唐氏综合征人群的胸外按压质量：一项初步试验。
Quality of chest compressions by Down syndrome people: a pilot trial.
机构信息
Pediatric Area, Pediatric Emergency and Critical Care Division, Hospital Clínico Universitario de Santiago de Compostela, Santiago de Compostela, Spain; School of Nursing, University of Santiago de Compostela, Santiago de Compostela, Spain; Institute of Investigation of Santiago (IDIS), Santiago de Compostela, Spain; Research Network on Maternal and Child Health and Development II (Red SAMID II), Spanish Health Institute Carlos III, Madrid, Spain.
Pediatric Area, Pediatric Emergency and Critical Care Division, Hospital Clínico Universitario de Santiago de Compostela, Santiago de Compostela, Spain.
出版信息
Resuscitation. 2015 Apr;89:119-22. doi: 10.1016/j.resuscitation.2015.01.022. Epub 2015 Jan 28.
INTRODUCTION
Immediate bystander cardiopulmonary resuscitation (CPR) is essential for survival after out-of-hospital cardiac arrest. Down syndrome (DS) citizens have improved their active engagement in society. The objective of this pilot trial was to investigate if they are able to perform quality chest compression-only CPR after a brief training.
METHODS
Nineteen DS young people (15-30 year old) and 20 University level subjects (18-29 year old) were trained by means of a short video and a brief hands-on session on manikins, to perform chest compression-only CPR. All participants were naïve in CPR. Chest compression (CC) quality (percentage of correct CC, CC rate and depth and chest complete release) was measured during a 2min test. CPR quality goal was according to 2010 European Resuscitation Council guidelines.
RESULTS
DS people had similar weight, lower height and a higher BMI than controls. They were able to deliver chest compression-only CPR but with higher mean CC rate (140±30 vs 123±12CC/min, p=0.03), less mean CC depth (35.4±10.3 vs 47.2±9.6mm, p=0.03) and lower % of full correct CC (13±18 vs 39±37, p=0.02) than controls. Differences were maintained when first and second minute of test were compared.
CONCLUSIONS
After a short instruction based on a brief video and hands-on session DS people were able to deliver CC but with poor quality.
简介
院外心脏骤停后，立即由旁观者进行心肺复苏（CPR）对生存至关重要。唐氏综合征（DS）患者的社会参与度有所提高。本试验的目的是研究他们在经过短暂培训后，是否能够进行高质量的单纯胸外按压心肺复苏。
方法
19 名年轻 DS 患者（15-30 岁）和 20 名大学生（18-29 岁）通过短视频和模拟人进行简短的动手培训，以进行单纯胸外按压心肺复苏。所有参与者对 CPR 均不熟悉。在 2 分钟的测试中，测量胸外按压（CC）质量（正确 CC 的百分比、CC 率和深度以及胸部完全释放）。CPR 质量目标符合 2010 年欧洲复苏委员会指南。
结果
DS 患者的体重与对照组相似，但身高较低，BMI 较高。他们能够进行单纯胸外按压心肺复苏，但 CC 率（140±30 比 123±12CC/min，p=0.03）、CC 深度（35.4±10.3 比 47.2±9.6mm，p=0.03）和完全正确 CC 的百分比（13±18 比 39±37，p=0.02）均低于对照组。当比较第一分钟和第二分钟的测试时，差异仍然存在。
结论
在基于简短视频和实践操作的简短指导后，DS 患者能够进行 CC，但质量较差。
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