临床病例解析培训对提高麻醉住院医师临床思维的作用分析

目的通过比较麻醉住院医师临床技能考核结果,说明麻醉临床病例解析评估的重要性,为进一步提高麻醉住院医师培训质量提供思路和手段。方法选取2011年至2013年北京友谊医院和北京天坛医院麻醉专业住院医师轮转培训25人,以临床病例解析分析要点为考核点,对其专业临床技能进行考核评分,对比不同培训时段的考核结果。结果第一年住院医师的得分比第二年第三年住院医师均低,不合格率也高于第二年第三年住院医师。住院医师参加的临床病例解析培训次数越多,成绩优良率也越高。结论住院医师的临床思维麻醉病例解析培训有利于提高住院医师的临床思维和技能,使学科培训更加高效化、系统化、规范化。

麻醉病例解析培训对麻醉初学者临床思维培养的作用

目的：通过考核麻醉初学者的临床专业技能,评价病例解析培训对临床思维培养的作用,为进一步提高麻醉住院医师的培训质量提供参考。方法：选取2013年10月~2014年10月参加麻醉病例解析培训的30例麻醉初学者作为观察组,选取未参加培训的30例麻醉初学者作为对照组,分别对其临床专业技能进行考核评分,并比较两组的考核结果。结果：观察组临床专业技能考核平均分为（92±5.6）分,对照组考核平均分为（81±4.3）分。观察组及格率为100%,对照组及格率为63.3%。对照组意外事件发生率为6.7%,观察组意外事件发生率为0%。两组平均分、及格率及意外事件发生率分别相比,差异均有统计学意义（P〈0.05）。结论：采取病例解析培训,能培养麻醉初学者的临床思维,有效提高专业技能水平,保证患者住院安全。

manClinical Study on Infection of Chlamydia Trachomatis in Patients with Inflammation of Urogenital Tract

Object: To investigate the relationship between chlamydiatrachomatis (CT) and urogenital infection. Method Positive rate of CT in patients with inflammationof urogenital tract was significantly higher than those withoutinflammation(P<0.05). Result: There was statistical difference in the males nomatter they were patients with inflammation of urogenitaltract or not (P>H0.05), while there was no statistical differencein females (P>0.05). The incidence of the infection was highamong those aging from 21-50 years old. Conclusion: The clinical manifestations of CT infectionwere obscure, so we should examine CT in patients who haveno symptoms, especially in females and those of high-riskpopulation.