天津市公立医院中西医结合医师急救能力分析

Analysis on first aid ability of doctors of integrated traditional Chinese and Western medicine in public hospitals of Tianjin

目的了解中西医结合专业医师的急救能力.方法选择2018年12月1日至2020年5月31日参加急救技能培训的96名中西医结合专业医师作为研究对象,均按照统一教材和标准进行培训,培训内容包括急救理论知识、技术操作及模拟抢救演示训练.比较培训前后各项成绩合格率的差异.结果与培训前比较,培训后中西医结合专业医师的理论考试成绩(分:85.75±12.85比49.48±14.56)和合格率〔85.42%(82/96)比23.96%(23/96)〕、急救技能操作测评成绩(分:92.55±12.85比62.38±15.28)和合格率〔4项基本技术:95.83%(92/96)比64.58%(62/96),徒手心肺复苏(CPR):91.67%(88/96)比57.29%(55/96)、电动吸痰:88.54%(85/96)比67.71%(65/96)、鼻导管给氧:93.75%(90/96)比77.08%(74/96)〕以及急救模拟抢救演示测评成绩(分:89.72±10.06比55.45±12.75)和合格率〔心搏骤停:92.71%(89/96)比60.42%(58/96),急性心肌梗死:95.83%(92/96)比64.58%(62/96),药物过敏性休克:94.79%(91/96)比75.00%(72/96),急性中毒:83.33%(80/96)比50.00%(48/96),颅内高压综合征:85.42%(82/96)比59.38%(57/96),外伤性失血性休克:87.50%(84/96)比54.17%(52/96),多发性创伤:82.29%(79/96)比41.67%(40/96)〕均明显升高(均P<0.05).结论目前中西医结合专业医师的急救能力普遍较低,建议将急救技能纳入继续教育课程,定期对中西医结合医师的急救技能进行培训和测评.

Objective To understand the first aid ability of professional doctors of integrated traditional Chinese and Western medicine.Methods Ninety-six doctors of integrated traditional Chinese and Western medicine who participated in the first aid skill training from December 1,2018 to May 31,2020 were selected as research objects,and they were trained according to the unified teaching materials and standards.The training contents included first aid theoretical knowledge,technical operation and simulated rescue demonstration training.The difference in qualification rate of various achievements before and after the training were compared and analyzed.Results Compared with those before the training,the theoretical examination score(85.75±12.85 vs.49.48±14.56)and qualification rate[85.40%(82/96)vs.23.96%(23/96)],first-aid skills operation score(92.55±12.85 vs.62.38±15.28)and qualification rates[four basic techniques:95.83%(92/96)vs.64.58%(62/96),bare-handed cardiopulmonary resuscitation(CPR):91.67%(88/96)vs.57.29%(55/96),electric sputum suction:88.54%(85/96)vs.67.71%(65/96),nasal catheter oxygen delivery:93.75%(90/96)vs.77.08%(74/96)],the first-aid simulation demonstration score(89.72±10.06 vs.55.45±12.75)and qualification rates[cardiac arrest:92.71%(89/96)vs.60.42%(58/96),acute myocardial infarction:95.83%(92/96)vs.64.58%(62/96),drug allergic shock:94.79%(91/96)vs.75.00%(72/96),acute poisoning:83.33%(80/96)vs.50.00%(48/96),intracranial hypertension syndrome:85.42%(82/96)vs.59.38%(57/96),traumatic hemorrhagic shock:87.50%(84/96)vs.54.17%(52/96),multiple trauma:82.29%(79/96)vs.41.67%(40/96)]were significantly increased after training(all P<0.05).Conclusions At present,the first-aid ability of doctors of integrated traditional Chinese and Western medicine is generally relatively low.It is suggested that the first aid skills should be included in the continuing education courses,and the first-aid skills of doctors of Integrated traditional Chinese and Western medicine should be trained and assessed regularly.