心肺复苏时佩戴口罩行人工呼吸对通气效果的影响  

Effect of artificial respiration with a mask on ventilation during cardiopulmonary resuscitation

作　　者：邓小娥 黄玲[1] 林景 招春园 谢显龙[1] 黎阳[1] 周春锋[1] Deng Xiao′e;Huang Ling;Lin Jing;Zhao Chunyuan;Xie Xianlong;Li Yang;Zhou Chunfeng(Department of Critical Care Medicine,Tumor Hospital Affiliated to Guangxi Medical University,Nanning 530021,China)

机构地区：[1]广西医科大学附属肿瘤医院重症医学科,广西南宁530021

出　　处：《护理学杂志》2023年第8期47-50,共4页Journal of Nursing Science

基　　金：广西壮族自治区卫生健康委员会自筹经费科研课题(Z20211285);广西壮族自治区卫生健康委员会自筹经费科研课题(Z20200595)。

摘　　要：目的探讨心肺复苏时佩戴口罩行人工呼吸对通气效果的影响,为拓展紧急抢救时的通气方式提供参考。方法选取急救护理小组成员36人,根据心肺复苏指南标准在全身智能模拟人模型上实施单人心肺复苏操作,2 min内进行5个标准循环,此次循环以口对口方式进行人工通气;休息40 min后,另一次循环的单人心肺复苏以佩戴医用外科口罩方式行人工通气。收集胸外按压和通气的客观数据(包括按压深度、按压频率、通气合格次数),记录操作前后Borg疲劳评分和通气方式选择意愿。结果两种通气方式的通气合格率及胸外按压达标率比较,差异无统计学意义(均P>0.05);操作后戴口罩通气的Borg疲劳评分显著高于与口对口通气(P<0.05);94.44%急救小组成员更愿意佩戴口罩对患者进行人工通气的心肺复苏操作。结论佩戴口罩进行人工呼吸的通气方式是有效和可行的,能确保通气效果,且不影响胸外按压质量,是医护人员更愿意接受的人工通气方法,可提升心肺复苏通气的可操作性,但需缩减操作时间,以免疲劳而影响心肺复苏效果。Objective To explore the effect of artificial respiration with a mask on the ventilation during cardiopulmonary resuscitation,and to provide a reference for expanding the ventilation mode during emergency rescue.Methods A total of 36 members in the emergency care team were selected,then they performed a single cardiopulmonary resuscitation operationon the whole body intelligent manikin model according to the standard guidelines for cardiopulmonary resuscitation,completing 5 standard cycles within 2 minutes,and artificial ventilation was performed mouth-to-mouth during this cycle.Following a rest period of 40 minutes,another cycle of cardiopulmonary resuscitation was performed with artificial ventilation using a medical surgical mask.Objective data regarding chest comprehension and ventilation were collected(including compression depth,compression frequency,and qualified number of ventilation),and the Borg fatigue score and a willingness to choose a ventilation mode were assessed and recorded before and after the operation.Results There weren′t significant differences between the two ventilation methods in terms of qualified ventilation rate or chest compression rate(both P>0.05).As a result of wearing a mask after an operation,the Borg fatigue score was significantly higher than when mouth-to-mouth ventilation was used(P<0.05).When performing cardiopulmonary resuscitation on patients who were receiving artificial ventilation,94.44%emergency team members were willing to wear masks.Conclusion Wearing a mask for artificial respiration is effective and feasible,it can ensure a satisfactory level of ventilation without compromising the quality of chest comprehension,and it is more readily accepted by medical staff and can improve the operability of cardiopulmonary resuscitation ventilation.

关 键 词：心肺复苏 口对口 佩戴口罩 人工呼吸 通气 胸外按压 

分 类 号：R472.2[医药卫生—急诊医学]