Taksande Amar M, Jadhav Aishwarya, Nair Jyoti
Department of Pediatrics, Jawaharlal Nehru Medical College, Sawangi (Meghe), Wardha, Maharashtra, India.
J Family Community Med. 2015 May-Aug;22(2):85-7. doi: 10.4103/2230-8229.155376.
When the upper arm (UA) is inaccessible or a standard-sized blood pressure (BP) cuff is unavailable, some healthcare workers use the forearm (FA) to measure BP with a mercury sphygmomanometer.
The objective was to determine the accuracy of BP measurement in the arm and FA.
Prospective, randomized study.
Department of Pediatrics, JNMC, Sawangi (Meghe).
A total of 72 children aged 5-15 years.
Mercury and Automatic (OMRON Tokyo, 108-0075 Japan) BP measurements were recorded from the arm and FA at 2 min intervals.
In our study, 72 children of both sexes were enrolled. The mean age of the children was 10.13 ± 2.82 years, and 48% were females. Pearson's correlation coefficient between FA and UA systolic BP (SBP) measured by mercury was 0.782, and for diastolic BP (DBP) it was 0.824. Similarly, Pearson's correlation coefficient between FA and UA SBP measured with an automated device (OMRON) was 0.843, and for DBP it was 0.846. The average readings for the SBP and DBP were higher in the FA than in the UA by approximately 3 mmHg. There was a statistically significant difference in both SBP and DBP.
The FA is an acceptable method of BP monitoring when the UA cannot be accessed. The pressure from FA is probably higher than it would be from UA.
当上臂无法测量或没有标准尺寸的血压袖带时，一些医护人员会使用前臂通过汞柱式血压计测量血压。
目的是确定在上臂和前臂测量血压的准确性。
前瞻性随机研究。
萨万吉（梅赫）JNMC儿科。
共72名5至15岁儿童。
每隔2分钟记录一次上臂和前臂的汞柱式血压及自动（欧姆龙东京，日本108 - 0075）血压测量值。
在我们的研究中，纳入了72名男女儿童。儿童的平均年龄为10.13±2.82岁，48%为女性。汞柱式测量时，前臂与上臂收缩压（SBP）的皮尔逊相关系数为0.782，舒张压（DBP）为0.824。同样，使用自动设备（欧姆龙）测量时，前臂与上臂SBP的皮尔逊相关系数为0.843，DBP为0.846。前臂SBP和DBP的平均读数比上臂高约3 mmHg。SBP和DBP均存在统计学显著差异。
当上臂无法测量时，前臂是一种可接受的血压监测方法。前臂测量的压力可能高于上臂测量的压力。
