列车上适应性心肺复苏技术研究

Study on adaptable cardiopulmonary resuscitation technique on the train

[目的]探讨列车上适应性心肺复苏技术。[方法]按照《2005国际心肺复苏和心血管急救指南》单人操作法在陆地上进行训练,操作者准确掌握之后,在开动的列车上实施心肺复苏,对复苏的结果进行评价,找出列车上复苏失败的原因,研究改进技术方法,采用改进后的技术在开动的列车上再次进行心肺复苏,并评价正确率。[结果]采用陆地训练的技术方法,列车上实施人工呼吸和胸外按压正确率低,与陆地上实施正确率比较,差异有统计学意义(P<0.01);改进后的心肺复苏技术在列车上实施较改进前人工呼吸和胸外心脏按压正确率显著提高(P<0.01)。[结论]特定的环境应有相适应的护理技术,改进后的心肺复苏技术能较好地适应列车上抢救需求,初步形成了列车上的心肺复苏技术方案。

Objective：To probe into the adaptable ＂cardiopulmonary resuscitation（CPR） and emergency cardiovascular（ECC）techniques＂ on the train.Methods：Based on the 2005 international cardiopulmonary resuscitation guidelines for single operation training on the land,after grasping the knowledge accurately,the operator carried the CPR in a moving train.And the effects of the resuscitation were evaluated.And causes of the failed to resuscitate on the train were found.Then to study on improved techniques and methods,to apply the improved techniques and methods to carry out CPR in a moving train again.And the correct rate of the CPR was evaluated.Results： By adopting technical methods of training on the land,the correct rate of carrying out artificial respiration and chest compressions on the train was lower than that of implementation on the land.There was statistical significant difference between them（P0.01）.The correct rate of carrying out artificial respiration and chest compressions by applying improved method of CPR techniques on the train was higher remarkably than that of before（P0.01）.Conclusion：Corresponding nursing techniques and methods should have to adapt to the specific circumstance.The improved cardiopulmonary resuscitation method can better adapt to the needs of first-aid on the train.It has formed a technical program for cardiopulmonary resuscitation on the train primarily.