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模拟高原环境对心肺复苏术施救者基本生命体征的影响
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模拟高原环境对心肺复苏术施救者基本生命体征的影响
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Journal Article
模拟高原环境对心肺复苏术施救者基本生命体征的影响
2017
Overview
目的观察不同海拔高度对正常成年医务人员实施心肺复苏术（CPR）前后基本生命体征的影响。方法选取2015年6月-2016年3月新疆军区总医院健康成年医护人员90人,随机分为平原常氧组、3700m高原组、4300m高原组,每组30人。参照《国际心肺复苏指南（2010版）》基础生命支持标准,记录各组1个循环CPR操作前后心率（HR）、平均动脉压（MAP）、呼吸（RR）和指脉氧饱和度（SpO2）数值,比较1个循环CPR操作前后各组基本生命体征的变化。结果3组施救者实施1个循环CPR操作后HR、RR均明显增快（P〈0.05）,但MAP及SpO2无明显变化（P〉0.05）。随着海拔增加,4300m高原组的HR、RR快于3700m高原组和平原常氧组（P〈0.05）,3700m高原组的HR、RR快于平原常氧组（P〈0.05）。但3组间MAP及SpO2变化差异无统计学意义（P〉0.05）。结论随着海拔高度升高,施救者HR、RR增加,但海拔高度对施救者MAP及SpO2无影响。
