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规范化培训对奥运医疗志愿者心肺复苏质量的作用

The role of standard CPR training in olympic medical volunteers

摘要:

目的 通过与同期三级医院急诊医务人员复苏操作质量对照,评价反复规范化急救技能训练对北京地区奥运志愿者心肺复苏操作质量的作用.方法 随机检测北京某奥运场馆连续参加规范化心肺复苏技术培训6个月44名医疗志愿者(规范化培训组)的心肺复苏操作质量,并与同期北京市三级医院急诊科近1年内未参加规范化心肺复苏培训72名医务人员(对照组)的复苏操作质量进行对照.应用QCPR3535除颤监护仪(飞利浦公司提供)检测,指标为单人模拟心肺复苏操作规范程度,包括按压幅度、按压频率、按压间释放压力及操作时间,结果 记录人表格中,并计算出每分钟实际按压次数.结果 进行x2检验与t检验.对心肺复苏操作影响因素(性别、年龄、按压位置、按压手法、按压姿势及是否反复培训)进行等级划分赋予参数,进行Logistic回归分析.结果 奥运志愿者完成心肺复苏技术操作质量明显优于对照绀,总合格率分别为86.4%和31.9%,志愿者按压幅度、按压频率、按压间释放压力合格率高于对照组(88.6%,93.2%,95.5% vs .40.3%,43.0%,86.1%.P<0.01);整个操作时问差异无统汁学意义[(118.4 4±18.5)s VS.(116.0±5.4)S,P>O.05];单组通气时间明显短于对照组[(6.38±1.3)VS.(7.57±1.6),P<O.01];每分钟实际按压次数差异无统计学意义[(77.2±3.5)VS.(77.8±12.2),P>0.05)];按压/通气时间比分别为(2.6:1 VS.2.1:1).Logistic回归分析结果 显示心肺复苏操作质量与按压手法、按压姿势及反复规范化培训明显相关,分别为[OR 13.12,95%CI(2.35-73.2);OR 30.89,95%CI(3.62~263.5);OR 4.07,95%CI(1.16~14.2)].结论 经反复规范培训的奥运志愿者心肺复苏操作质量明显优于未经培训的医护人员,规范化培训有助于提高CPR操作质量.

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abstracts:

Objective To evaluate the role of standard CPR training in Beijing Olympics medical volunteers by compared with the no-traimng medical personnel.Method Performance qualities of CPR was evaluated in the 44 medical vohmteers,who worked in a Beijing Olympic Venue.They received the training On standard CPR for 6 monthes,and served as training group.The performance of another 72 emergency medical workers from first-class hospitals without the training on stand CPR within 1 year(control group) Was compared with training group.Phillips QCPR3535 monitor was used to measure the compression frequency,depth and chest re-expand between the compression and the operation time via the sternal chest compression pad fitted with an accelerometer.Personal practical results of 5 circles of CPR operation were recorded in a table and the numbers ofpractical. Compression in one minute were counted.Data Were analyzed with chi-quare test and t-test.The parameters ofthe influence fac.tor(gender,age,hand placement,hand skill,compression posture and standard training)were brought into logistic regression analysis.Results Compared with the control group,the qualification rate of general CPR performance in the training group was much higher(86.4%vs.31.9%),and the compression cpmlification rates of the chestcompression,depth and chest re-palld betweenthe compression wcfe higher(88.6%,93.2%,95.5% vs.40.3%,43.0%,86.1%,P<0.01),the duration of ventilation in each operationstion was shorter[(6.38±1.3)vs.(7.57±1.6),P<O.01],but the total performance durations Wel'e not significant different[(118.4±18.5)s vs.(116.0 4-5.4)s,P>0.05],pratieal compressionn flberin oneminutewas not different[(77.2±3.5)vs.(77.8±12.2),P>0.05)],the ratios of the duration of compression to that of ventilation was higher(2.6:1 vs.2.1:1).Logistic analysis showed that hand skill,compression posture and standard CPR trainings were high correlated with the CPR performance qualities(P<0.05).Conclusions The performance quahty of training group is much higher thanthat ofcontrol group.The standard and continuous CPR training is elfecfive in improving the quality of CPR operation.

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作者: 盂凡山 [1] 孙菁 [1] 计达 [1] 陈威 [1] 黎檀实 [1] 沈洪 [1]
期刊: 《中华急诊医学杂志》2009年18卷1期 30-33页 ISTICPKUCSCD
分类号: R5
栏目名称: 心肺复苏
DOI: 10.3760/cma.j.issn.1671-0282.2009.01.009
发布时间: 2009-04-01
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