解放军医学杂志2017，Vol.42Issue(7)：652-655,4.DOI:10.11855/j.issn.0577-7402.2017.07.15
模拟高原环境对心肺复苏术施救者基本生命体征的影响
Influence of simulated high altitude environment on the basic vital signs of CPR rescuers
摘要
Abstract
Objective To observe the influence of different altitudes on the basic vital signs of cardiopulmonary resuscitation (CPR) rescuers before and after CPR.Methods The experiment was completed in the Simulated Cabin for Special Environment of Northwest of China. Ninety healthy adult medical staff in General Hospital of Xinjiang Command were randomly and equally divided into 3 groups: plain (normal oxygen), 3700-meter high altitude and 4300-meter high altitude. According to the 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care, the values of heart rate (HR), mean arterial pressure (MAP), respiration rate (RR), arterial oxygen saturation (SpO2), before and after 1 CPR cycle were recorded for statistical analysis and their changes were compared.Results The HR and RR significantly increased (P<0.05), but MAP and SpO2 did not change significantly (P>0.05) in the three groups. The HR and RR was faster in 4300 meter high-altitude than in 3700 meter high-altitude (P<0.05), and was faster in 3700 meter high-altitude than in the plain (P<0.05). But there was no significant difference between the three groups in MAP and SpO2 (P>0.05).Conclusions With the elevation of the altitude, HR and RR may significantly increase in CPR rescuers, but there is no significant influence on MAP and SpO2.关键词
高原环境/心肺复苏术/医护人员/生命体征Key words
high altitude/cardiopulmonary resuscitation/medical staff/vital signs分类
医药卫生引用本文复制引用
周新,李新宇,方喆琦,魏玉英,张雷,刘正雄..模拟高原环境对心肺复苏术施救者基本生命体征的影响[J].解放军医学杂志,2017,42(7):652-655,4.基金项目
This work was supported by the Foundation of Lanzhou Command (CLZ13JA04)兰州军区课题(CLZ13JA04) （CLZ13JA04）
