعداد ضربان</span><span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar="">‌</span></span><span b="" style="font-family:" zar="">‌های نبض اندازه</span><span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar="">‌</span></span><span b="" style="font-family:" zar="">گیری شده از شریان رادیال با ضربان</span><span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar="">‌‌</span></span><span b="" style="font-family:" zar="">های نبض ثبت‌ شده توسط الکتروکاردیوگرام<b> </b><span style="background:white"><span style="color:black">بررسی شد.</span></span></span><span lang="FA" style="line-height:90%"><span b="" style="font-family:" zar=""><span style="color:#0e101a"></span></span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:90%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><span lang="AR-SA" style="line-height:90%"><span b="" koodak="" style="font-family:"><span style="color:black"><span style="letter-spacing:-.1pt">مواد و روش</span></span></span></span><span lang="FA" style="line-height:90%"><span b="" style="font-family:" zar=""><span style="color:black"><span style="letter-spacing:-.1pt">‌</span></span></span></span><span lang="AR-SA" style="line-height:90%"><span b="" koodak="" style="font-family:"><span style="color:black"><span style="letter-spacing:-.1pt">ها:</span></span></span></span> <span b="" style="font-family:" zar=""><span style="color:black">این مطالعه از نوع همبستگی بود. جامعه پژوهش شامل افراد مراجعه</span></span><span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar="">‌</span></span><span b="" style="font-family:" zar=""><span style="color:black">کننده به اورژانس بیمارستان امام خمینی ساری بودند. ضربان نبض نمونه</span></span><span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar="">‌</span></span><span b="" style="font-family:" zar=""><span style="color:black">ها، با استفاده از اندازه</span></span><span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar="">‌</span></span><span b="" style="font-family:" zar=""><span style="color:black">گیری ضربان نبض رادیال دست چپ و با استفاده از دستگاه الکتروکاردیوگرام ثبت شد. در صورت ریتم منظم، تعداد ضربان در زمان</span></span><span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar="">‌</span></span><span b="" style="font-family:" zar=""><span style="color:black">های 15، 30 و 60 ثانیه با کرنومتر دیجیتال اندازه</span></span><span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar="">‌گ</span></span><span b="" style="font-family:" zar=""><span style="color:black">یری شد و سپس در 4، 2 و 1 به</span></span><span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar="">‌</span></span><span b="" style="font-family:" zar=""><span style="color:black">ترتیب ضرب شد.</span></span><span lang="FA" style="line-height:90%"><span b="" style="font-family:" zar=""><span style="color:black"></span></span></span></span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:90%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><span lang="AR-SA" style="line-height:90%"><span b="" koodak="" style="font-family:"><span style="color:black"><span style="letter-spacing:-.2pt">یافته</span></span></span></span><span lang="FA" style="line-height:90%"><span b="" style="font-family:" zar=""><span style="color:black"><span style="letter-spacing:-.2pt">‌</span></span></span></span><span lang="AR-SA" style="line-height:90%"><span b="" koodak="" style="font-family:"><span style="color:black"><span style="letter-spacing:-.2pt">ها:</span></span></span></span> <span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar=""><span style="color:black">اختلاف مشاهده شده بین اندازه</span></span></span><span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar="">‌</span></span><span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar=""><span style="color:black">های نبض با روش 15 ثانیه با تعداد ضربان قلب با الکتروکاردیوگرام ناچیز ولی از نظر آماری معنی</span></span></span><span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar="">‌</span></span><span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar=""><span style="color:black">دار بوده است (0/001</span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%"><span style="color:black">P<</span></span></span><span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar=""><span style="color:black">) ولی اختلاف مشاهده شده بین اندازه نبض با روش</span></span></span><span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar="">‌</span></span><span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar=""><span style="color:black">های 30 و 60 ثانیه با تعداد ضربان قلب با روش الکتروکاردیوگرام از نظر آماری معنی</span></span></span><span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar="">‌</span></span><span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar=""><span style="color:black">دار نبوده است(0/05</span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%"><span style="color:black">P></span></span></span><span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar=""><span style="color:black">). ضریب همبستگی </span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%"><span style="color:black">ICC</span></span></span><span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar=""><span style="color:black"> بین اندازه</span></span></span><span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar="">‌</span></span><span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar=""><span style="color:black">های نبض با روش</span></span></span><span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar="">‌</span></span><span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar=""><span style="color:black">های 15 و 30 و 60 ثانیه با تعداد ضربان قلب ثبت شده با روش الکتروکاردیوگرام عالی (بالای 0/98) بوده است.</span></span></span><span lang="FA" style="line-height:90%"><span b="" style="font-family:" zar=""><span style="color:black"></span></span></span></span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:90%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><span lang="AR-SA" style="line-height:90%"><span b="" koodak="" style="font-family:"><span style="color:black"><span style="letter-spacing:-.2pt">استنتاج:</span></span></span></span> <span b="" style="font-family:" zar=""><span style="letter-spacing:-.1pt">براساس نتایج مطالعه حاضر می</span></span><span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar="">‌</span></span><span b="" style="font-family:" zar=""><span style="letter-spacing:-.1pt">توان از شمارش نبض شریان رادیال در 30 ثانیه و ضرب آن در 2 در شرایط بالینی و به</span></span><span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar="">‌</span></span><span b="" style="font-family:" zar=""><span style="letter-spacing:-.1pt">ویژه اورژانس به جای شمارش نبض در 60 ثانیه استفاده کرد.</span></span><span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar=""><span style="color:black"><span style="letter-spacing:-.2pt"></span></span></span></span></span></span></span></span></span></span></span><br> &nbsp; <span style="font-size:11pt"><span style="line-height:150%"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">&nbsp;</span></span></span></b></span></span></span></span><span style="font-size:12pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:10.0pt"><span style="line-height:150%"><span arial="" style="font-family:"><span style="letter-spacing:-.2pt">Background and purpose:</span></span></span></span></b> <span style="font-size:10.0pt"><span style="line-height:150%">Palpation of the radial pulse is a valuable clinical tool and one of the most useful physical examinations in medical care. The aim of the present study was to investigate the correlation between the number of pulses measured by the radial artery and the pulses recorded by electrocardiogram (ECG). </span></span></span></span></span><br> <span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:150%"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:10.0pt"><span style="line-height:150%"><span arial="" style="font-family:">Materials and methods:</span></span></span></b><b> </b><span style="font-size:10.0pt"><span style="line-height:150%">We conducted a correlational study and the research population included patients attending Emergency Department in Sari Imam Khomeini Hospital. The pulse rate was recorded by measuring the radial pulse rate of the left hand and the heart rate using an electrocardiogram device. In case of regular rhythm, the number of beats was measured for 15, 30, and 60 seconds using a digital stopwatch and multiplied by 4, 2, and 1, respectively.</span></span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:10.0pt"><span style="line-height:150%"><span arial="" style="font-family:">Results:</span></span></span></b><b> </b><span style="font-size:10.0pt"><span style="line-height:150%">There was a slight difference in pulse rate between the radial artery measurement for 15 seconds and the ECG that was statistically significant (P<0.001), but this difference was not significant for 30 and 60 seconds (P>0.05). The ICC correlation coefficient between pulse rates for 15, 30, and 60 seconds and ECG was high (above 0.98).</span></span></span></span></span><br> <span style="font-size:12pt"><span style="line-height:150%"><span style="vertical-align:top"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:10.0pt"><span style="line-height:150%"><span arial="" style="font-family:">Conclusion:</span></span></span></b><span style="font-size:10.0pt"><span style="line-height:150%"> Based on the present study, instead of electrocardiogram, radial pulse count for 30 seconds multiplied by 2 can be used in clinical conditions, especially in emergency.<i></i></span></span></span></span></span></span><br> &nbsp; ضربان نبض, ضربان قلب, دقت, شمارش heart rate, pulse rate, accuracy, counting 90 97 http://jmums.mazums.ac.ir/browse.php?a_code=A-10-418-15&slc_lang=fa&sid=1 Mohsen Gholami محسن غلامی tuskagharib@yahoo.com 1003194753284600156953 1003194753284600156953 No General Practitioner, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran پزشک عمومی، دانشکده پزشکی، دانشگاه علوم پزشکی مازندران، ساری، ایران Abbas Alipour عباس علیپور alipour.abbas59@gmail.com 1003194753284600156954 1003194753284600156954 No Associate Professor, Department of Community Medicine, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran دانشیار، گروه پزشکی اجتماعی، دانشکده پزشکی، دانشگاه علوم پزشکی مازندران، ساری، ایران Farhad Gholami فرهاد غلامی farhadg1392@yahoo.com 1003194753284600156955 1003194753284600156955 Yes Assistant Professor, Department of Internal Medicine, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran استادیار، گروه داخلی، دانشکده پزشکی، دانشگاه علوم پزشکی مازندران، ساری، ایران Mahmood Moosazadeh محمود موسی زاده mmoosazadeh1351@gmail.com 1003194753284600156956 1003194753284600156956 No Associate Professor, Gastrointestinal Cancer Research Center, Non-communicable Disease Institute, Mazandaran University of Medical Sciences, Sari, Iran دانشیار، مرکز تحقیقات سرطان دستگاه گوارش، پژوهشکده بیماری های غیرواگیر، دانشگاه علوم پزشکی مازندران، ساری، ایران