应用智能型模拟人考察医护人员掌握心肺复苏(CPR)操作的准确性。

对急诊中心127名护士应用智能型模拟人(XC-406-3心肺复苏模型)考核CPR操作，其中男性5名，女性122名；年龄(22～54)岁[(28.1±6.2)岁]。自动记录按压部位、按压频率、按压深度、气道开放、人工呼吸准确有效5项参数，5项参数均到位为CPR操作准确到位。CPR考核全程时间控制在150～160 s为达标，统计CPR全程时间达标率。

CPR 5个循环均准确到位的护士43人，其中5人为男护士，CPR准确率为33.9%。5个参数中胸外按压部位的准确率较高，而气道开放与人工呼吸的准确率较低。CPR考核全程时间达标率只有23.6%，﹤150 s的护士占一半，表明胸外按压频率过快。105名女护士按压3～4个循环感觉疲劳，占82.7%，5名男护士5个循环结束后感觉疲劳。

急诊护士CPR操作的准确性有待提高，智能型模拟人可以用于考察护士操作的准确性。

To apply intelligent simulator in CPR training and assessment to the accuracy of CPR operation of medical staff.

A total of 127 nurses in the emergency center were evaluated for CPR by using intelligent simulator (XC-406-3 CPR model), including 5 males and 122 females, aged from 22 to 54 years and mean age is(28.1±6.2) years old. The simulator automatically recorded 5 parameters including the pressed site, pressing frequency, depth of pressure, airway open, accurate and effective artificial respiration, which are in place for the CPR operation. CPR assessment of the entire time is controlled in 150~160s for compliance, and CPR full-time compliance rate was recorded.

Among 5 cycles of CPR, there were 43 nurses with high accuracy, of whom 5 were male nurses. The accuracy rate of CPR was 33.9%.Mid-thorax compression showed high accuracy, while the accuracy of airway opening and artificial respiration was low. The compliance rate of CPR full time was only 23.6%, with 150s nurses accounted for half of the total number, indicating that the frequency of chest compression was too fast.105 female nurses felt tired after finishing 3 to 4 cycles, accounting for 82.7%. Male nurses felt tired after finishing 5 cycles of CPR.

CPR operational accuracy of nurses in emergency needs to be improved. Simulators can be used for CPR training and examination to test the accuracy of the nurses’operation.