在职医护人员徒手心肺复苏技能培训效果分析

目的:了解在职医护人员徒手心肺复苏(CPR)技能的掌握情况及存在的问题,探讨CPR模拟培训的作用.方法:于2008年和2009年连续2年将全院符合条件的在职医护人员分成急诊科组和非急诊科组,两组均进行相同的理论学习、模拟培训和操作考核.将每年培训前后的总合格率和每组平均分分别作统计分析.结果:2008年和2009年培训前CPR操作总合格率分别为39.8%和40.5%,培训后总合格率分别为85.4%和85.0%(P均<0.01);急诊科组2008年和2009年培训前成绩分别为90.5分和91.2分,培训后为91.5分和92.9分,均较培训前无显著统计学差异(P>0.05).非急诊科组2008年和2009年培训前平均成绩分别为61.5分和59.5分,培训后为86.5分和89.5分,均较培训前有显著统计学差异(P<0.05).结论:我国在职医护人员CPR合格率低,模拟培训仅短期有效,要真正掌握CPR技能还必须多次强化、反复训练.     

肾绞痛的社区治疗对策探讨

Object To investigate the effective therapeutic to control nephric colic without anesthetics by comparing the different drugs. Methods 512 patients with moderate or severe nephric colic (the severity of pain was scored by verbal report) were randomized into three groups, including (1) group pethidine +654-2, (2) group lornoxicam + 654-2,and (3) group rotundine +654-2. The effects on alleviation of pain were evaluated among three groups within 40 minutes after drug administration.Results The excellence rate iss 86% and effective rate is 90% in group pethidine + 654-2. The excellence rate are 70% and 65%, respectively,in group lornoxicam + 654-2 and group rotundine +654-2, which are both lower than that in group pethidine +654-2 (both P＜ 0.05), however, the effective rates were 92% and 89%, respectively, which are not significantly different from that in group pethidin + 654-2 (both P＞ 0.05). Comclusion Lornoxicam and rotundine can be widely used to replace pethidine to alleviate nephric colic.     

肾绞痛的社区治疗对策探讨

目的 通过对512例急性肾绞痛治疗效果的回顾性分析,对常用的几种药物缓解疼痛的方法进行比较,寻找毒麻药外的有效治疗肾绞痛方法,为社区急性肾绞痛药物治疗提供对策.方法 对512例中重度肾绞痛患者（口述评分法制定疼痛的严重程度）,按照我院常用的3种治疗方法随机分为三组：（1）哌替啶＋654-2;（2）氯诺昔康＋654-2;（3）罗通定＋654-2,评价给药40分钟内疼痛缓解的效果并进行组间比较分析.结果 哌替啶组显效率86%,有效率90%,氯诺昔康组显效率70%,有效率92%,罗通定组显效率65%,有效率率89%,后两组的显效不及哌替啶（P＜0.05）,而三组的有效率差异无显著性（P＞0.05）.结论 氯诺昔康、罗通定可以替代哌替啶治疗中重度肾绞痛,可在社区推广应用.