外科医生对脊髓损伤后自主神经反射异常的认识

Awareness of Autonomic Dysreflexia post Spinal Cord Injury in Surgeons

目的了解外科医生关于脊髓损伤后自主神经反射异常的知识水平。方法 2018年9月1至30日,问卷测试7个科室的71名外科医生关于脊髓损伤后自主神经反射异常的知识水平。结果总体合格率35%,产生原因、临床表现、诊断标准、处理措施知识点的总体得分率<60%。不同科室之间在产生原因、临床表现、处理措施知识上存在显著性差异(F> 2.270, P <0.05)。接触脊髓损伤患者机会不同的医生之间在处理措施知识上存在显著性差异(F=4.043, P <0.05)。不同自主神经反射异常知识自评结果的医生之间在临床表现和处理措施知识上存在显著性差异(F=5.519, P <0.01)。不同教育背景、技术职称或工作年限的医生之间在自主神经反射异常各知识点上无显著性差异(F <2.107, P> 0.05)。结论部分外科医生关于脊髓损伤后自主神经反射异常的知识水平不高,需要加强学习和培训。

Objective To investigate the levels of knowledge on autonomic dysreflexia(AD)following spinal cord injury(SCI)from surgeons.Methods September 1st to 30th,71 surgeons from seven departments were tested with the knowledge about AD with a questionnaire.Results Only 35%of them gave the correct answer above 60%of the items.The items that got respondence less than 60%involved in those about causes,clinical signs and symptoms,diagnosis,and treatment for AD.The respondence about knowledge of causes,clinical signs and symptoms,and treatment for AD was different among departments(F >2.270,P<0.05).The respondence about knowledge of treatment for AD was different among the surgeons who had managed different numbers of SCI patients(F=4.043,P<0.05).The knowledge of clinical signs and symptoms,and treatment was different among the surgeons with their self-reported knowledge level of AD(F=5.519,P<0.01).There was no difference in knowledge for AD among the surgeons with different educational background,technological position and length of career(F<2.107,P >0.05).Conclusion The knowledge about AD needs to improve in the surgeons.