谢芬高 1褚昀赟 1马华丰 2文航华 1曹俊 1张希洲1
作者信息
- 1. 443000 湖北省宜昌市，三峡大学人民医院 宜昌市第一人民医院急救中心
- 2. 宜昌市中医医院 ICU
- 折叠
摘要
Abstract
Objective To explore the feasibility and practicability of a method positioning CPR chest compression site which is palm armpit translation method. Methods By random number table method,we enrolled 30 patients who received electrocardiographic examination at the Emergency Center of Three Gorges University People’s Hospital from October 10 to 19, 2014 as simulated CPR patients to be rescued. In the same period,we enrolled 50 doctors and nurses of the Emergency Center to conduct CPR rescue. The rescue workers used both palm armpit translation method and traditional method to position chest compression site on each patient. Palm armpit translation method is folding five fingers naturally with the thumb heading toward head and clinging to the armpit,and then moving palm from armpit to mid - chest. The traditional method refers to 2010 American Heart Association Guidelines for CPR and ECC and 2015 American Heart Association Guidelines for CPR and ECC. Data of stimulated patients were collected,including age,height,BMI,sternum length(SL),the distance from the intersection point of two armpits line and anterior median line to sternum incised trace( AY),the distance from the intersection point of two nipples line and anterior median line to sternum incised trace(DX-INL). Data of rescue workers were also collected,including gender,age,height,BMI,the breadth of the right palm when fingers naturally folding( HW)and time needed to position compression site and the ratio of the distance from the site positioned and sternum incised trace to SL by the two methods. Results The age,BMI,SL,AY and DX-INL were(45. 7 ± 14. 0)years old,(22. 6 ± 2. 3)kg/ m2 ,(21. 8 ± 1. 9)cm,(12. 6 ± 0. 8)cm and(8. 0 ± 0. 9)cm respectively. Among the 50 rescue workers,there were 17 males and 33 females,and their age,BMI and HW were(32. 6 ± 7. 9)years old, (21. 7 ± 2. 6)kg/ m2 and(8. 4 ± 1. 0)cm respectively. HW was(8. 1 ± 1. 0)cm for female rescue workers and(9. 1 ± 0. 4)cm for male rescue workers,with significant differences between them (t’ = 5. 24,P ﹤ 0. 001). The time needed to position compression site by palm armpit translation method and traditional method was(2. 5 ± 0. 3)s and(21. 2 ± 2. 6)s respectively,with significant differences between them(t = - 282. 40,P ﹤ 0. 001). (AY - 1 / 2HW) / SL was(0. 38 ± 0. 03),and DX-NIL/ SL was(0. 37 ± 0. 01);they have no significant difference( t= - 1. 61,P = 0. 11 ) . Conclusion Chest compression site positioning by palm armpit translation method is simple, convenient,feasible,fast and accurate,saving more time for cardiopulmonary resuscitation.关键词
心肺复苏术/胸外按压/手掌腋下平移法Key words
Cardiopulmonary resuscitation/Chest compressions/Palm armpit translation method分类
医药卫生
