中医规范化培训住院医师心肺复苏技能情况调查  

Investigation on CPR Skills of Residents in Standardized Training of Traditional Chinese Medicine

作　　者：戚振红[1] 何芬 梁萍宝 叶镱[3] 麦冰[4] 罗小兰 Qi Zhenhong;He Fen;Liang Pingbao(Foshan Hospital of Traditional Chinese Medicine,Guangdong,Foshan 528000,China)

机构地区：[1]广东省佛山市中医院,广东佛山528000 [2]广东省佛山市南海区妇幼保健院,广东佛山528200 [3]广东省佛山市南海区人民医院,广东佛山528200 [4]广东省佛山市疾病预防控制中心,广东佛山528000 [5]广东省佛山市科学技术学院,广东佛山528000

出　　处：《中国中医急症》2020年第2期358-360,共3页Journal of Emergency in Traditional Chinese Medicine

基　　金：广东省佛山市心肺复苏术公众急救技能培训基地建设(2017AG100061);2017年佛山市科技局科技创新项目(2018AB001761)

摘　　要：目的调查了解中医规范化培训住院医师心肺复苏技能掌握情况。方法纳入2018年11月1日至2019年6月15日佛山市中医院临床技能培训中心进行心肺复苏技能培训学员281例,排除因机器故障未能收集数据8例,最后收集273例学员数据。其中规培医师组70例,在职医务人员组56例,佛山市志愿者组147例。其中,对规培医师和在职医务人员进行简易面罩通气和球囊面罩通气培训,采用多媒体授课为主,导师教学为辅模式,讲述标准流程、操作要点、评分标准,观看标准操作视频。应用标准挪度复苏安妮模型,通过电脑Laerdal QCPR■软件对学员按压和通气情况进行实时评估。结果规培医师的按压得分、按压频率、胸廓回弹率与在职医务人员组和佛山市志愿者组比较差异有统计学意义(P <0.05),按压深度与其余两组差异无统计学意义(P> 0.05)。与在职医务人员组比较,规培医师组的简易面罩通气得分、简易面罩通气量、球囊面罩得分有明显差异(P <0.05),在球囊面罩通气量上差异无统计学意义(P> 0.05)。结论中医规范化培训住院医师心肺复苏掌握情况一般,需要规培单位加强急救技能培训,提升规培医师急救技能水平。Objective:To investigate and understand the situation of CPR skills of residents in standardized training of traditional Chinese medicine. Methods:273 trainees were trained in CPR skills,including 70 in the physician group,56 in in-service medical staff group and 147 in the volunteer group in Foshan. The training of simple mask ventilation and balloon mask ventilation for the physicians and medical staff was mainly based on multimedia teaching. The tutor teaching was the auxiliary mode,which described the standard process,operation points,scoring standards and standard operation video. Real-time assessment of the student′s compression and ventilation was performed by computer with Laerdal QCPR■ software. Results:The compression score,compression frequency and thoracic rebound rate of the physician group were different from those of the medical staff group and the non-medical staff group. The compression depth was not different from the other two groups. Compared with the in-service medical staff group,there was a difference in the simple mask ventilation score,the simple mask ventilation and the balloon mask score of the physician group,and there was no difference in the balloon mask ventilation. Conclusion:The standardized training of traditional Chinese medicine is common for residents to master cardiopulmonary resuscitation. It is necessary for the training unit to increase the training of first-aid skills and improve the level of first-aid skills.

关 键 词：心肺复苏 中医住院医师 集束化 志愿者培训 

分 类 号：R-4[医药卫生] C975[经济管理—劳动经济]