临床实习医生现场心肺复苏培训的问题及对策

Problems and solutions of the cardiopulmonary resuscitation training for clinical interns

目的探讨临床实习医生现场心肺复苏培训遇到的问题，从而指导提高临床实习医生的现场心肺复苏水平。方法应用电脑模拟复苏人对临床实习医生进行现场心肺复苏的操作技能考核，据培训前考核发现的不足采取针对性培训，再行培训后考核。结果培训前现场心肺复苏操作总体合格率较低，尤其以姿势不正确、按压频率不正确、吹气速度过快、吹气过大错误明显，培训后明显提高合格率。结论找出临床实习医生现场心肺复苏培训遇到的问题，针对性加强培训后明显改善。

Objective To investigate the problems found during the cardiopulmonary resuscitation （CPR） training for clinical interns, and guide the training so as to improve the CPR level of clinical interns. Methods The CPR skills of the clinical interns were examined by the CPR si-ms（Laerdal Resusci Anne）. After taking a training the shortage was found and targeted in the anterior examination, trainees should be reexamined to show the training effect. Results The total pass rate of the first CPR examination was relatively low, the common mistakes included wrong position, wrong press frequency, blowing too fast or excessively, etc. After targeted training, the pass rate increased obviously. Conclusion Finding the problems during the CPR examination and training for clinical interns and taking a targeted training can increase their CPR level obviously.