一种心肺复苏实时反馈APP装置的设计与应用  

Design and application of a real-time feedback APP device for cardiopulmonary resuscitation

作　　者：王旭容 杨一丹[2] 陈忠意 Wang Xurong;Yang Yidan;Chen Zhongyi(Department of Nursing,Loudi Central Hospital,Loudi 417000,Hunan,China;Clinical Skills Training Center,Loudi Central Hospital,Loudi 417000,Hunan,China)

机构地区：[1]娄底市中心医院护理部,湖南娄底417000 [2]娄底市中心医院临床技能培训中心,湖南娄底417000

出　　处：《中华危重病急救医学》2024年第11期1209-1212,共4页Chinese Critical Care Medicine

基　　金：国家发明专利(ZL 202111118500.1)。

摘　　要：我国院外心搏骤停(OHCA)患者的自主循环恢复率、入院生存率及出院生存率远低于世界和亚洲的平均水平;院内心搏骤停(IHCA)患者的生存率数据也不甚理想。心肺复苏(CPR)质量参差不齐和旁观者CPR参与比例低是造成上述现象的主要原因。实时反馈装置是解决上述问题的有效策略,已被多个指南推荐应用,但现有的CPR反馈装置存在操作不便、价格昂贵无法普及等问题。为此,娄底市中心医院CPR培训团队成员设计了一种CPR实时反馈APP装置,已获得国家发明专利(专利号:ZL 202111118500.1)。该装置由反馈装置及手机设备(有专业医护人员和非专业人员两个版本)组成。反馈装置由按压板和软胶板组成。软胶板内侧布满了传感器监测点,每个传感器监测点上均配备有微型压力传感器和微型加速度传感器。在进行胸外按压时,传感器将数据传输至手机反馈APP中。通过对数据采样分析并建立三维动态模型,反馈APP准确判断胸外按压的效果,并根据按压的力度、频率和深度等因素进行评估,实时纠正并进行后续CPR流程的语音指导,引导救援者遵循规范程序给予施救,改善CPR患者的生存率和神经功能恢复。该装置改善CPR的效果确切、实时准确、操作简单、易于推广,适用于所有人群,有良好的临床应用价值和社会化普及价值,医疗机构及公共场所均可以配备。The rates of recovery of spontaneous circulation,admission survival,and discharge survival of out-of-hospital cardiac arrest(OHCA)patients in China are much lower than the world and Asian averages,and the data on the survival of in-hospital cardiac arrest(IHCA)patients are also less favorable.The variable quality of cardiopulmonary resuscitation(CPR)and the low percentage of bystander CPR participation are the main reasons for these phenomena.Real-time feedback devices are an effective strategy to address these issues and have been recommended for use in several guidelines.However,the existing CPR feedback devices have the problems of being inconvenient to operate and expensive to popularize.Therefore,members of the CPR training team of Loudi Central Hospital designed a CPR real-time feedback APP device,which has been granted the right of National Invention Patent of China(patent number:ZL 202111118500.1).The device consists of a feedback device and a mobile device(there are two versions:healthcare professionals and non-healthcare professionals).The feedback device consists of a pressing plate and a soft rubber plate.The inner side of the soft rubber plate is covered with sensor monitoring points.On each sensor monitoring point,there are micro pressure sensors and micro acceleration sensors.When performing chest compressions,the sensors will transmit the relevant data to the cell phone feedback APP.By sampling and analyzing the data and building a three-dimensional dynamic model,the feedback APP accurately judges the effect of chest compressions based on factors such as the strength of the compressions,the frequency of the compressions and the depth of the compressions,corrects and provides voice guidance for the subsequent CPR process in real time,guides the rescuers to follow the standardized procedures for rescue,and improves the survival rate and neurological recovery of the CPR patients.The device improves CPR with exact effect,real-time accuracy,simple operation,easy to promote,and applicable to all populat

关 键 词：心搏骤停 心肺复苏 实时反馈装置 APP 设计 

分 类 号：TP311.56[自动化与计算机技术—计算机软件与理论] TH77[自动化与计算机技术—计算机科学与技术]