规范化培训对全运会医疗志愿者心肺复苏质量的作用

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 vs 2.1∶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[OR 13.46,95%CI (2.32～71.3); OR 31.81,95%CI (3.60～263.4);OR 4.17,95%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.

Standard CPR training for the National Games medical volunteers

Objective To evaluate the standard CPR training for the National Games medical volunteers by compared with the no training medical personnel.Methods Performance qualities of CPR on a ResusciAnne manikin in 56 medical volunteers who had standard CPR training for three months（standard CPR training group） were investigated and compared with 62 no training emergency medical workers（control group,no CPR standard training in a year）.Results Compared with the control group,the qualification rate of general CPR performance by the standard CPR training group was much higher（83.2% vs 33.1%）,and the compression qualification rates of the chest compression rate,depth and chest re-expand between the compression were higher（87.65%、89.3%、94.6% vs 41.9%、48.4%、67.7%,P0.01）,the duration of ventilation in each operation section was shorter[（6.48±1.2） vs（7.49±1.5）,P0.01],but the total performance durations were not different[（118.3±18.2） s vs（116.1±5.1） s,P0.05],pratical compression number in one minute was not different[（77.3±3.6） vs（77.8±2.1）,P0.05],the ratios of the duration of compression to that of ventilation was higher（2.6∶1 vs 2.1∶1）.Logistic analysis showed that hand skill,compression posture and standard CPR trainings were high correlated with the CPR performance qualities（P0.05）.Conclusion The quality of the volunteers is more perfect than the general medical works without standard training.The standard and continuous CPR training is effective in improving the quality of CPR operation.