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目的通过与同期本地区三级医院急诊医务人员复苏操作质量对照,评价规范化急救技能训练对泰安地区全运会医疗志愿者心肺复苏操作质量的作用。方法随机检测本地区连续参加规范化心肺复苏技术培训3个月56名医疗志愿者(规范化培训组)的心肺复苏操作质量,并与同期泰安市三级医院急诊科近1 a内未参加规范化心肺复苏培训62名医务人员(对照组)的复苏操作质量进行对照。结果志愿者完成心肺复苏技术操作质量明显优于对照组,总合格率分别为83.2%和33.1%,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(87.65%、89.3%、94.6%vs 41.9%、48.4%、67.7%,P<0.01);整个操作时间差异无统计学意义[(118.3±18.2)s vs(116.1±5.1)s,P>0.05];单组通气时间明显短于对照组[(6.48±1.2)vs(7.49±1.5),P<0.01];每分钟实际按压次数差异无统计学意义[(77.3±3.6)vs(77.8±2.1),P>0.05);按压/通气时间比分别为(2.6∶1 vs2.1∶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[OR13.46,95%CI(2.32~71.3);OR31.81,95%CI(3.60~263.4);OR4.17,95%CI(1.17~14.2)]。结论经反复规范培训的医疗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。
Objective To evaluate the effect of standardized first aid training on the quality of cardiopulmonary resuscitation (CPR) of medical volunteers in Taian during the same period by comparing with the quality of emergency medical personnel resuscitation in tertiary hospitals in the same period. Methods The quality of cardiopulmonary resuscitation (CPR) of 56 medical volunteers (standardized training group) who participated in standardized CPR training for 3 months in our region was randomly detected. In the same period, emergency attendants of tertiary hospitals in Tai’an City did not participate in normalized cardiopulmonary resuscitation The quality of resuscitation training of 62 medical staff (control group) was compared. Results The quality of CPR operation of volunteers was significantly better than that of the control group (83.2% and 33.1%, respectively). The rate of compliance, the frequency of compression and the release pressure of compression between volunteers were higher than those of the control group (87.65%, 89.3% , 94.6% vs 41.9%, 48.4%, 67.7%, P <0.01). There was no significant difference in the whole operation time between the two groups ([118.3 ± 18.2] s vs (116.1 ± 5.1) s, P> (P <0.01). There was no significant difference in the number of actual pressings per minute between the two groups [(77.3 ± 3.6) vs (77.8 ± 2.1), P> 0.05) ; Pressure / ventilation time ratio were (2.6: 1 vs2.1: 1). Logistic regression analysis showed that the quality of cardiopulmonary resuscitation (CPR) was significantly related to the compression technique, the compression posture and repeated standardized training, respectively [OR13.46,95% CI 2.32-71.3; OR31.81,95% CI 3.60-263.4) ; OR 4.17, 95% CI (1.17 ~ 14.2)]. Conclusion The quality of cardiopulmonary resuscitation (CPR) of medical volunteers trained by repeated norms is obviously better than that of untrained medical staff. Standardized training can improve the quality of CPR operation.