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首页> 美国卫生研究院文献>Journal of Korean Medical Science >Which Fingers Should We Perform Two-Finger Chest Compression Technique with When Performing Cardiopulmonary Resuscitation on an Infant in Cardiac Arrest?
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Which Fingers Should We Perform Two-Finger Chest Compression Technique with When Performing Cardiopulmonary Resuscitation on an Infant in Cardiac Arrest?

机译：当对心脏骤停婴儿进行心肺复苏时我们应该使用哪个手指进行两指胸部按压技术？

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This study compared the effectiveness two-finger chest compression technique (TFCC) performed using the right vs. left hand and the index-middle vs. middle-ring fingers.Four different finger/hand combinations were tested randomly in 30 healthcare providers performing TFCC (Test 1: the right index-middle fingers; Test 2: the left index-middle fingers; Test 3: the right middle-ring fingers; Test 4: the left middle-ring fingers) using two cross-over trials. The “patient” was a 3-month-old-infant-sized manikin. Each experiment consisted of cardiopulmonary resuscitation (CPR) consisting of 2 minutes of 30:2 compression: ventilation performed by one rescuer on a manikin lying on the floor as if in cardiac arrest. Ventilations were performed using the mouth-to-mouth method. Compression and ventilation data were collected during the tests. The mean compression depth (MCD) was significantly greater in TFCC performed with the index-middle fingers than with the middle-ring fingers regardless of the hand (95% confidence intervals; right hand: 37.8–40.2 vs. 35.2–38.6 mm, P = 0.002; left hand: 36.9–39.2 vs. 35.5–38.1 mm, P = 0.003). A deeper MCD was achieved with the index-middle fingers of the right versus the left hand (P = 0.004). The ratio of sufficiently deep compressions showed the same patterns. There were no significant differences in the other data. The best performance of TFCC in simulated 30:2 compression: ventilation CPR performed by one rescuer on an infant in cardiac arrest lying on the floor was obtained using the index-middle fingers of the right hand. Clinical Trial Registry at the Clinical Research Information Service (KCT0001515).
机译：这项研究比较了使用右手与左手，食指中指与中指无名指进行的两指胸部按压技术（TFCC）的有效性。在30位进行TFCC的医疗服务提供者中随机测试了四种不同的手指/手组合测试1：右中指；测试2：左中指；测试3：右中指；测试4：左中指）使用两次交叉试验。 “病人”是一个3个月大的婴儿模型。每个实验都由心肺复苏（CPR）组成，包括2分钟的30：2压缩：一名救助者对躺在地板上的人体模型进行通气，就像心脏骤停一样。使用口对口法进行通气。在测试过程中收集了压缩和通风数据。食指中指在TFCC中的平均压缩深度（MCD）明显大于中指，无论手如何（95％置信区间；右手：37.8–40.2 vs. 35.2–38.6 mm，P = 0.002；左手：36.9–39.2与35.5–38.1毫米，P = 0.003）。右手和左手的食指中指可达到更深的MCD（P = 0.004）。足够深的压缩比显示相同的模式。其他数据无显着差异。 TFCC在30：2模拟压缩中的最佳性能：一名救助者使用右手的中指获得了对一名躺在地板上的心脏骤停婴儿的通气CPR。临床研究信息服务（KCT0001515）的临床试验注册中心。

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