本文關(guān)鍵詞：手掌腋下平移法定位胸外按壓部位在心肺復(fù)蘇中的應(yīng)用研究　出處：《中國全科醫(yī)學(xué)》2016年21期 　論文類型：期刊論文

  更多相關(guān)文章： 心肺復(fù)蘇術(shù) 胸外按壓 手掌腋下平移法

【摘要】：目的探討一種心肺復(fù)蘇胸外按壓的定位方法——手掌腋下平移法的實用性和可行性。方法采用隨機(jī)數(shù)字表法選取2014年10月10—19日在三峽大學(xué)人民醫(yī)院急診心電圖室行心電圖檢查的患者30例為模擬心肺復(fù)蘇被搶救者(模擬者)。同期選取急診科醫(yī)生或護(hù)士50例為心肺復(fù)蘇搶救者(搶救者)。搶救者分別采用手掌腋下平移法和傳統(tǒng)方法對同一模擬者進(jìn)行定位。手掌腋下平移法為五指自然并攏,拇指朝向患者頭側(cè)并緊貼腋窩頂部,立即平移手掌,相當(dāng)于沿兩側(cè)腋窩頂部連線移動使掌跟停在胸部正中線上。傳統(tǒng)方法參照《2010年美國心臟協(xié)會心肺復(fù)蘇及心血管急救指南》及《2015年美國心臟協(xié)會心肺復(fù)蘇及心血管急救指南》定位。收集模擬者的年齡、身高、體質(zhì)量、整個胸骨長度(SL)、兩側(cè)腋窩頂部連線與前正中線交點到胸骨下切跡的距離(AY)、兩側(cè)乳頭連線(INL)與前正中線交點到胸骨下切跡的距離(DX-INL),收集搶救者的性別、年齡、身高、體質(zhì)量、右手五指自然并攏時手掌的寬度(HW)以及搶救者采用手掌腋下平移法和傳統(tǒng)方法準(zhǔn)確找到定位點所需要的時間及定位點距胸骨下切跡的距離與SL的比值,即(AY-1/2HW)/SL、DX-INL/SL。結(jié)果 30例模擬者年齡(45.7±14.0)歲,體質(zhì)指數(shù)(BMI)(22.6±2.3)kg/m~2,SL(21.8±1.9)cm,AY(12.6±0.8)cm,DX-INL(8.0±0.9)cm。50例搶救者中,男17例、女33例,年齡(32.6±7.9)歲,BMI(21.7±2.6)kg/m~2,HW(8.4±1.0)cm。女性搶救者HW為(8.1±1.0)cm,男性搶救者HW為(9.1±0.4)cm,差異有統(tǒng)計學(xué)意義(t'=5.24,P0.001)。手掌腋下平移法準(zhǔn)確找到定位點所需要的時間為(2.5±0.3)s,傳統(tǒng)方法準(zhǔn)確找到定位點所需要的時間為(21.2±2.6)s,差異有統(tǒng)計學(xué)意義(t=-282.40,P0.001)。(AY-1/2HW)/SL為(0.38±0.03),DX-INL/SL為(0.37±0.01),差異無統(tǒng)計學(xué)意義(t=-1.61,P=0.11)。結(jié)論手掌腋下平移法定位胸外按壓部位是一種簡單、方便、可行、快捷、準(zhǔn)確的定位方法,能為盡早心肺復(fù)蘇贏得更多時間。
[Abstract]:Objective to evaluate the feasibility and practicability of positioning -- a method for palm axillary translation during cardiopulmonary resuscitation. Methods randomly selected from 10 to October 2014 19 at the China Three Gorges University people's hospital emergency electrocardiogram room ECG examination in patients with 30 cases of cardiopulmonary resuscitation were rescue simulation (simulation) were selected. Emergency department doctor or nurse for 50 cases of cardiopulmonary resuscitation patients (rescue). Rescuers were positioned on the same simulation by hand translation method and traditional method. His translation method for natural palm underarm fingers together, thumb toward the head side and close to the top of patients with axillary, immediately shift palm, the equivalent line along on both sides of the top mobile axillary parked in the center of the chest with the palm line. The traditional <2010 methods according to the American Heart Association for cardiopulmonary resuscitation and emergency cardiovascular care guidelines > <2015 and the American Heart Association 蹇冭偤澶嶈嫃鍙?qiáng)蹇冭。?

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