目的 分析在首都医科大学附属北京儿童医院参加规范化培训的住院医师2014年~2018年北京市住院医师规范化培训临床实践能力考核中的心肺复苏成绩,为优化培训方案提供客观依据。方法 以2014年~2018年在北京儿童医院参加规范化培训的323名住院医师的心肺复苏考核成绩为研究资料,采用回顾性分析方法对考核成绩进行分析,采用SPSS21.0和Excel2007软件对相关数据进行描述性统计、单因素方差分析和双因素方差分析。结果 2014年~2018年规范化培训住院医师各年度心肺复苏平均成绩分别为83.14分、89.46分、89.71分、84.52分、87.75分,差异具有统计学意义(F=14.93,P<0.01),规范化培训住院医师包括4类学员,其平均成绩分别为86.93分、85.91分、89.01分、89.47分,差异具有统计学意义(F=4.87,P<0.01),其考核年份(F=12.09,P＜0.01)及来源(F=3.69,P=0.012)对成绩差异的影响有统计学意义。结论 儿科住院医师规范化培训基地要依据培训效果优化培训方案,适度增加心肺复苏培训频度,针对不同来源学员实行分层次培训。

Objective By analyzing the results of cardiopulmonary resuscitation(CPR)in clinical skills assessment of residents in Beijing Children's Hospital Affitiated to Capital Medical University who participated in standardized training from 2014 to 2018,the theoretical basis for optimizing the training program was provided.Methods The assessment results of CPR was carried out in 323 traineess in Beijing Children's Hospital from 2014 to 2018 as the research data,the assessment results were analyzed by retrospective analysis.Descriptive statistics,one-way ANOVA and two-way ANOVA were performed using SPSS 21.0 and Excel 2007 software.Results The average scores from 2014 to 2018 were 83.14,89.46,89.71,84.52 and 87.75 respectively,and there were significant differences (F=14.93,P<0.01);the average scores of the four groups were 86.93,85.91,89.01 and 89.47 respectively,and there were significant differences(F=4.87,P<0.01); the impact of assessment year (F=12.09,P<0.01) and the source of trainees (F=3.69,P=0.012) on the difference in performance score was statistically significant.Conclusions The standardized training base of pediatric resident should optimize the training program according to the training outcomes,increasing the training frequency of CPR appropriately,and impliment multi-level targeted training.