初级创伤救治模式在公众心肺复苏培训中的实践  

Practical on primary trauma care training mode in public cardiopulmonary resuscitation training

作　　者：马静[1] 马玉龙[1] 李海霞[1] 鲁惠玲[1] 梁沛枫[1] 翟燕 Ma Jing;Ma Yulong;Li Haixia;Lu Huiling;Liang Peifeng;Zhai Yan(Department of Emergency,People's Hospital of Ningxia Hui Autonomous Region,Yinchuan 750002,Ningxia Hui Autonomous Region,China)

机构地区：[1]宁夏回族自治区人民医院急诊科,银川750002

出　　处：《中华危重病急救医学》2021年第9期1126-1128,共3页Chinese Critical Care Medicine

基　　金：宁夏自然科学基金(2018AAC03170)。

摘　　要：目的评估宁南山区公众心肺复苏(CPR)培训的效果。方法采用方便抽样的方法,于2019年1月至12月通过问卷方法对宁南山区775名公众开展CPR有关急救知识调查,观察采取初级创伤救治(PTC)模式开展CPR培训前后公众的CPR知识知晓率、操作考核评分以及操作考核合格率情况。结果培训后,公众在熟知急救电话、意识判断方法、呼吸停止判断方法、人工呼吸实施方法、CPR有效指征以及胸外心脏按压部位方面的CPR知识评分、操作考核评分及操作考核合格率较培训前明显提升〔急救电话(分):82.68±8.54比60.25±10.38,意识判断方法(分):79.46±10.82比58.35±9.26,呼吸停止判断方法(分):80.85±9.64比59.26±11.45,人工呼吸实施方法(分):81.54±9.48比56.47±10.54,胸外心脏按压部位(分):80.35±10.48比59.56±9.85,CPR有效指征(分):81.02±9.45比58.21±8.69,操作考核评分(分):60.25±10.45比50.38±9.68,操作考核合格率:60.39%(468/775)比12.13%(94/775),均P<0.05〕。结论采用PTC模式有助于公众CPR培训效果的提升,值得在临床推广。Objective To envaluate the effect of public cardiopulmonary resuscitation(CPR)training in Ningnan Mountain area.Methods Using the method of convenient sampling,775 people in Ningnan Mountain area were investigated about CPR and first aid knowledge by questionnaire from January to December 2019.The awareness rate of CPR,operation score,and operation qualification rate of the public before and after CPR training in the primary trauma treatment(PTC)mode were observed.Results After PTC training,the public's CPR knowledge score,operation score and operation qualification rate,in terms of first aid telephone,consciousness judgment method,identification of respiratory arrest,artificial respiration implementation method,effective CPR indication and extrathoracic cardiac compression position were significantly improved[first aid telephone score:82.68±8.54 vs.60.25±10.38,consciousness judgment method score:79.46±10.82 vs.58.35±9.26,identification of respiratory arrest score:80.85±9.64 vs.59.26±11.45,artificial respiration implementation method score:81.54±9.48 vs.56.47±10.54,extrathoracic cardiac compression site score:80.35±10.48 vs.59.56±9.85,effective indication of CPR score:81.02±9.45 vs.58.21±8.69,operation assessment score:60.25±10.45 vs.50.38±9.68,operation assessment qualified rate:60.39%(468/775)vs.12.13%(94/775),all P<0.05].Conclusion PTC mode is helpful to improve the effect of public CPR training,which is worthy of clinical promotion.

关 键 词：心肺复苏 初级创伤救治:培训 宁南山区 公众 

分 类 号：R459.7[医药卫生—急诊医学]