目的 探讨抗眩晕操联合滚轮训练对护理人员在特殊环境下建立血管通路的影响，为提升海上救援速度和水平提供参考。 方法 2021年4月,采用便利抽样法选取某院42名护理人员为研究对象，按随机数字表法将其分为观察组和对照组，每组21名。观察组实施抗眩晕操联合滚轮训练，对照组实施长跑训练。干预前及训练3个月后在海上模拟环境考核套管针穿刺、骨髓腔输液2项技术，比较2组人员在海上模拟环境中的眩晕程度、穿刺成功率及完成时间。 结果 干预前，两组在海上模拟环境中的眩晕程度、穿刺成功率及2项操作完成时间的差异均无统计学意义（均P＞0.05）。训练3个月后两组在海上模拟环境中的眩晕程度有所降低、2项技术完成时间明显缩短，与干预前相比，差异均有统计学意义（均P＜0.05）；且观察组眩晕程度更低，2项技术完成时间更短，与对照组比较差异均有统计学意义（均P＜0.05）。 结论 抗眩晕操联合滚轮训练能提高医护人员的抗眩晕能力，有利于在特殊环境中快速有效建立血管通路，值得推广。

Objective To explore the effect of anti-vertigo exercise combined with roller training on the establishment of vascular access for nursing staff in special environment,and to provide reference for improving the efficiency and level of sea rescue. Methods In April 2021,42 members of nursing staff from a hospital were selected as research objects by convenience sampling method and divided into observation group and control group according to random number table method,with 21 members in each group.The observation group received anti-vertigo exercise combined with roller training,while the control group received long-distance running training.Before intervention and 3 months after training,trocar puncture and intraosseous infusion were tested in the marine simulation environment.The vertigo degree,puncture success rate and completion time of the two groups were compared in the marine simulated environment. Results Before intervention,there were no significant difference between the two groups in the degree of vertigo,the success rate of puncture and the completion time of the two operations in the marine simulation environment(all P＞0.05).After 3 months of training,the degree of vertigo in the marine simulation environment was reduced,and the completion time of the two operations was significantly shortened,with statistical significance(all P＜0.05).The vertigo degree of the observation group was lower and the completion time of the two operations was shorter,and the differences were statistically significant compared with the control group(all P＜0.05). Conclusions The anti-vertigo exercise combined with roller training can significantly enhance the anti-vertigo adaptability of medical staff,improve the success rate of establishing vascular access,and shorten the completion time,which is worthy of promotion.

R823;R47

后装保障专题研究(南海保计〔2021〕8号)