摘要
目的探讨高原环境下高寒缺氧对执行灾害救援任务中医务人员心肺复苏操作的影响。方法采用单人心肺复苏术操作模式,依据心肺复苏术操作考核细则进行评分,记录内陆和高原不同条件下医务人员操作前后心率、呼吸频率、心率恢复时间、血压和氧饱和度改变,初步评估医务人员在高原条件下医疗救治能力的变化。结果 1.医务人员心肺复苏术操作评分内陆与高原差别不显著。2.不同地域心肺复苏术操作前后医务人员心率、呼吸频率、心率恢复时间、血压和氧饱和度变化差别显著。3.医务人员在高原地域实施心肺复苏术后心率恢复至操作前状态的时间明显延长。结论高寒缺氧对执行灾害救援任务的医务人员生理产生明显影响,导致工作能力下降,因此要完成与平原地区相同救治工作量,就必须对医务人员进行合理配置。
Objective To study the effects of alpine hypoxia on medical staff during the implementation of medical rescue tasks. Methods The single cardiopulmonary resuscitation（ CPR） mode was adopted,CPR operation was scored on the basis of inspection rules,heart rate,breathing rate,heart rate recovery time,changes in blood pressure and oxygen saturation of medical staff before and after medical personnel operating,were recorded under different conditions in inland and plateau areas. The change of medical treatment ability of medical staff under the different conditions（ plateau and inland）,were preliminary evaluated. Results 1. There was no obvious difference of CPR operation evaluation between inland and plateau; 2. There was significant difference of heart rate, breathing rate,heart rate recovery time,the change of blood pressure and oxygen saturation before and after the CPR operation in different regions. 3. After implementation of CPR,recovery of heart rate to the preoperational level for medical staff in plateau areas was obviously prolonged. Conclusions Alpine hypoxia has physiological effects on medical staff in plateau area,the treatment ability of medical staff was reduced. Therefore,in order to complete the same treatment work as in plain area,the rational allocation of medical staff is imperative.
出处
《中华灾害救援医学》
2014年第4期194-196,共3页
Chinese Journal of Disaster Medicine
关键词
高原
高寒缺氧
心肺复苏术
plateau
alpine hypoxia
cardiopulmonary resuscitation
