中国医师杂志
中國醫師雜誌
중국의사잡지
Journal of Chinese Physician
2015年
9期
1360-1363
,共4页
学生,医科%心肺复苏术%急诊处理
學生,醫科%心肺複囌術%急診處理
학생,의과%심폐복소술%급진처리
Students,medical%Cardiopulmonary resuscitation%Emergency treatment
目的 探讨医学生参与心肺复苏对临床急诊患者抢救质量的影响.方法 自2011年3月至2012年9月,笔者用一套数字录像系统记录在本院急救中心接受心肺复苏的成年急诊患者抢救过程,并对其进行分析.其中医学生参与急救的病例26例,为医学生参与组;无医学生参与的病例40例,为无医学生参与组.结果 医学生参与组胸外按压频率远高于无医学生参与组(P＜0.01).在医学生参与组中,胸外按压频率在110次/min以上者所占比例较高(P=0.021),而胸外按压频率为90 ～ 110次/min者所占比例较低(P=0.015).医学生参与组中断按压时间占人工按压总时间比例明显低于无医学生参与组(P＜0.05).医学生参与组实现通气频率高于无医学生参与组(P＜0.05).两组第1次胸外按压和人工通气的延迟时间相似,自主循环恢复率与存活率差异无统计学意义(P＞0.05).结论 医学生参与的复苏团队能够实现高质量的心肺复苏,即较高频率的胸外按压和较少的按压中断.但为了确保恰当的胸外按压频率和通气频率,有医学生参与的临床心肺复苏仍需在专业医务人员的监督与指导下进行.
目的 探討醫學生參與心肺複囌對臨床急診患者搶救質量的影響.方法 自2011年3月至2012年9月,筆者用一套數字錄像繫統記錄在本院急救中心接受心肺複囌的成年急診患者搶救過程,併對其進行分析.其中醫學生參與急救的病例26例,為醫學生參與組;無醫學生參與的病例40例,為無醫學生參與組.結果 醫學生參與組胸外按壓頻率遠高于無醫學生參與組(P＜0.01).在醫學生參與組中,胸外按壓頻率在110次/min以上者所佔比例較高(P=0.021),而胸外按壓頻率為90 ～ 110次/min者所佔比例較低(P=0.015).醫學生參與組中斷按壓時間佔人工按壓總時間比例明顯低于無醫學生參與組(P＜0.05).醫學生參與組實現通氣頻率高于無醫學生參與組(P＜0.05).兩組第1次胸外按壓和人工通氣的延遲時間相似,自主循環恢複率與存活率差異無統計學意義(P＞0.05).結論 醫學生參與的複囌糰隊能夠實現高質量的心肺複囌,即較高頻率的胸外按壓和較少的按壓中斷.但為瞭確保恰噹的胸外按壓頻率和通氣頻率,有醫學生參與的臨床心肺複囌仍需在專業醫務人員的鑑督與指導下進行.
목적 탐토의학생삼여심폐복소대림상급진환자창구질량적영향.방법 자2011년3월지2012년9월,필자용일투수자록상계통기록재본원급구중심접수심폐복소적성년급진환자창구과정,병대기진행분석.기중의학생삼여급구적병례26례,위의학생삼여조;무의학생삼여적병례40례,위무의학생삼여조.결과 의학생삼여조흉외안압빈솔원고우무의학생삼여조(P＜0.01).재의학생삼여조중,흉외안압빈솔재110차/min이상자소점비례교고(P=0.021),이흉외안압빈솔위90 ～ 110차/min자소점비례교저(P=0.015).의학생삼여조중단안압시간점인공안압총시간비례명현저우무의학생삼여조(P＜0.05).의학생삼여조실현통기빈솔고우무의학생삼여조(P＜0.05).량조제1차흉외안압화인공통기적연지시간상사,자주순배회복솔여존활솔차이무통계학의의(P＞0.05).결론 의학생삼여적복소단대능구실현고질량적심폐복소,즉교고빈솔적흉외안압화교소적안압중단.단위료학보흡당적흉외안압빈솔화통기빈솔,유의학생삼여적림상심폐복소잉수재전업의무인원적감독여지도하진행.
Objective To investigate the effect of medical student involvement on the quality of actual cardiopulmonary resuscitation (CPR).Methods A digital video-recording system was used to record and analyze CPR procedures for adult patients from March 2011 to September 2012.Results Twenty-six student-involved and 40 non-student-involved cases were studied.The chest compression rate in the studentinvolved group was significantly higher than that in the non-student-involved group (P ＜ 0.01).The proportion of compressions at " above 110 cpm" was higher in the student-involved group (P =0.021),whereas the proportion at "90 ～ 110 cpm" was lower in the student-involved group (P =0.015).The ratio of hands-off time to total manual compression time was significantly lower in the student-involved group than in the non-student-involved group (P ＜ 0.05).In contrast,the student-involved group delivered a higher ventilation rate compared with the non-student-involved group (P ＜ 0.05).The observed time delay to first compression and first ventilation was very similar between the groups.There were no significant differences between groups in either return of spontaneous circulation or time from survival to discharge.Conclusions Student-involved resuscitation teams were able to perform good CPR,with higher compression rates and fewer interruptions.However,the supervision from medical staff is still needed to ensure appropriate chest compression and ventilation rate in student-involved actual CPR in the emergency department.
