音乐辅助心肺复苏训练可有效提高胸外按压效果  

Listening to music during CPR training improves compliance of effective external chest compression

作　　者：刘耕[1] 王聪[1] 马玉华[2] 涂家红[1] 关岚[1] 赵斌[1] 

机构地区：[1]北京积水潭医院急诊科,北京100035 [2]北京积水潭医院教育处,北京100035

出　　处：《中国急救医学》2014年第9期829-832,共4页Chinese Journal of Critical Care Medicine

摘　　要：目的：通过在心肺复苏培训中引入音乐辅助控制按压节奏，以期提高胸外按压质量。方法选取我院住院医师进行心肺复苏培训的人员，将其分为试验组（音乐组），培训过程中循环播放“拉德斯基进行曲”音乐，并要求受训者配合音乐节奏进行胸外按压。对照组（非音乐组），进行无音乐常规培训。两组受训者在两周后分别进行每人1 min的持续胸外按压考核（无音乐环境下），记录并比较两组的平均按压频率和按压深度。结果试验组的平均按压频率显著低于对照组，但两组在平均按压深度上差异无统计学意义。试验组的平均按压频率达标率显著高于对照组（65％vs 48％），平均按压深度达标率略高于对照组（47％ vs 43％）。对照组在平均按压频率和平均按压深度之间呈现显著的负相关性，而试验组内两者不存在显著的负相关性。结论音乐辅助心肺复苏培训在帮助操作者合理控制胸外按压频率方面有显著的效果。Objective An increased compression rate always delivers an inadequate depth during the cardiopulmonary resuscitation （CPR） performance.The proportion of subjects compressing at the correct rate and depth is very important to a successful CPR operation .In this study, we aimed to determine whether listening to music during CPR training increase the compliance of effective external chest compression .Methods One hundred and thirty -one residents were randomized into two groups （ music group vs .no -music group ） to perform CPR training .Participants in music group perform continuous external chest compressions on a manikin accompanied by “Radetzkymarsch” and were asked to time compressions to the musical beat , meanwhile no-music group accompanied by no music .After two weeks , the participants were retested of one minute continuous external chest compressions without listening to the music .Rates and depth of external chest compressions were delivered by the manikin . Results The average compression rates in music group were significant lower than no -music group . But the average compression depths were not significantly different between two groups .Differences in proportions of correct compression rate were significant for music （ 65%） and no -music （ 48%） groups, but there was no significant difference in proportions of correct compression depth .There was a significant negative correlation between compression rates and depths in no -music group, but not in music group.Conclusion Listening to music significantly increases the compliance of effective external chest compression .Because of the convenient use and rapid operation , we think listening to music during CPR training would prompt the effective delivery of external chest compression at an appropriate rate and depth.

关 键 词：心肺复苏(CPR) 培训 胸外按压 音乐 

分 类 号：R459.7[医药卫生—急诊医学]