摘要
目的比较传统床旁侧位跪式胸外按压与骑跨跪式胸外按压对患者心肺复苏效果的影响。方法选取自2015年2月至2017年2月于救护车行驶中需给予胸外按压行心肺复苏的82例患者,以随机数字表法分为A组(n=41)与B组(n=41)。A组患者采用传统床旁侧位跪式胸外按压,B组患者采用骑跨跪式胸外按压。分别比较两组按压总次数、有效按压次数、按压频率、复苏成功患者的复苏时间、医务人员的疲劳量表-14(FS-14)评分、血气指标水平以及不良反应事件发生情况。结果 B组按压总次数、有效按压次数以及按压频率分别为每2 min(234.5±9.4)次、每2 min(204.3±4.7)次及(112.3±9.1)次/min,均明显高于A组的每2 min(197.5±6.6)次、每2 min(155.2±3.9)次及(97.2±8.2)次/min,两组间比较,差异均有统计学意义(P<0.05)。B组复苏成功患者的复苏时间、医务人员FS-14评分分别为(17.5±6.2)min、(7.2±1.1)分,均明显低于A组的(24.8±7.3)min、(10.8±1.5)分,两组间比较,差异均有统计学意义(P<0.05)。两组患者p H值、氧分压以及二氧化碳分压水平比较,差异均无统计学意义(P>0.05)。B组不良反应事件发生率为4.8%(2/41),明显低于A组的22.0%(9/41),差异有统计学意义(P<0.05)。结论骑跨跪式胸外按压应用于患者心肺复苏中的按压效果更佳,有利于缩短复苏成功时间,减轻医务人员精神疲劳感觉,降低不良反应事件发生率。
Objective To compare the effects between bed side kneeling and riding kneeling chest compressions on cardiop-ulmonary resuscitation. Methods A retrospective study w,as performed on 82 cases of patients who needed compression car-diopulmonary resuscitation from February 2015 to February 2017. Patients ＂were randomly divided into Group A（几= 41）and Group B（ n =41）. Patients of Group A were given the traditional bed side kneeling chest compressions,the others of Group B w,ere given riding kneeling chest compressions. The total number,effective pressing numbers,press frequency,recovery time of successful resuscitation of patients,the Fatigue Scale-14（FS-14）score,the incidence of the blood indexes and ad-verse events were compared between the two groups. Results In Group B,the total number of compressions,effective press-ing numbers and compression frequency was （234. 5 ±9. 4）/2 minutes, （204. 3 ±4. 7 ） /2 minutes and （112. 3 ±9. 1 ） /minutesjespectivelys,which ＂were significantly higher than those in Group A （197. 5 ±6. 6）/2 minutes, （155. 2 ±3. 9 ） /2 mi-nutes and （97. 2 ±8. 2）/minutes,and the differences were statistically significant（P 〈0. 05）. The recovery time and FS-14 score of patients in Group B was （17. 5 ±6. 2）minutes and （7. 2 ±1. 1）points,which were all significantly lower than those in Group A （24. 8 ±7. 3）minutes and （10. 8 ±1. 5）points,and the difference was statistically significant（ P 〈0. 05）. The pH value,oxygen partial pressure and the level of carbon dioxide had no statistically significant difference（ P 〉0. 0 5 ） . The incidence of adverse events in Group B was 4. 8%（2/41）,which was significantly lower than 22. 0% （9/41）in Group A, and the difference was statistically significant（ P 〈0. 05）. Conclusion The better effect of riding kneeling chest compres-sions in cardiopulmonary resuscitation can shorten resuscitation time,relieve mental fatigue feeling of medical personnel,and reduce the
作者
汪树
WANG Shu(Department of Cardiac Electrophysiology,The Fourth Hospital Affiliated to Harbin Medical University, Har-bin 150001, China)
出处
《创伤与急危重病医学》
2017年第5期288-291,共4页
Trauma and Critical Care Medicine
关键词
心肺复苏
胸外按压
床旁侧位跪式
骑跨跪式
复苏成功时间
Cardio- pulmonary resuscitation
External chest compression
Bed side kneeling chest compression
Riding keaeeling chest compredssion
Recovery time
