"Kada ku taba shakka cewa ƙaramin rukuni na masu tunani, ƴan ƙasa masu sadaukarwa na iya canza duniya.Hasali ma ita kadai a wajen”.
Manufar Cureus ita ce ta canza tsarin wallafe-wallafen likita wanda ya daɗe, wanda ƙaddamar da bincike zai iya zama tsada, rikitarwa, da cin lokaci.
Jiki oxygen jikewa, photoplethysmography, AMINCI, plethysmography, perfusion index, oxygen jikewa, oximeter
Rubuta wannan labarin kamar: Swain SM, Lata M, Kumar S, et al.(Mayu 9, 2022) Nazarin sashin giciye na daidaiton sigogin perfusion da aka auna a cikin yatsu tare da oximeter na bugun hannu a cikin manya masu lafiya.Magani 14(5): e24853.doi:10.7759/cureus.24853
Pulse oximeters suna auna jikewar iskar oxygen, ƙimar zuciya, da ma'anar perfusion (PI) ta hanyar nazarin siginar hotoplethysmograph.PI wakili ne na perfusion na gefe wanda aka bayyana azaman adadin siginar bugun jini idan aka kwatanta da siginar mara bugun jini.PI da aka auna a wurare daban-daban na iya bambanta.PI na iya bambanta lokacin da aka auna akan yatsu daban-daban.A cikin wannan binciken, mun yi nufin lura da canje-canje a cikin PI tsakanin yatsu daban-daban na hannaye biyu.
An gudanar da wannan binciken na lura da tsaka-tsaki ta hanyar amfani da samfurin dacewa da aka zana daga wani babban asibiti a gabashin Indiya.An auna PI a fili a cikin manya masu lafiya a cikin wurin zama bayan hutu na mintuna biyar.Haɗa binciken bugun jini oximeter zuwa kowane yatsa kuma ɗauki karatu bayan minti ɗaya.ANOVA da intraclass correlation coefficient (ICC) an ƙididdige su don kwatanta daidaito tsakanin PIs.
An bincika bayanai daga 391 (229 [58.57%) maza da 162 [41.43%] mata) mahalarta nazarin manya tare da matsakaicin shekaru 34.88 ± 10.65 shekaru.PI mafi girma shine yatsan tsakiya na hannaye biyu. Akwai babban bambanci tsakanin PI da aka auna akan yatsu daban-daban, F (9, 3900) = 15.49, p <0.0001. Akwai babban bambanci tsakanin PI da aka auna akan yatsu daban-daban, F (9, 3900) = 15.49, p <0.0001. Между PI, измеренными на разных пальцах, была достоверная разница, F (9, 3900) = 15,49, p <0,0001. Akwai babban bambanci tsakanin PI da aka auna akan yatsu daban-daban, F(9, 3900) = 15.49, p<0.0001.不同手指测得的PI 有显着差异，F (9, 3900) = 15.49, p <0.0001.不同手指测得的PI 有显着差异，F(9, 3900) = 15.49, p<0.0001. PI; PI da aka auna da yatsu daban-daban ya bambanta sosai, F(9, 3900) = 15.49, p <0.0001. ICC ta kasance 0.474, 0.368, da 0.635 don gaba ɗaya, hannun dama, da yatsu na hagu, bi da bi, waɗanda ke nuna matalauta (ICC <0.5) zuwa matsakaici (ICC = 0.5-0.75) matakan aminci. ICC ta kasance 0.474, 0.368, da 0.635 don gaba ɗaya, hannun dama, da yatsu na hagu, bi da bi, waɗanda ke nuna matalauta (ICC <0.5) zuwa matsakaici (ICC = 0.5-0.75) matakan aminci. ICC составлял 0,474, 0,368 da 0,635 еренный (ICC = 0,5-0,75) уровень надежности. ICC ta kasance 0.474, 0.368, da 0.635 don yatsa gama gari na hannun dama da hagu, bi da bi, yana nuna ƙarancin aminci (ICC <0.5) ko matsakaici (ICC = 0.5-0.75).总体、右手和左手手指的ICC 分别为0.474、0.368 和0.635，这表明可靠性较差(ICC) 5) 水平.总体、右手和左手手指的ICC 分别为0.474、0.368和0.635，这表明可靠性较差(ICC) <0.5 ICC для общего, правого и левого пальцев составил 0,474, 0,368 da 0,635 ный (ICC = 0,5-0,75) уровни надежности. ICC don yatsu na gama gari, dama, da hagu sune 0.474, 0.368, da 0.635, bi da bi, yana nuna ƙananan (ICC <0.5) da matsakaici (ICC = 0.5-0.75) matakan aminci.
PI da aka auna akan yatsu daban-daban tare da oximeter bugun jini na gida na iya ba da karatu daban-daban.Mafi girman ƙimar PI yana kan yatsan tsakiya.Likitoci da likitocin kulawa na farko yakamata su san bambance-bambance a cikin ma'aunin PI a cikin yatsu kuma suyi amfani da karatu tare da taka tsantsan ga kowane dalilai na bincike.
Pulse oximetry ita ce hanya mafi sauƙi mara cin zarafi don auna ma'aunin iskar oxygen na jini [1].Motsa jiki, mabukaci da araha mai arha oximeters na bugun jini sun riga sun kasance a kasuwa azaman na'urorin kula da lafiyar gida [2].A cikin gida da na asibiti, yawancin oximeters na bugun jini ana haɗa su zuwa ga yatsa kuma wani lokacin zuwa kunnuwa ko yatsun kafa.Binciken mita yana ƙunshe da firikwensin hotoplethysmographic wanda ke taimakawa wajen bincikar ɗanɗanowar jan raƙuman ruwa da infrared ta hanyar kwararar jini da iskar oxygen da ke fitar da iskar oxygen [3].
Baya ga auna ma'aunin iskar oxygen, pulse oximeters kuma suna samar da ma'aunin perfusion (PI).PI wakili ne don matsayin perfusion na gefe.Ana bayyana siginar bugun jini (wanda aka ƙirƙira ta hanyar kwararar jijiya) azaman kaso na siginar mara ƙarfi (tsawon jini) don ƙididdige PI [4].Ana amfani da PIs a cikin saitunan asibiti iri-iri, gami da rukunin kulawa mai zurfi, saka idanu na aiki yayin sashin caesarean, da toshewar ganglion don auna tasirin su [5-7].
Wani binciken da Sapra et al.Daga cikin ma'aikatan kiwon lafiya, PI mafi girma shine yatsan zobe na hannun dama, kuma mafi ƙasƙanci shine yatsan hannun dama [8].Sabanin haka, Tripathy et al.An nuna cewa PI da aka auna akan yatsu daban-daban ya bambanta, tare da ƙimar mafi girma ga yatsan tsakiya da mafi ƙarancin ƙima ga ɗan yatsa [9].Koyaya, ga iliminmu, babu wani binciken da ya tabbatar da ingancin ma'aunin PI a cikin yatsu.
A cikin wannan mahallin, wannan binciken ya yi nufin kwatanta PI na yatsun hannu biyu a cikin mutane masu lafiya.Sakamakon wannan binciken zai taimaka wajen gano bambancin da ingancin ƙimar PI da aka auna tsakanin yatsu daban-daban ta amfani da pulse oximetry.Dangane da sakamakon, likitocin kulawa na farko zasu iya yanke shawara ko PI da aka auna ta hanyar oximeter mai ɗaukuwa za a iya amfani da su don gano lalata mara kyau.
An gudanar da wannan binciken a tsakanin manya (shekaru> 18 shekaru) mahalarta bincike da aka dauka daga asibitin koyarwa na manyan makarantu da ke gabashin Indiya. An gudanar da wannan binciken a tsakanin manya (shekaru> 18 shekaru) mahalarta bincike da aka dauka daga asibitin koyarwa na manyan makarantu da ke gabashin Indiya.An gudanar da wannan binciken a cikin manya (fiye da shekaru 18) mahalarta nazarin da aka dauka daga wani asibiti na asibiti da ke gabashin Indiya.这项研究是在从位于印度东部的一家三级护理教学医院招募的成人（年龄> 18的.18 岁）研究参与者中Это исследование было проведено среди взрослыh (возраст > 18 лет) участников го уровня, расположенной в восточной Индии. An gudanar da wannan binciken a cikin manya (shekaru> 18 shekaru) mahalarta nazarin da aka dauka daga wani asibiti na asibiti da ke gabashin Indiya.An sanar da mahalarta game da manufofin, yanayi da mahimmancin binciken, tare da mai da hankali kan tsarin binciken.Bayan taƙaitaccen bayanin, waɗanda suka ba da izinin shiga a rubuce an haɗa su cikin binciken.Kwamitin da'a na cibiyoyi ya amince da binciken a bisa ka'ida (bincike: HMCH/IEC/2022/160).
Wannan wani bincike ne na sashe na lura da aka gudanar a dakin gwaje-gwajen ilimin halittar jiki na asibiti.Ana kunna dakin gwaje-gwaje tare da haske na halitta da haske mai bazuwa.Babu hasken rana kai tsaye ko haskoki na wucin gadi kusa da wurin da aka ɗauki ma'aunin.An gudanar da binciken daga Janairu zuwa Fabrairu 2022.
Nazarin Tripathi et al.An samo bambance-bambance a cikin jikewar oxygen da PI a cikin yatsu na hannun hagu da dama [9].Yin amfani da binciken a matsayin ma'auni, mun ƙididdige ƙananan samfurin samfurin ta amfani da abubuwan da ke biyowa: α = 0.05 (p darajar ≤ 0.05 an yi la'akari da mahimmancin ƙididdiga), β = 0.1 (ikon karatu shine 90%), yana nufin PI a hagu da dama. a tsakiya.yatsa = 3.3 da 2.7, madaidaicin daidaitattun daidaito shine 1.7.Girman samfurin da aka kiyasta shine 337 [10].
Mun sami samfurin dacewa na lokaci-lokaci (Janairu 2022 zuwa Fabrairu 2022) daga babban asibitin asibiti. Sharuɗɗan haɗaɗɗiyar sun haɗa da ayyana yanayin lafiyayyan a fili na mahalarta da ba da izini a rubuce don sa hannun manya da ke da shekaru>18. Sharuɗɗan haɗaɗɗiyar sun haɗa da ayyana yanayin lafiyayyan a fili na mahalarta da ba da izini a rubuce don sa hannun manya da ke da shekaru>18.Sharuɗɗan haɗawa sun haɗa da bayanin bayyanar lafiyayyen yanayin mahalarta da kuma samar da rubutaccen izini don sa hannun manya sama da shekaru 18.Sharuɗɗan haɗawa sun haɗa da bayanin yanayin lafiyar ɗan takara da kuma rubutaccen izinin shiga na son rai na manya fiye da shekaru 18.Mahalarta da kowace cuta mai tsanani ko na yau da kullun, shan kowane magani don cuta, da ciwon hawan jini, da ciwon cututtukan jijiyoyin jini, da kuma ciwon yatsa mai launi na yatsu an cire su daga samfurin binciken ƙarshe.
An ɗauki duk ma'auni tsakanin 10:00 zuwa 12:00 don guje wa duk wani tasiri na rhythm na circadian.An rubuta shekaru a cikin jimlar adadin shekarun da mahalarta binciken suka bayyana.Yi amfani da kewayon hannu don auna tsayi tare da daidaiton 0.1 cm.Ana auna nauyi akan sikelin dijital tare da daidaito na ± 0.1 kg.Yi amfani da ma'aunin tef ɗin fiberglass don auna kugu da kwatangwalo zuwa mafi kusa da 0.1 cm don ƙididdige kugu zuwa rabon kwatangwalo.Duk ma'aunai an yi su ta hanyar kwararrun likitocin da suka kware a ma'aunin anthropometric a gaban ma'aikatan dakin gwaje-gwaje na jinsi guda.
Mun yi amfani da BPL Smart Oxy pulse oximeter (BPL Medical Technologies Pvt. Ltd., Bangalore, India) don auna PI.A kan fig.1a yana nuna karatun samfurin akan allon bugun oximeter, kuma a cikin fig.1b yana nuna firikwensin da aka haɗe zuwa yatsa.
(a) Allon yana nuna ƙimar zuciya, jikewar iskar oxygen, da karatun fihirisar turare.(b) Auna ma'auni tare da oximeter akan yatsan tsakiya na hannun hagu.
An zaunar da mahalarta binciken kuma an ɗauki ma'aunin PI bayan hutu na mintuna biyar.Kodayake akwai shaidar cewa PI ya kasance mafi ƙasƙanci a wurin zama, mun yi la'akari da wannan matsayi don dacewa da mahalarta da kuma saita iyaka [11].Har ila yau, tun da wannan binciken ne na kwatanta, tasirin matsayi akan ma'auni na PI ba shi da mahimmanci.Kusoshi ba su da launi kuma babu tattoo na wucin gadi ko na dindindin a kan yatsunsu.Ana haɗe firikwensin bugun jini oximeter zuwa yatsunsu ɗaya bayan ɗaya.Bayan minti daya na aikace-aikacen zuwa takamaiman yatsa, ɗauki karatun kuma adana su don ƙarin bincike ta ganin ingantaccen karatu akan allo na akalla daƙiƙa uku.
An gwada bayanan don daidaitawa ta amfani da gwajin Shapiro-Wilk.Dangane da haka, an zaɓi gwaje-gwajen ƙididdiga (gwajin ƙididdiga don bayanan da aka rarraba na yau da kullun da gwaje-gwajen marasa daidaituwa don bayanan da ba na yau da kullun ba) [12].An yi nazarin bambance-bambance tsakanin maza da mata ta amfani da t-gwajin mara guda.An gwada bambancin PI tsakanin yatsu ta amfani da nazarin bambancin (ANOVA).An gwada daidaito tsakanin ma'auni ta amfani da ƙirar haɗin kai na cikin aji (ICC) daidai da nau'in ma'aunin mu [13]. ICCs na <0.5, 0.5-0.75, 0.76-9, da> 0.9 an dauke su "malauci," "matsakaici," "mai kyau," da "mafi kyau" amintacce, bi da bi [14]. ICCs na <0.5, 0.5-0.75, 0.76-9, da> 0.9 an dauke su "malauci," "matsakaici," "mai kyau," da "mafi kyau" amintacce, bi da bi [14]. ICC <0,5, 0,5-0,75, 0,76-9 da >0,9 считались «плохими», «умеренными», «хорошими» и «отличными» надежностост. ICC <0.5, 0.5-0.75, 0.76-9 da> 0.9 an dauke su a matsayin "talakawa", "matsakaici", "mai kyau", da "mafi kyau" amintacce, bi da bi [14]. <0.5.0.5-0.75 <0.5,0.5-0.75,0.76-9 和>0.9 的ICC ICC <0,5, 0,5-0,75, 0,76-9 da >0,9 считались «плохими», «умеренными», «хорошими» и «отличными» надежностост. ICC <0.5, 0.5-0.75, 0.76-9 da> 0.9 an dauke su a matsayin "talakawa", "matsakaici", "mai kyau", da "mafi kyau" amintacce, bi da bi [14].Ƙididdigar daidaituwa daga ± 0.0 zuwa ± 0.3, daga ± 0.31 zuwa ± 0.5, daga ± 0.51 zuwa ± 0.7, daga ± 0.71 zuwa ± 0.9 kuma daga ± 0, 91 zuwa ± 1 an dauke su "ƙananan", "ƙananan", "matsakaici". "," high"., ", da "Mai girma sosai", bi da bi [15]. An yi nazarin ƙididdiga ta amfani da GraphPad Prism 6.01 (GraphPad Software, Inc., Amurka) da SPSS version 20 (IBM Corp., Armonk, New York, Amurka). Ga duk gwaje-gwajen, p-darajar <0.05 an yi la'akari da mahimmancin ƙididdiga. Ga duk gwaje-gwajen, p-darajar <0.05 an yi la'akari da mahimmancin ƙididdiga. Для всех тестов значения p <0,05 считались статистически значимыми. Ga duk gwaje-gwajen, ƙimar p <0.05 an yi la'akari da mahimmancin ƙididdiga.对于所有测试，p 值<0.05 被认为具有统计学意义。对于所有测试，p 值<0.05 被认为具有统计学意义。 Значение p <0,05 считалось статистически значимым для всех тестов. An yi la'akari da ƙimar p <0.05 a matsayin mahimmanci ga duk gwaje-gwaje.
Adadin mahalarta binciken da aka haɗa da farko a cikin binciken da samfurin ƙarshe bayan an cire su a cikin Hoto 2.
An bincika bayanai daga mahalarta nazarin manya na 391 tare da ma'anar shekarun 34.88 ± 10.65.Matsakaicin shekarun shine 35.1 ± 10.76 shekaru ga maza (n = 229 [58.57%) da 34.56 ± 10.52 shekaru ga mata (n = 162 [41.43%)] (t-gwajin ba tare da haɗin gwiwa ba, p = 0.62).Tebu na 1 yana gabatar da shekaru da masu canjin anthropometric ta jima'i.Mahalarta maza suna da tsayi, nauyi, da ma'aunin jiki (BMI).
R: yatsan hannun dama;L: yatsan hannun hagu;1-5: Yatsun yatsa daga babban yatsa zuwa ɗan yatsa;CI: tazarar amincewa
PIs daga babban yatsan hannu zuwa ɗan yatsa na hannun dama sune 3.98 ± 1.91, 3.57 ± 1.89, 4.66 ± 2.18, 3.45 ± 1.65, da 3.5 ± 1.78, bi da bi.PIs daga babban yatsan hagu zuwa ɗan yatsa sun kasance 3.94 ± 1.99, 3.61 ± 2.11, 4.37 ± 2.07, 3.79 ± 2.32, da 3.54 ± 2.3, bi da bi.Mafi girman PI yana faɗowa akan yatsun tsakiya na hannaye biyu. Akwai babban bambanci tsakanin PI da aka auna akan yatsu daban-daban (F (9, 3900) = 15.49, p <0.0001) (maimaita-matakan ANOVA) (Hoto 3). An sami babban bambanci tsakanin PI da aka auna akan yatsu daban-daban (F(9, 3900) = 15.49, p<0.0001) (maimaita-matakan ANOVA) (Hoto 3). Наблюдалась значительная разница между PI, измеренными на разных пальцах (F (9, 3900) = 15,49, p <0,0001) mu) (rci. 3). An sami babban bambanci tsakanin PI da aka auna akan yatsu daban-daban (F(9, 3900) = 15.49, p <0.0001) (maimaita matakan ANOVA) (Hoto 3).在不同手指上测量的PI 之间存在显着差异(F (9, 3900) = 15.49, p <0.0001) (重复测量方差)差。在不同手指上测量的PI 之间存在显着差异(F(9, 3900) = 15.49, p<0.0001) Наблюдалась значительная разница (F(9, 3900) = 15,49, p <0,0001) PI, измереными на разных пальтницах ku. 3). Akwai bambanci mai mahimmanci (F (9, 3900) = 15.49, p <0.0001) tsakanin PI da aka auna akan yatsu daban-daban (maimaita matakan ANOVA) (Hoto 3).
"R" yana nufin "dama", "L" - "hagu", kuma lambobi daga 1 zuwa 5 suna wakiltar daga babban yatsan hannu zuwa ƙaramin yatsa. Sakamakon ANOVA mai maimaita-mata: F (9, 3900) = 15.49, p <0.0001. Sakamakon ANOVA mai maimaita-mata: F(9, 3900) = 15.49, p <0.0001. Результат повторных измерений ANOVA: F (9, 3900) = 15,49, p <0,0001. Sakamakon maimaita matakan ANOVA: F(9, 3900) = 15.49, p <0.0001.重复测量方差分析结果：F (9, 3900) = 15.49，p <0.0001.重复测量方差分析结果：F(9, 3900) = 15.49，p <0.0001. Результаты повторных измерений ANOVA: F (9, 3900) = 15,49, p <0,0001. Matsakaicin sakamako na ANOVA: F(9, 3900) = 15.49, p <0.0001.
A cewar Tukey's post hoc gwajin, akwai bambance-bambancen rukuni guda 17 da 28 marasa mahimmanci na rukuni, kamar yadda aka nuna a hoto na 4.
Sanduna na asali suna nuna bambance-bambance marasa mahimmanci (17 bambance-bambancen rukuni da 28 marasa mahimmanci)."R" yana nufin "dama", "L" - "hagu", kuma lambobi daga 1 zuwa 5 suna wakiltar daga babban yatsan hannu zuwa ƙaramin yatsa.
Pearson's inter-element coefficients PI, wanda aka auna sama da yatsu 10, an nuna su a cikin Tebur 3. An nuna mahimmin ma'amala mai kyau tsakanin duk nau'ikan abubuwa.Ƙididdigar ƙididdiga daga (R3 zuwa L2) 0.133 zuwa (L4 zuwa L5) 0.798.
R1-R5: babban yatsan yatsan hannu zuwa dan yatsa na dama;L1-L5: babban yatsan yatsan hagu zuwa ɗan yatsa na hagu.Duk abubuwan haɗin kai sun kasance masu mahimmanci a ƙididdiga.Fassarar ma'auni na daidaitawa: daga ± 0.0 zuwa ± 0.3, daga ± 0.31 zuwa ± 0.5, daga ± 0.51 zuwa ± 0.7, daga ± 0.71 zuwa ± 0.9, daga ± 0.91 zuwa ± 1 ana daukar "kananan", "ƙananan", "" matsakaici", "high".da kuma "Mai girma sosai" bi da bi.
Daidaita tsakanin yatsa na hagu da dama shine 0.287 (CI = 0.193 zuwa 0.375; p <0.0001). Daidaita tsakanin yatsa na hagu da dama shine 0.287 (CI = 0.193 zuwa 0.375; p <0.0001). Корреляция между средним пальцем левой и правой руки составила 0,287 (ДИ от 0,193 до 0,375; p <1 0,00). Daidaitawa tsakanin yatsu na tsakiya na hagu da dama shine 0.287 (CI 0.193 zuwa 0.375; p <0.0001).左右中指之间的相关性为0.287（CI = 0.193 至0.375；p <0.0001）。左右中指之间的相关性为0.287（CI = 0.193 至0.375；p <0.0001）。 Корреляция между средними пальцами левой и правой руки составила 0,287 (ДИ от 0,193 до 0,375; 000). Daidaitawa tsakanin yatsu na tsakiya na hagu da dama shine 0.287 (CI 0.193 zuwa 0.375; p <0.0001).Ana nuna alaƙa tare da layin da ake yi a cikin ɓangarorin watsawa a cikin Hoto na 5.
ICC ga duk, yatsu na dama da na hagu sun kasance 0.474, 0.368, da 0.635 (Table 4), wanda ke nuni da amincin auna "talakawa", "talakawa", da "matsakaicin" auna, bi da bi.
Dangane da bayanan, an yi amfani da ICC Model 3 tare da shigar da SPSS a matsayin samfurin "gauraye mai gefe biyu" da nau'in "gaba ɗaya".
Game da dacewa tsakanin PIs da aka auna akan yatsu 10, mun sami bambance-bambance masu mahimmanci tsakanin ma'auni.Yatsa na tsakiya yana nuna mafi girman PI da aka auna tsakanin yatsun hannu.Kodayake daidaitawa tsakanin PI na hagu da yatsa na dama yana da mahimmanci a ƙididdiga, ƙididdiga na ƙaddara (r2) ya nuna cewa kusan 8% na canje-canje a cikin PI na yatsan tsakiya na hagu za a iya annabta daga yatsan tsakiya na dama da kuma akasin haka. 16].
Ana ƙididdige PI daga siginar hotoplethysmography ta hanyar kwatanta ƙwanƙwasa bugun jini da marasa bugun jini.Abubuwa biyu masu mahimmanci na iya rinjayar PI, fitarwar zuciya, da ma'auni tsakanin tsarin tausayi da parasympathetic.
PI yana da girma idan fitarwar zuciya yana da girma da/ko parasympathetic ya fi rinjaye.Sabanin haka, PI yana da ƙasa lokacin da fitarwar zuciya ta yi ƙasa da/ko tausayi ya fi rinjaye.Ana ɗaukar kewayon al'ada na PI daga 0.2% zuwa 20% [17].A cikin bincikenmu, mun sami PI na 4.37 ± 2.07% don yatsan tsakiya na hagu da 4.66 ± 2.18% don yatsan hannun dama.Duk da haka, ba mu auna fitarwar zuciya da tsarin juyayi mai zaman kansa ba don yin sharhi game da jihohin da ke cikin zuciya da tsarin juyayi.Sakamakonmu ya tabbatar da bayanan Savastan et al.A bayyane yake mutane masu lafiya waɗanda ke da ma'anar shekarun 42 (kewayon tsaka-tsaki = 33-47) suna da PI na 4.3 (kewayon tsaka-tsakin = 2.9-6.2) [18].
A cikin yanayin ilimin lissafi, matsayi yana rinjayar PI da aka auna, wanda aka gano ya zama mafi ƙasƙanci a cikin matsayi kuma mafi girma a cikin matsayi na Trendelenburg [11].A cikin bincikenmu, mun yi amfani da wurin zama don duk mahalarta.Sabili da haka, idan muka kwatanta akan yatsunsu, muna ɗauka cewa PI yana a matakin mafi ƙasƙanci.Saboda PI shine rabo na pulsatile zuwa jini mara nauyi, duk wata cuta da ke cutar da jini na gefe yana shafar PI [19].PI a cikin sashin gaggawa yana taimakawa wajen ƙayyade buƙatar ƙarin jini [20].Hakanan yana taimakawa wajen tantance haɗarin mutuwa a cikin marasa lafiya tare da zub da jini na gastrointestinal babba kuma a cikin marasa lafiya na injin injin [21,22].Bugu da ƙari, yana taimakawa wajen gano hypotension a lokacin maganin sa barci da kuma ƙayyade tasiri na ganglionic blockades [6,7].A cikin saitin kulawa mai zurfi, pulse oximeter wani muhimmin sashi ne na lura da wasu sigogi a cikin matakin matakin asibiti guda.Koyaya, a cikin wannan binciken, mun yi amfani da na'urori masu daraja.Don haka, sakamakon wannan binciken ƙila ba zai yi kama da nazarce-nazarcen ta amfani da ma'aunin oximeter na asibiti ba.
Likitocin kulawa na farko da na gabaɗaya na iya amfani da ma'aunin bugun jini na mabukaci don ziyarar gida don auna saturation na iskar oxygen na majiyyaci (SpO2) da PI.Ya kamata su yi taka tsantsan don rage yaɗuwar cutar tsakanin marasa lafiya ta amfani da bincike ko yatsa [23].Koyaya, dole ne su yi hankali kamar yadda PI da aka auna akan yatsu daban-daban na iya ba da karatu daban-daban.Nazarin da suka gabata sun nuna cewa yatsa na tsakiya yana nuna matakan mafi girma na SpO2 idan aka kwatanta da sauran yatsu [24,25].A cikin wannan binciken, mun gano cewa PI kuma ya nuna maki mafi girma a cikin yatsan tsakiya na gaba biyu.
Wannan binciken yana da wasu iyakoki.Mun tattara samfurori don bincike daga asibiti.Samfuran dacewa sune ƙananan yuwuwar samfurori.Don haka, ba zai yuwu a tantance yadda yake wakiltar jama'a ba.Bugu da kari, mun tattara samfurori ne kawai daga alamun lafiyayyun mutane don ƙaddarar PI a ƙarƙashin yanayin yanayin physiological na yau da kullun.Saboda haka, sakamakon bazai shafi mutanen da ke da kowane irin yanayin kiwon lafiya ba.
Motsa jiki da na gida bugun jini oximeters na iya auna PI daban-daban akan yatsu daban-daban na hannun hagu da dama.An sami mafi girman ƙimar PI akan yatsan tsakiya na kowane hannu.Amincewar PI da aka auna tare da oximeter na bugun jini akan yatsu daban-daban yana da ƙasa.Saboda haka, PI da aka samu tare da oximeter ya kamata a fassara shi tare da taka tsantsan don kowane dalili na bincike.Ana buƙatar ƙarin bincike don kwatanta amincin asibiti da oximeters masu amfani a auna PI na yatsu daban-daban.
Ma'aikatar Ilimin Halitta, Sashen Ilimin Halitta, Makarantar Magunguna da Asibiti, Patna, Ma'aikatan Kamfanin Inshorar Kasa na Indiana
Ma'aikatar Ilimin Halitta, Sashen Ilimin Halitta, Makarantar Magunguna da Asibiti, Patna, Ma'aikatan Kamfanin Inshorar Kasa na Indiana
Ma'aikatar Ilimin Halitta, Sashen Ilimin Halitta, Makarantar Magunguna da Asibiti, Patna, Ma'aikatan Kamfanin Inshorar Kasa na Indiana
Abubuwan Dan Adam: Duk mahalarta wannan binciken sun ba da izini ko ba su ba da izini ba.Kwamitin da'a na Cibiyar Kula da Lafiya ta Bhubaneswar da Babban Asibitin Fasaha ne suka bayar da amincewa HMCH/IEC/2022/160.Abubuwan Dabbobi: Duk marubuta sun tabbatar da cewa babu dabbobi ko kyallen takarda da ke da hannu a cikin wannan binciken.Rikice-rikice na Sha'awa: Dangane da Form Bayyanar ICMJE Uniform, duk mawallafa suna bayyana abubuwan da ke gaba: Bayanan Biyan Kuɗi / Sabis: Duk marubutan sun bayyana cewa ba su sami tallafin kuɗi daga kowace ƙungiya don aikin da aka ƙaddamar ba.Dangantakar Kuɗi: Duk marubutan sun bayyana cewa ba su da alaƙar kuɗi a halin yanzu ko a cikin shekaru uku da suka gabata tare da kowace ƙungiyar da ke da sha'awar aikin da aka ƙaddamar.Sauran Dangantaka: Duk mawallafa sun bayyana cewa babu wasu alaƙa ko ayyukan da zasu iya shafar aikin da aka ƙaddamar.
Muna gode wa dukkan mahalarta saboda rawar da suka taka a wannan binciken.Muna kuma gode wa Sarika Mondal, marubucin likitanci mai zaman kansa, don gyaran fasaha na rubutun da kuma ba da gudummawa ga hotunan da aka yi amfani da su a cikin wannan rubutun.Wakilin yana mika godiyarsa ga Ahana Aarshi bisa taimakon da ta bayar a lokacin shirya wannan rubutun.Muna godiya ga masu bitar wannan rubutun saboda bitarsu mai kyau da kuma sharhi masu ma'ana.
Swain SM, Lata M, Kumar S et al.(Mayu 9, 2022) Nazarin sashin giciye na daidaiton sigogin perfusion da aka auna a cikin yatsu tare da oximeter mai ɗaukar nauyi a cikin manya masu lafiya.Magani 14(5): e24853.doi:10.7759/cureus.24853
© Haƙƙin mallaka 2022 Swain et al.Wannan labarin buɗe ido ne wanda aka rarraba ƙarƙashin sharuɗɗan lasisin Haɗin Haɗin Halittun Halittu CC-BY 4.0.An ba da izinin amfani mara iyaka, rarrabawa, da haɓakawa a kowace matsakaici, in dai an ƙididdige ainihin marubucin da tushen.
Wannan labarin buɗaɗɗen shiga ne wanda aka rarraba ƙarƙashin Lasisin Haɗin Haɗin Halittun Halittu, wanda ke ba da izinin amfani mara iyaka, rarrabawa, da haɓakawa a kowace matsakaici, in dai an ƙididdige marubucin da tushen.
(a) Allon yana nuna ƙimar zuciya, jikewar iskar oxygen, da karatun fihirisar turare.(b) Auna ma'auni tare da oximeter akan yatsan tsakiya na hannun hagu.
"R" yana nufin "dama", "L" - "hagu", kuma lambobi daga 1 zuwa 5 suna wakiltar daga babban yatsan hannu zuwa ƙaramin yatsa. Sakamakon ANOVA mai maimaita-mata: F (9, 3900) = 15.49, p <0.0001. Sakamakon ANOVA mai maimaita-mata: F(9, 3900) = 15.49, p <0.0001. Результат повторных измерений ANOVA: F (9, 3900) = 15,49, p <0,0001. Sakamakon maimaita matakan ANOVA: F(9, 3900) = 15.49, p <0.0001.重复测量方差分析结果：F (9, 3900) = 15.49，p <0.0001.重复测量方差分析结果：F(9, 3900) = 15.49，p <0.0001. Результаты повторных измерений ANOVA: F (9, 3900) = 15,49, p <0,0001. Matsakaicin sakamako na ANOVA: F(9, 3900) = 15.49, p <0.0001.
Lokacin aikawa: Nuwamba-07-2022