摘要
目的探讨人体力学原理在移动救护车中实施心肺复苏的应用效果.方法从福建省某急救中心抽取40名医护急救小组人员,按照随机数字表产生的随机序列顺序编码,密封在不透光的信封中,一式2份,医生、护士分别按照顺序打开信封,信封数字相同的医生护士组成团队,随机分为试验组和对照组均为10组人员.试验组运用人体力学原理,在移动救护车内对复苏安妮进行团队心肺复苏;对照组则以常规方法在移动救护车内对同一具复苏安妮进行团队心肺复苏;复苏时间均为8 min.结果试验组在每人每分钟按压次数、按压位置正确次数、按压频率、按压深度、胸廓完全回弹次数、胸外按压分数达标率、通气次数、正确通气次数、意外伤害发生率均优于对照组,差异有统计学意义(P<0.05).结论在移动救护车中正确利用人体力学原理实施心肺复苏有利于提高心肺复苏质量,进而提高院外心搏骤停患者的转运复苏效果.
Objective To explore the effects of application of human mechanics principle in cardiopulmonary resuscitation in mobile ambulance.Methods 40 members from emergency medical teams were selected from an emergency center in Fujian province.Two copies of numbers were generated by the random number table and sealed in opaque envelopes.Doctors and nurses opened the envelopes separately.Doctors and nurses with the same numbers formed a team.20 teams were randomly divided into the experimental and control group with 10 teams in each group.Using the principles of human mechanics,the experimental group performed team cardiopulmonary resuscitation on the resuscitation Annie in the mobile ambulance.The control group performed team cardiopulmonary resuscitation on the same Annie conventionally in the mobile ambulance.The resuscitation time was all 8 minutes.Results The experimental group was superior to the control group in the number of compressions per minute,the proportion of correct site compressions,the frequency of compressions,the depth of compressions,the complete rebound proportion,the score of compressions,the number of ventilation per minute,the proportion of correct ventilation,the number of accidental injuries.Conclusion It is beneficial to improve the quality of cardiopulmonary resuscitation by applying the principles of human mechanics in cardiopulmonary resuscitation correctly in the mobile ambulance,and then to improve the resuscitation outcome of patients with cardiac arrest outside the hospital.
作者
简钢仁
郑若菲
王圣芳
闫素梅
苏丽丽
JIAN Gangren;ZHENG Ruofei;WANG Shengfang;YAN Sumei;SU Lili
出处
《中华急危重症护理杂志》
2020年第2期178-181,共4页
Chinese Journal of Emergency and Critical Care Nursing
关键词
人体力学原理
移动救护车
心肺复苏
转运
复苏质量
Principles of Human Mechanics
Mobile Ambulance
Cardiopulmonary Resuscitation
Transport
Cardiopulmonary Quality
作者简介
简钢仁:男,本科,主管护师,E-mail:409089788@qq.com
