压腰提臀法对公众心肺复苏培训胸外心脏按压质量的影响

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摘要目的观察压腰提臀法对公众心肺复苏培训胸外心脏按压质量的影响。方法选取2019年3月1日～2019年6月30日广东省佛山市南海区人民医院急救技能培训中心招募的120名未接受过心肺复苏培训的群众作为研究对象，采用抽签法将其随机分成试验组与对照组，每组各60名。两组均参加中国红十字会救护员培训课程的心肺复苏理论知识学习，并强调高质量胸外心脏按压的三个要点，试验组在对照组的基础上应用压腰提臀法。比较两组的按压深度达标率、按压速率达标率、胸廓充分回弹率及操作者的主观疲劳程度。结果试验组的按压深度达标率与胸廓充分回弹率均高于对照组，差异有统计学意义（P＜0.05）。两组的按压速率达标率比较，差异无统计学意义（P＞0.05）。试验组的主观疲劳程度低于对照组，差异有统计学意义（P＜0.05）。结论压腰提臀法能提高公众心肺复苏培训中胸外心脏按压质量，主要体现在能提高按压深度达标率、胸廓充分回弹率以及减轻操作者的疲劳程度，值得在公众心肺复苏培训中推广。

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	骆建文
	吴国新
	蔡阳林
	李栩聪
	关紫云
	吴智鑫

关键词 ：心脏骤停, 心肺复苏, 胸外心脏按压, 按压质量, 压腰提臀法, 公众, 培训

Abstract：Objective To observe the effect of waist lowering and hips lifting method on improving the quality of external chest compression in the public cardiopulmonary resuscitation (CPR) training.Methods A total of 120 people who had not received CPR training were recruited in the first aid skills training center of People′s Hospital of Nanhai District in Foshan City from March 1,2019 to June 30,2019 and randomly divided into the experimental group and the control group by drawing lots,with 60 cases in each group.The two groups both took part in the CPR theoretical knowledge course of the Red Cross Society of China,and emphasized the three key points of high-quality external chest cardiac compression.The experimental group applied the waist lowering and hips lifting method on the basis of the control group.The reaching rate of chest compression depth,the reaching rate of chest compression rate,the complete chest recoil rate and subjective fatigue scores of the operators were compared between the two groups.Results The reaching rate of chest compression depth and the complete chest recoil rate in the experimental group were higher than those in the control group,and the differences were statistically significant (P＜0.05).There was no statistically significant difference in the reaching rate of the compression rate between the two groups (P ＞0.05).The degree of subjective fatigue in the experimental group was lower than that in the control group,and the difference was statistically significant (P＜0.05).Conclusion The waist lowering and hips lifting method can improve the quality of external chest compression in the public CPR training,which is mainly reflected in the improvement of the reaching rate of compression depth,the complete chest recoil rate and the reduction of operators′ fatigue.It is worth of popularizing in public CPR training.

Key words： Cardiac arrest Cardiopulmonary resuscitation External chest compression Compression quality Waist lowering and hips lifting method Public Training

基金资助:广东省佛山市十三五医学重点专科和特色专科建设项目（FSTSZK010）；广东省佛山市科技创新项目（2017 AG100082）；广东省佛山市科技创新项目（2017AG100061）；广东省佛山市科技创新项目医学科技创新平台建设项目（FS0AA-KJ218-1301-0015）

引用本文:

骆建文；吴国新；蔡阳林；李栩聪；关紫云；吴智鑫. 压腰提臀法对公众心肺复苏培训胸外心脏按压质量的影响[J]. 中国当代医药, 2020, 27(35): 54-57.
LUO Jian-wen；WU Guo-xin；CAI Yang-lin；LI Xu-cong；GUAN Zi-yun； WU Zhi-xin. Effect of waist lowering and hips lifting method on improving the quality of external chest compression in the public cardiopulmonary resuscitation training. 中国当代医药, 2020, 27(35): 54-57.

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