使用人体模型确定心肺复苏的有效性

Melahat Kizil
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摘要

目的:许多研究表明,实施心肺复苏(CPR)的人由于疲劳、手出汗、肋骨骨折、无法确定正确的区域等原因无法进行持续有效的心肺复苏。因此,本研究旨在遵循2015年CPR指南,使用CPR假人来确定CPR质量的有效性和可持续性。材料和方法:本研究由来自伊兹密尔经济大学七个不同健康科学专业的153名学生志愿者进行。所有学生都在上一学年接受过急救和基本生命支持方面的培训。测量心肺复苏术应用于心肺复苏术人体模型(Ambu®manikin)的时间和效果。评估学生的体位、吹气量、压力深度和有效压力持续时间,并采用t检验对数值数据进行分析。p值<0.05为差异有统计学意义。数据分析采用SPSS 21版。结果:153名学生志愿者中,女性占60.1%,男性占39.9%。学生平均年龄20.32±03岁,平均身高169.20±26 cm,平均体重65.12±42 kg。平均有效CPR持续时间为2.95±0.86 min,平均按压深度为4.33 cm,按压深度与有效按压深度平均为0.6 l。83%的学生手臂的位置是正确的。在81%的情况下,正确地确定了应用程序的位置。此外,68.6%的学生能够维持心脏的泵送活动。在除手臂位置外的其他参数中,男生成绩均优于女生。心肺复苏术是一种非常重要的救命方法,可以增加患者的生存机会。然而,除非正确和及时地应用,否则这种做法是无效的。结论:本研究表明,人工胸部按压在几分钟内就失去了速度和效果。这表明在这个人类生命取决于分钟的领域有一个非常重要的缺陷。因此,开发和调试能够执行心肺复苏术的辅助外胸按压装置,特别是在院前环境、救护车和急诊科,是很重要的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
DETERMINING THE EFFECTIVENESS OF CARDIOPULMONARY RESUSCITATION USING A MANIKIN
Objectives: Many studies have shown that people applying cardiopulmonary resuscitation (CPR) cannot make sustained and effective CPR due to fatigue, sweaty hands, broken ribs, inability to determine the correct area etc. Thus, this study aimed to determine the effectiveness and sustainability of CPR quality using a CPR manikin by following the 2015 CPR guidelines.Material and Method: This study was carried out with 153 student volunteers from seven different health sciences programmes at Izmir University of Economics. All students were trained in first aid and basic life support in the previous school academic year. The time and effectiveness of CPR applied on a CPR manikin (Ambu® Manikin) were measured. The students’ body positioning, blowing capacities, depth of pressures and effective pressure durations were evaluated and numerical data were analysed by t-test. P-value <0.05 was accepted as statistically significant. Data were analysed using SPSS version 21.Results: Of the 153 student volunteers, 60.1% were female and 39.9% were male. The average student age was 20.32 ± 03 years, the average height was 169.20 ± 26 cm and the average weight was 65.12 ± 42 kg. The average effective CPR duration was 2.95 ± 0.86 min, the average pressure depth was 4.33 cm and the average depth of pressures and effective pressure was 0.6 liters. The position of the arms was correct in 83% of the students. In 81% of the cases, the application site was correctly determined. Moreover, 68.6% of the students were able to sustain the pumping activity of the heart. In all parameters other than the arms position, male students had better results than female students. CPR is a very important live-saving method to increase the chance of survival. However, this practice is ineffective unless applied correctly and timely.Conclusion: This study showed that manual chest compression on the manikin became ineffective in both speed and effectiveness just within minutes. This shows that there is a very important deficiency in this area where human life depends on minutes. Thus, developing and commissioning auxiliary external chest compression device that can perform CPR, especially in pre-hospital setting, ambulance and emergency departments, is important.
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