救护车行驶中不同姿势胸外按压对心肺复苏术质量的影响

发布时间：2018-03-11 16:24

本文选题：心肺复苏术　切入点：救护车　出处：《中国全科医学》2016年S1期 　论文类型：期刊论文

【摘要】：目的比较救护车行驶中不同姿势胸外按压对心肺复苏术(CPR)质量的影响,以建立更为规范和怡当的胸外按压方式。方法 2015年3—12月选取浙江金华广福医院急诊科符合纳入标准的医护人员38例。在行驶的救护车内,每例医护人员分别采用传统床旁侧位跪式和骑跨跪式两种姿势对模拟人进行胸外按压。记录每例医护人员按压总次数、有效按压次数、有效按压比例、按压频率、疲劳量表-14(FS-14)得分。结果采用传统床旁侧位跪式T有6例医护人员因明显的眩晕、呕吐而严重影响按压的完成。骑跨跪式按压总次数、有效按压次数、有效按压比例、按压频率均大于传统床旁侧位跪式,FS-14得分低于传统床旁侧位跪式,差异有统计学意义(P0.05)。结论救护车行驶中实施CPR时,与传统床旁侧位跪式胸外按压相比,骑跨跪式胸外按压具有更高的按压质量,消耗更少的体力,更能减轻随车医护人员的精神疲劳感觉,因此在一定程度上提高了CPR质量。
[Abstract]:Objective to compare the effects of different postures on the quality of cardiopulmonary resuscitation (CPR) in ambulances. Methods from 2015 to December, 2015, 38 medical and nursing staff in the emergency department of Zhejiang Jinhua Guangfu Hospital were selected to meet the inclusion criteria. In each case, the traditional kneeling position and straddle kneeling position were used to press the simulated human chest. The total number of times of pressing, the effective times of pressing, the effective ratio of pressing, and the frequency of pressing were recorded in each case. Results there were 6 patients with traditional bed side kneeling T who suffered from obvious dizziness and vomiting, which seriously affected the completion of pressing. The total number of kneeling pressing, the effective pressing times, the effective pressing ratio, the total number of straddle kneeling pressing, the effective pressing times, and the effective compression ratio were observed in 6 cases. The press frequency was higher than that of the traditional bed side kneeling type FS-14 score was lower than that of the traditional bed side position kneeling type, the difference was statistically significant (P 0.05). Conclusion compared with the traditional bed side side kneeling type chest compression, the CPR in ambulances driving is compared with the traditional bed side side kneeling press. The straddle kneeling chest compression has higher pressing quality, less physical energy consumption, and can reduce the feeling of mental fatigue of medical and nursing personnel, so the quality of CPR is improved to a certain extent.
【作者单位】：浙江金华广福医院急诊科;
【分类号】：R459.7

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