公众自救互救培训引入美国心脏协会拯救心脏课程对心肺复苏技能提升效果分析

Analysis of the effect of introducing public self-rescue training into American Heart Association's Save the Heart course on improving cardiopulmonary resuscitation skills

目的 探讨公众自救互救培训引入美国心脏协会(American Heart Association,AHA)拯救心脏(HS)课程培训对提升心肺复苏(CPR)技能效果分析,从而提高“第一目击者”急救技能。方法 回顾分析淮安市急救中心2019年1月—2021年12月公众自救互救培训100名受训人员(年龄20~45岁)资料。根据接受培训的模式分为对照组(n=50)和观察组(n=50)。对照组纳入常规公众自救互救培训受训人员;观察组引入HS课程培训受训人员。通过对两组受训人员CPR按压、通气等技能及按压比(CCF值)进行对比,了解两组人员CPR技能掌握情况。结果 观察组CPR按压合格率为66%、通气合格率为41%,CCF值为45%;对照组CPR按压合格率为82%、通气合格率为65%,CCF值为66%。按压合格率、通气合格率及CCF值组间比较,差异均有统计学意义(P<0.05)。结论 公众自救互救技能培训引入美国心脏协会HS课程内容,受训公众人员在单项心肺复苏技能操作、CPR考核得分等较常规公众自救互救方面明显提高,CCF值也进一步得到提升,从而提高了“第一目击者”的救治效率,为后续心肺复苏打下了坚实的基础。

Objective To explore the effect of the introduction of public self-rescue training into the American Heart Association(AHA)Save the Heart(HS)course training on improving cardiopulmonary resuscitation(CPR)skills,so as to improve the first witness first aid skills.Methods The data of 100 trainees of public self-rescue and mutual rescue training in Huai'an First Aid Center from January 2019 to December 2021 were retrospectively analyzed and divided into control group(n=50)and observation group(n=50)according to different training modes.The control group was included in the routine public self-rescue and mutual rescue training;In the observation group,HS course was introduced to train the trainees,and the two groups were aged 20~45 years old.The CPR skills of trainees in the two groups were compared through CPR compression,ventilation and compression ratio(CCF).Results In the observation group,the qualified rate of CPR compression was 66%,the qualified rate of ventilation was 41%and the CCF value was 45%.In the control group,the qualified rate of CPR compression and ventilation was 65%and 82%respectively,and the CCF value was 66%.There were statistically significant differences in compression pass rate,ventilation pass rate and CCF value among groups(P<0.05).Conclusion The training of public self-rescue and mutual rescue skills was introduced into the heart saving course of American Heart Association,and the scores of the trainees in single cardiopulmonary resuscitation skills operation and CPR assessment were significantly improved compared with the trainees in the conventional public self-rescue and mutual rescue training,and the CCF value was further improved,thus improving the efficiency of the first witness treatment.It lays a solid foundation for subsequent CPR.