模拟高原环境对心肺复苏术施救者基本生命体征的影响

发布时间：2018-07-15 21:05

【摘要】：目的观察不同海拔高度对正常成年医务人员实施心肺复苏术(CPR)前后基本生命体征的影响。方法选取2015年6月-2016年3月新疆军区总医院健康成年医护人员90人,随机分为平原常氧组、3700m高原组、4300m高原组,每组30人。参照《国际心肺复苏指南(2010版)》基础生命支持标准,记录各组1个循环CPR操作前后心率(HR)、平均动脉压(MAP)、呼吸(RR)和指脉氧饱和度(SpO_2)数值,比较1个循环CPR操作前后各组基本生命体征的变化。结果3组施救者实施1个循环CPR操作后HR、RR均明显增快(P0.05),但MAP及SpO_2无明显变化(P0.05)。随着海拔增加,4300m高原组的HR、RR快于3700m高原组和平原常氧组(P0.05),3700m高原组的HR、RR快于平原常氧组(P0.05)。但3组间MAP及SpO_2变化差异无统计学意义(P0.05)。结论随着海拔高度升高,施救者HR、RR增加,但海拔高度对施救者MAP及SpO_2无影响。
[Abstract]:Objective to observe the effect of different altitude on basic vital signs of normal adult medical personnel before and after cardiopulmonary resuscitation (CPR). Methods from June 2015 to March 2016, 90 healthy adult medical staff in Xinjiang military region General Hospital were randomly divided into plain normoxic group (3700m) and 4300m altitude group (30 persons in each group). Heart rate (HR), mean arterial pressure (map), respiration (RR) and finger oxygen saturation (SpO2) were recorded before and after one cycle CPR operation according to the basic life support criteria of the International guidelines for Cardiopulmonary Resuscitation (2010). The changes of basic vital signs before and after one cycle CPR were compared. Results HRN RR increased significantly after one cycle CPR in the three groups (P0.05), but map and SPO _ 2 did not change significantly (P0.05). With the increase of altitude, HR-RR of 4300m altitude group was faster than that of 3700m plateau group and plain normoxic group (P0.05), and that of plain normoxic group was faster than plain normoxic group (P0.05). However, there was no significant difference in map and SPO _ 2 between the three groups (P 0.05). Conclusion HRRR of rescuers increased with elevation, but elevation had no effect on map and SpOSP _ 2 of rescuers.
【作者单位】：新疆军区总医院ICU;
【基金】：兰州军区课题(CLZ13JA04)~~
【分类号】：R459.7

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