[心肺复苏实时反馈APP装置的设计与应用]。

Xurong Wang, Yidan Yang, Zhongyi Chen
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引用次数: 0

摘要

中国院外心脏骤停(OHCA)患者的自然循环恢复率、入院生存率和出院生存率远低于世界和亚洲平均水平,院内心脏骤停(IHCA)患者的生存率也较差。造成这些现象的主要原因是心肺复苏的质量参差不齐和旁观者参与心肺复苏的比例较低。实时反馈设备是解决这些问题的有效策略,并已在一些指南中推荐使用。然而,现有的心肺复苏术反馈装置存在操作不便、推广费用昂贵等问题。为此,娄底中心医院心肺复苏术培训团队成员设计了一款心肺复苏术实时反馈APP装置,并获得了中国国家发明专利权(专利号:ZL 2021 1 11185001)。该设备包括一个反馈设备和一个移动设备(有两个版本:医疗保健专业人员和非医疗保健专业人员)。反馈装置由压板和软橡胶板组成。软胶板内侧覆盖有传感器监测点。在每个传感器监测点上都有微压力传感器和微加速度传感器。在进行胸外按压时,传感器将相关数据传输至手机反馈APP,反馈APP通过对数据进行采样分析,建立三维动态模型,根据按压力度、按压频率、按压深度等因素,准确判断胸外按压效果,实时纠正并为后续心肺复苏过程提供语音指导。指导施救者按照规范的程序进行抢救,提高心肺复苏术患者的存活率和神经功能恢复。该装置提高了心肺复苏术的效果准确、实时准确、操作简单、易于推广、适用于所有人群。具有良好的临床应用和社会化推广价值,可在医疗机构和公共场所配备。
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[Design and application of a real-time feedback APP device for cardiopulmonary resuscitation].

The rates of recovery of spontaneous circulation, admission survival, and discharge survival of out-of-hospital cardiac arrest (OHCA) patients in China are much lower than the world and Asian averages, and the data on the survival of in-hospital cardiac arrest (IHCA) patients are also less favorable. The variable quality of cardiopulmonary resuscitation (CPR) and the low percentage of bystander CPR participation are the main reasons for these phenomena. Real-time feedback devices are an effective strategy to address these issues and have been recommended for use in several guidelines. However, the existing CPR feedback devices have the problems of being inconvenient to operate and expensive to popularize. Therefore, members of the CPR training team of Loudi Central Hospital designed a CPR real-time feedback APP device, which has been granted the right of National Invention Patent of China (patent number: ZL 2021 1 1118500.1). The device consists of a feedback device and a mobile device (there are two versions: healthcare professionals and non-healthcare professionals). The feedback device consists of a pressing plate and a soft rubber plate. The inner side of the soft rubber plate is covered with sensor monitoring points. On each sensor monitoring point, there are micro pressure sensors and micro acceleration sensors. When performing chest compressions, the sensors will transmit the relevant data to the cell phone feedback APP. By sampling and analyzing the data and building a three-dimensional dynamic model, the feedback APP accurately judges the effect of chest compressions based on factors such as the strength of the compressions, the frequency of the compressions and the depth of the compressions, corrects and provides voice guidance for the subsequent CPR process in real time, guides the rescuers to follow the standardized procedures for rescue, and improves the survival rate and neurological recovery of the CPR patients. The device improves CPR with exact effect, real-time accuracy, simple operation, easy to promote, and applicable to all populations. It has good clinical application and socialization popularization value, and can be equipped in medical institutions and public places.

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来源期刊
Zhonghua wei zhong bing ji jiu yi xue
Zhonghua wei zhong bing ji jiu yi xue Medicine-Critical Care and Intensive Care Medicine
CiteScore
1.00
自引率
0.00%
发文量
42
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