急进高原行动对医护人员心肺复苏操作质量的影响

Effects of Rapid Entry to Plateau Mission on Cardiopulmonary Resuscitation Quality of Medical Staff

目的分析急进高原行动对医务人员心肺复苏(cardiopulmonary resuscitation,CPR)操作质量的影响。方法2017年9-11月,采用目的抽样法选取新疆地区某部队医院执行急进高原卫勤保障任务的25名医护人员为研究对象,使用可便携式平板电脑实时记录医护人员急进高原前、后实施CPR时各指标的变化,在操作完成后5 min内采用疲劳量表评价其疲劳程度。结果医护人员急进高原后与急进高原前比较,CPR操作得分降低、胸外按压质量下降、操作时间延长(均P<0.01),但人工通气潮气量无明显变化(P>0.05);急进高原前、后,按压深度和潮气量均随时间呈下降趋势,但急进高原后下降更为明显,按压深度自第3轮、潮气量自第4轮开始急进高原前、后的差异均有统计学意义(P<0.05或P<0.01);操作结束后,急进高原后医护人员的疲劳程度评分高于急进高原前(P<0.05或P<0.01)。结论急进高原行动会加重医护人员的疲劳程度,降低医护人员CPR的操作质量。

Objective To analyze and explore the effect of rapid entry to plateau mission on the quality of cardiopulmonary resuscitation(CPR)of medical staff.Methods By purposive sampling method,25 medical staffs participated in the plateau medical support mission were selected as the research objects.The Simpad was used to record the indicators of CPR both in plain and high altitude environments in real time.The fatigue degree was evaluated by fatigue scale within 5 minutes after operation.Results In the plateau group,the CPR scores and quality of chest compression were lower,and the total time was prolonged(all P<0.01).There was no significant difference in the quality of artificial respiration between two groups(P>0.05).The compression depth and tidal volume decreased along with time in both groups,but the plateau group declined faster and more severely.Meanwhile,the compression depth from the third round and the tidal volume from the fourth round showed statistical differences between the two groups(P<0.05 or P<0.01).After the CPR,the fatigue score of the plateau group was significantly higher than that of the plain group(P<0.05 or P<0.01).Conclusions Rapid entry into plateau mission could aggravate the fatigue of medical staff and reduce the quality of CPR.