急性缺血性卒中血管内治疗技术培训模式研究——急性缺血性卒中血管内治疗培训班经验介绍

Exploring the Efficacy of Training Model of Endovascular Treatment for Acute Ischemic Stroke

目的探讨培训介入医师急性缺血性卒中血管内治疗技术的方法和模式。方法对中国卒中学会国际卒中介入培训学院,首都医科大学附属北京天坛医院主办的“急性缺血性卒中血管内治疗培训班”学员进行血管内治疗技术理论和实践培训,并通过实践工作后1年进行毕业答辩,对学员的培训成果进行检验。结果完成培训并在实际工作中开展急性缺血性卒中血管内治疗1年以上且参加公开毕业答辩的有193名学员,全部通过答辩考核,答辩通过率100%。经规范化培训后,学员中位年手术量增加112%,中位年独立完成手术量增加136%,手术严重并发症发生率降低了30%(10.2%vs 7.2%)。结论理论培训、实践培训与个性化培训相结合的急性缺血性卒中血管内治疗规范化培训能有效提高学员血管内治疗的技术。

Objective To explore the method and mode of training interventional physicians in endovascular treatment of acute ischemic stroke.Methods The trainees of"endovascular treatment training course for acute ischemic stroke"sponsored by International Stroke Intervention Training College of Chinese Stroke Society(CSA)and Beijing Tiantan Hospital of Capital Medical University received theoretical and practical training on endovascular treatment of acute ischemic stroke.The training results were tested through their graduation defense and practical work assessment after completing the whole training program.Results A total of 193 trainees were included in this analysis.They all performed endovascular treatment of acute ischemic stroke for at least one year in clinical practice after completing the whole training program,and then participated in the open graduation defense.The trainees all passed the defense examination and graduated,with the defense passing rate of 100%.Compared to before the training,the median number of surgeries per year performed by the trainees increased by 112%,the median number of surgeries per year performed independently by them increased by 136%,and the incidence of severe complications decreased by 30%(10.2%vs 7.2%)after the standardized training.Conclusions The standardized training of endovascular treatment for acute ischemic stroke combining theoretical training,practical training and personalized training has achieved satisfactory results.