School of Medicine, Tzu Chi University, Hualien 970, Taiwan.
Department of Emergency Medicine, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, New Taipei 231, Taiwan.
Int J Environ Res Public Health. 2020 Jul 19;17(14):5214. doi: 10.3390/ijerph17145214.
Out-of-hospital infant cardiopulmonary arrest is a fatal and uncommon event. High mortality rates and poor neurological outcomes may be improved by early cardiopulmonary resuscitation (CPR). The ongoing debate over two different infant CPR techniques, the two-thumb (TT) and the two-finger (TF) technique, has remained, especially in terms of the adequate compression depth, compression rate, and hands-off time. In this article, we searched three major databases, PubMed, EMBASE (Excerpta Medica database), and CENTRAL (Cochrane Central Register of Controlled Trials), for randomized control trials which compared the outcomes of interest between the TT and TF techniques in infant CPR. The results showed that the TT technique was associated with higher proportion of adequate compression depth (Mean difference (MD): 19.99%; 95%, Confidence interval (CI): 9.77 to 30.22; < 0.01) than the TF technique. There was no significant difference in compression rate and hands-off time. In our conclusion, the TT technique is better in terms of adequate compression depth than the TF technique, without significant differences in compression rate and hands-off time.
院外婴儿心肺骤停是一种致命且罕见的事件。早期心肺复苏（CPR）可以提高高死亡率和不良神经结局的改善。两种不同婴儿 CPR 技术（两拇指（TT）和两手指（TF）技术）之间的持续争论，尤其是在足够的压缩深度、压缩率和手离开时间方面。在本文中，我们在三个主要数据库 PubMed、EMBASE（医学文摘数据库）和 CENTRAL（Cochrane 对照试验中心注册库）中搜索了比较 TT 和 TF 技术在婴儿 CPR 中感兴趣结局的随机对照试验。结果表明，TT 技术与较高的足够压缩深度比例相关（平均差异（MD）：19.99%；95%置信区间（CI）：9.77 至 30.22；<0.01），而 TF 技术则没有。在压缩率和手离开时间方面没有显著差异。我们的结论是，TT 技术在足够的压缩深度方面优于 TF 技术，在压缩率和手离开时间方面没有显著差异。
