CAJ | 학술논문

目的：自主研发心肺脑复苏事件数据记录仪，并模拟复苏现场检验仪器性能。方法设计制作心肺脑复苏事件数据记录仪及后台数据采集系统；模拟心肺脑复苏过程，将30名工作人员分为回忆组及计时器组（使用心肺脑复苏事件数据记录仪），模拟院外、途中、院内三个场景实施心肺脑复苏并记录操作时间，工作人员使用秒表记录标准计时间。在实验结束后，回忆组通过回忆记录各项操作时间，计时器组使用后台操作系统实现数据的显示、提取、存贮；将计时器组和回忆组数据与标准时间相比较，分析各组的误差和相关影响因素。结果回忆组误差为21.5±22.7 s，计时器组误差为3.36±4.28 s（P<0.05）；回忆组的误差值随操作时间增加而增大，相关系数为0.538，计时器组也存在类似趋势，相关系数为0.286（z=2.41，P<0.05）；回忆组的误差值随着操作项目的增加而增大，相关系数为0.523，计时器组也存在类似趋势，相关系数为0.218（z=2.59，P<0.05）。结论心肺脑复苏事件数据记录仪可以减小采录时间的误差，能减小因为操作时间延长和操作项目增多导致的误差，在提高心肺脑复苏utstein登记模式的可操作性方面有一定的优势。
목적：자주연발심폐뇌복소사건수거기록의，병모의복소현장검험의기성능。방법설계제작심폐뇌복소사건수거기록의급후태수거채집계통；모의심폐뇌복소과정，장30명공작인원분위회억조급계시기조（사용심폐뇌복소사건수거기록의），모의원외、도중、원내삼개장경실시심폐뇌복소병기록조작시간，공작인원사용초표기록표준계시간。재실험결속후，회억조통과회억기록각항조작시간，계시기조사용후태조작계통실현수거적현시、제취、존저；장계시기조화회억조수거여표준시간상비교，분석각조적오차화상관영향인소。결과회억조오차위21.5±22.7 s，계시기조오차위3.36±4.28 s（P<0.05）；회억조적오차치수조작시간증가이증대，상관계수위0.538，계시기조야존재유사추세，상관계수위0.286（z=2.41，P<0.05）；회억조적오차치수착조작항목적증가이증대，상관계수위0.523，계시기조야존재유사추세，상관계수위0.218（z=2.59，P<0.05）。결론심폐뇌복소사건수거기록의가이감소채록시간적오차，능감소인위조작시간연장화조작항목증다도치적오차，재제고심폐뇌복소utstein등기모식적가조작성방면유일정적우세。
Objective To design and develop a cardiopulmonary?cerebral resuscitation (CPCR) events data recorder independently,and to evaluate the performance of the recorder by stimulating on?the?spot resuscitation. Methods The CPCR events data recorder and background data acquisition system were designed and produced. The process of CPCR was stimulated. Thirty technicians were divided into the memory group and the timer group(using CPCR events data recorder)to record the time of stimulated?CPCR events out of hospital,during emergency transit,and inside hospital. Stopwatches were used for standardized timing by technicians. After the experiment,all the operation time in the memory group was recalled by the technicians. The display,extraction and storage of the data in the timer group were achieved by background operating system. The data and standard time in the timer group and memory group were compared. Then,the error and correlated factors in each group were analyzed. Results The CPCR events data recorder and background data acquisition system were designed and produced. The process of CPCR was stimulated. Thirty technicians were divided into the memory group and the timer group(using CPCR events data recorder)to record the time of stimulated?CPCR events out of hospital,during emergency transit,and inside hospital. Stopwatches were used for standardized timing by technicians. After the experiment,all the operation time in the memory group was recalled by the technicians. The display,extraction and storage of the data in the timer group were achieved by background operating system. The data and standard time in the timer group and memory group were compared. Then, the error and correlated factors in each group were analyzed. Conclusion CPCR events data recorder can significantly reduce the errors in collecting and recording time. It can also reduce the errors caused by extended operating time and items,which favors improving the operability of Utstein?style CPCR registry.