压缩率对心肺复苏质量的影响:人体交叉随机对照研究。

IF 0.8 Q4 EMERGENCY MEDICINE
Ibnu Katsir Machbub, Gezy Giwangkancana, Rudi Kadarsah, Ricky Aditya
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引用次数: 0

摘要

背景:高质量心肺复苏(HQ-CPR)侧重于改善心脑血流灌注。对HQ-CPR的评价包括胸外按压的深度、频率、频率以及两次胸外按压之间胸部后坐力的发生情况。执行心肺复苏术的工作人员可能不执行红旗心肺复苏术,因为它受个人耐力、体力和缺乏目标标记物的影响。我们的目的是研究每分钟100次CPR与每分钟120次CPR对训练有素的工作人员在人体模型上完成的深度和目标深度百分比的影响。方法:采用交叉随机对照研究。研究对象是印度尼西亚一家三级教学医院的麻醉师和重症监护住院医生,他们都获得了高级生命支持的认证。受试者被要求在休息一天后进行每分钟100次和120次的心肺复苏术。使用标准化的成人人体模型,使用附着在人体模型上的垫式传感器测量心肺复苏深度,并将结果传输到记录软件中。采用卡方分析,p < 0.05为差异有统计学意义。结果:共纳入受试者35例。结果显示,100次/分钟的平均压迫深度比120次/分钟的平均压迫深度浅(5.210±0.319∶5.430±0.283,p = 0.007)。相比之下,在100次/分钟的速度下,压缩深度对目标的百分比明显更高(37.130±10.233 vs. 18.730±7.224,p = 0.0001)。结论:100次/分钟心肺复苏术导致压缩深度降低,虽然没有临床意义,但与120次/分钟心肺复苏术相比,压缩深度达到目标的百分比有统计学意义。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Impact of Compression Rates on the Quality of Cardiopulmonary Resuscitation: A Cross Over Randomized Control Study in Manikin.

Background: High-quality cardiopulmonary resuscitation (HQ-CPR) focuses on improving heart and brain blood perfusion. The evaluation of HQ-CPR included depth, frequency, rate of chest compressions, and the occurrence of chest recoil between two chest compressions. Staff performing CPR may not be performing HQ-CPR since it is influenced by individual stamina, physical strength, and lack of target marker. We aimed to study the impact of 100 times per minute rate vs. 120 times per minute CPR rate on the depth and percentage of depth-on-target done by trained staff on a manikin.

Methods: This was a cross-over randomized control study. The subjects were anesthesiology and intensive care residents in a tertiary teaching hospital in Indonesia, all certified to perform advanced life support. The subject was asked to perform both CPR of 100 and 120 times per minute after a period of one-day rest. The standardized adult manikin was used, and the depth of CPR was measured using a pad-sensor attached to the manikin, and the results were transferred to recording software. Analysis was done using the chi-square analysis, and p < 0.05 was considered statistically significant.

Results: A total of 35 subjects were included. The results showed that the average compression depth at 100 times/minute was more statistically superficial than the 120 times/minute treatment (5.210 ± 0.319 vs. 5.430 ± 0.283, p = 0.007). In contrast, the compression depth-on-target percentage was significantly higher at a speed of 100 times per minute (37.130 ± 10.233 vs. 18.730 ± 7.224, p = 0.0001).

Conclusion: One hundred times per minute CPR resulted in a statistically significant lower compression depth, although not clinically significant, with a statistically significant higher percentage of compression depth-on-target than 120 times per minute CPR.

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来源期刊
Journal of acute medicine
Journal of acute medicine EMERGENCY MEDICINE-
CiteScore
0.80
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20
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