连续性信息反馈对心肺复苏质量的影响

目的 通过对院内心肺复苏(CPR)质量多参数的监测,来观察在连续性信息反馈下所实施的CPR操作对心复苏质量影响.方法 采用成组病例对照研究方法,随机选择ICU40例心跳骤停患者分为观察组和对照组,每组各20例,两组在实施CPR技术时均记录CPR质量参数,观察组还要通过建立信息反馈机制告知医务人员所实施CPR质量参数,以便CPR实施者根据反馈信息来调整自己的CPR操作.结果 观察组各项指标的正确率,在胸外按压频率91.3%,按压深度83.8%,通气频率72.3%,按压中断时间77.5%,无血流分数77.5%,与对照组比较,差异有统计学意义(P<0.01).结论 即使受过良好训练的医护人员在实施CPR技术时,同样会出现质量问题,故加强临床CPR质量参数的监测与建立信息反馈机制很重要,以提高临床CPR对美同心脏病协会和国际的指南的依从性.

Influence of the successive information feedback on the quafity of cardiopulmonary resuscitation

Objective To observe the influence of CPR operation on the quality of cardiopulmonary resuscitation (CPR) under the successive information feedback by monitoring multiple parameters of CPR quality of in-hospital.Methods Using the group cage-control research methods.40 cases with cardiac arrest were randomly divided into two groups,who all received the monitoring of multiple parameters of CPR quality.There were 20 cases in each group.And the experiment group had told the information of CPR quality to the medical staffs when they performed CPR,in order to adjust their operating of CPR.Results The correct rates of each index were 91.3%in the chest compression rate,83.8% in the compression depth,72.3%in the ventilation rate,77.5% in the discontinue time without chest compression,and 77.5% in the no-flow fraction in the experiment group.There were significant differences between the control group and the experiment group(P<0.01 for a11).And all the correct rates of the experiment group were significantly higher than those of the control group(P<0.01 for all).Conclusions The question of CPR quality occur even the CPR technology performed by well-trained medical staffs.So it is important to strengthen the monitoring of parameters of clinical CPR qualitv,establish the information feedback system,and improve the compliance of clinical CPR on American Heart Association and international guidelines.