陈　宁，曾　艳，吴月丽

新版心肺复苏指南指导下团队心肺复苏演练效果评价

陈宁，曾艳，吴月丽

摘要：[目的]以2010年美国心脏协会心肺复苏及心血管急救指南为指导，实施团队心肺复苏演练，以确保复苏有序，提高复苏成效。[方法]2013年7月—2014年8月，选择我院急诊科42名医务人员在2010年国际心肺复苏指南指导下，分别进行三人组和四人组团队心肺复苏演练。[结果]两组演练后总复苏时间、胸外按压中断时间、人工气道建立时间、监护落实时间、除颤落实时间、静脉通道建立时间、肾上腺素使用时间均明显下降，且两组比较差异有统计学意义(P<0.05)，四人组上述指标均低于三人组(P<0.05)；演练后两组医护人员的急救知识与急救技能评分明显提高，与演练前比较差异有统计学意义(P<0.05)，演练后四人组急救知识、急救技能评分高于三人组(P<0.05)；演练后四人组医护人员期望演练、认为抢救有用、愿意施救、配合抢救的比例明显高于三人组(P<0.05)。[结论]以团队形式实施心肺复苏能提高复苏时效性，增强医护人员的急救意愿比例及其急救知识与技能评分。

关键词：心搏呼吸骤停；心肺复苏；国际心肺复苏指南；团队演练；培训

AbstractObjective: To carry out team cardiopulmonary resuscitation drill (CPR)which was guided by 2010 American Heart Association CPR and cardiovascular emergency guidelines，so as to ensure that the resuscitation orderly and improve the resuscitation performance.Methods:Form July 2013 to August 2014，a total of 42 medical personnel in emergency department in our hospital were selected for team cardiopulmonary resuscitation(CPR) drill respectively for three persons a group and four persons a group under the guidance of 2010 cardiopulmonary resuscitation(CPR) guidelines.Results:The total resuscitation time，chest compressions interrupt time，establishment of artificial airway time，implementation of monitoring time，implementation of defibrillation time，establishment of intravenous access time and Epinephrine use time after drill were significantly lower，and the difference between both groups was statistically significant(P<0.05)，the above indexes in four-person group was lower than that in three-person group(P<0.05).The first aid knowledge score and first aid skill score of medical personnel after drill increased significantly，and the difference was statistically significant(P<0.05)，the scores of first aid knowledge and first aid skill in four-person group were higher than that in three-person group(P<0.05).The proportions of expecting drills，thinking rescue useful，willing to help，cooperating with the rescue in four-person group were significantly higher than that in control group after CPR drill(P<0.05).Conclusion:CPR implemented as a team can improve the timeliness of resuscitation，enhance the proportion of medical personnel’s aid wishes and first aid knowledge and skill scores of medical personnel.

中图分类号：R472.2

文献标识码：码：A

doi:10.3969/j.issn.1009-6493.2015.23.007

文章编号：号：1009-6493(2015)08B-2833-04

基金项目海南省卫生厅科学研究课题，编号：琼卫2011-15号。

作者简介陈宁，主管护师，本科，单位：570311，海南省人民医院；曾艳、吴月丽单位：570311，海南省人民医院。

收稿日期：(2014-12-16；修回日期：2015-05-11)

Evaluation on effect of team cardiopulmonary resuscitation(CPR) drills under guidance of new version of international cardiopulmonary resuscitation(CPR) guidelines

Chen Ning，Zeng Yan，Wu Yueli(Hainan General Hospital，Hainan 570311 China)

Key wordscardiac respiratory arrest;cardiopulmonary resuscitation(CPR);international cardiopulmonary resuscitation(CPR) guidelines;team drill;training

心搏呼吸骤停是指心脏和(或)呼吸的机械活动停止，心室收缩不足或停止收缩，并可通过脉搏消失、意识丧失与呼吸停止来进行反应[1]。心搏呼吸骤停是威胁人类生命的主要病因，我国心搏呼吸骤停病人的存活率为3.0%左右[2]。第一时间实施心肺复苏术对抢救病人的生命尤为重要。心肺复苏术是在呼吸终止及心搏停顿时，使用人工呼吸及心脏按压在体外所实施的基本急救操作和措施，其目的是维持一定的血液循环以保护心、脑等重要器官[3]。当前心搏呼吸骤停已经建立了基本的抢救程序，即A(airway，畅通气道)；……