医学生选修急诊医学课程对培养急救知识和心肺复苏技能的影响  

The influence of elective course of emergency treatment for medical students on the cultivation of first aid knowledge and skill of cardio-pulmonary resuscitation

作　　者：蒋亚斌[1] 汪志刚[1] 黄新智[1] 俞锐敏[1] 朱宁[1] 

机构地区：[1]暨南大学附属第一医院急诊科,广东广州510630

出　　处：《中国危重病急救医学》2008年第9期571-573,共3页Chinese Critical Care Medicine

摘　　要：目的探讨医学生学习急诊医学课程对培养急救知识和心肺复苏技能的影响。方法选择暨南大学医学院医学专业2002级和2003级全日制本科四年级学生，按是否选修急诊医学课程分为观察组和对照组，在两组中各随机抽取30名学生进行急救知识和心肺复苏技能的考核。结果观察组学生的理论考试得分为（78．5±9．1）分，对照组学生得分为（46．7±15．6）分，观察组得分明显高于对照组，两组比较差异有统计学意义（P〈0．01）。观察组和对照组心肺复苏技能考核得分分别为（7．32±0．83）分和（6．63±0．91）分，观察组得分明显高于对照组（P〈0．01）。观察组和对照组60次胸外按压失败的次数分别为（5．06±0．58）次和（5．77±0．63）次，4次吹气失败的次数分别为（0．92±0．16）次和（1．10±0．17）次，观察组失败的次数均明显少于对照组，两组比较差异有统计学意义（P均〈0．01）。结论医学生选修急诊医学课程对培养其急救知识和心肺复苏技能有重要作用，医学院校有必要将该课程列为必修课程。Objective To investigate the influence of elective course of emergency treatment for medical students on the cultivation of first aid knowledge and skills of cardio-pulmonary resuscitation. Methods Senior students major in medicine of our university were randomly divided into observation group and contrast group with 30 students in each group according to whether an elective course of emergency treatment was given or not. All of them then received a test of first aid knowledge and cardio-pulmonary resuscitation skills. Results The theoretical exam scores in observation group and contrast group were respectively 78.5± 9.1 and 46.7± 15.6. The scores in observation group were significantly higher than that in contrast group （P〈0. 01）. Cardio-pulmonary resuscitation skills scores in observation group and contrast group were respectively 7.32± 0.83 and 6.63± 0.91. The scores in observation group were significantly higher than that in contrast group （P〈0.01）. The number of failure for closed cardiac massage in 60 times in observation group and contrast group was respectively 5.06±0.58 and 5.77 ± 0.63. The number of mouth to mouth artificial respiration in 4 times in observation group and contrast group was 0. 92±0. 16 and 1.10±0. 17, respectively. There were notable differences in the number of failure in resuscitation maneuvers between two groups （both P〈 0.01）, observation group being obviously poorer than contrast group. Conclusion An elective course of emergency treatment given to medical students plays an important role in the cultivation of first aid knowledge and skills in cardio-pulmonary resuscitation. It is therefore necessary that emergency medicine is included as a required course in medical college.

关 键 词：医学生 急诊医学 课程 心肺复苏 

分 类 号：R686[医药卫生—骨科学]