目的 探讨麻醉医师技能竞赛结果中基础理论和技能操作中存在的问题,进一步反思本科教育效果,加强麻醉学人才队伍建设。方法 选取2020年参加山东省麻醉技能竞赛的66名麻醉医师为研究对象,采用问卷调查方法收集其基本信息,并采用资料分析方法对其基础理论考核和技能操作考核的成绩进行统计学分析。正确率比较采用χ²检验,与合格成绩比较采用t检验。结果 麻醉医师基础理论考核各科目答题正确率存在差异,其中基本医疗卫生与健康促进法正确率最高,为90.5%(597/660),麻醉生理学正确率最低,为51.1%(675/1 320);麻醉医师技能操作考核中,气管内插管成绩(64.82±11.00)低于合格成绩(76分),中心静脉穿刺术(82.67±11.70)、动脉穿刺测压术(82.48± 9.19)高于合格成绩(76分),其差异均具有统计学意义(均P<0.001)。结论 麻醉医师应当提高麻醉学专业技能操作的规范性,并加强基础理论与技能操作的双向融合。

Objective Explore the problems in the basic theories and skill operations in the results of the anesthesiologist skill competition, further reflect on the effect of undergraduate education, and strengthen the construction of anesthesia talent team. Methods Totally 66 anesthesiologists were selected from the Shandong Provincial Anesthesia Skills Competition in 2020, and their basic information was collected using questionnaire methods. The data analysis method was used to statistically analyze the results of the basic theoretical assessment and the skill operation assessment. The correctness rate was tested with χ², and the t-test was used when compared to passing scores. Results There were differences in the correctness of the answers to various subjects in the basic theoretical assessment of anesthesiologists. The accuracy rate of basic medical hygiene and health promotion method was the highest 90.5% (597/660), and the accuracy rate of anesthesia physiology was the lowest 51.1%(675/1 320); the score of endotracheal intubation(64.82±11.00)was lower than the passing score (76 points), and the scores of central venous puncture (82.67±11.70) as well as artery puncture manometry (82.48±9.19) were all higher than passing score (76 points). The difference was statistically significant (all P<0.001). Conclusions Anesthesiologists should improve the standardization of the operation of anesthesiology professional skills, and strengthen the two-way integration of the basic theory and skill operation.