公众身体素质对心肺复苏培训效果影响的研究

Study on the Influence of Public Physical Quality on the Training Effect of Cardiopulmonary Resuscitation

目的调查公众通过心肺复苏培训后的掌握情况及心肺复苏效果是否受臂力、肺活量、身高、体重影响及其关系。方法2016年10月对招募的志愿者90名,测量其身高、体重、臂力、肺活量情况,经小班理论和技能培训后利用全电脑模拟人进行考核,记录按压平均深度、频率、通气、按压回弹率及综合成绩,根据所得数据应用Logistic回归分析。结果臂力、身高、体重与心肺复苏成绩无相关性(P>0.05),肺活量与通气量具有相关性(P<0.05)。结论2015心肺复苏指南强调即时高质量心肺复苏,强调有效胸外按压;公众非专业人员可单纯行胸外心脏按压。故心肺复苏效果不受身体素质影响,适合普遍推广。

Objective To investigate the public's grasp of CPR training and whether the cardiopulmonary resuscitation effect is affected by arm strength,vital capacity,height and weight.Methods A total of 90 volunteers of Oct 2016 were recruited to measure their height,weight,arm strength,and vital capacity.After small class theory and skill training,they were evaluated by a full computer simulator,and the average depth,frequency,ventilation,and rebound rate of compression were recorded.Comprehensive scores were applied and logistic regression analysis was applied based on the data obtained.Results There was no correlation between arm strength,height,weight and cardiopulmonary resuscitation(P>0.05),lung capacity was correlated with ventilation(P<0.05).Conclusion The 2015 Cardiopulmonary Resuscitation Guide emphasizes immediate high-quality cardiopulmonary resuscitation,emphasizing effective chest compressions;public non-professionals can simply perform extrathoracic heart compressions.Therefore,the effect of cardiopulmonary resuscitation is not affected by physical fitness and is suitable for general promotion.