目的 采取进阶式培训方式对麻醉学医师进行气管插管技能培训,探讨其与传统气管插管技能培训方式相比是否具有优越性,为进一步优化气管插管技能培训方式提供经验和依据。方法 选择2016年8月至2017年8月在北京大学第三医院麻醉科进行气管插管技能培训的42名医师为研究对象,将其随机分为实验组和对照组,每组21名医师。实验组医师采用进阶式培训方式进行气管插管技能培训,对照组医师采用传统培训方式进行气管插管技能培训。培训1年后,对两组医师进行气管插管技能考核并比较其成绩;同时,对两组医师进行问卷调查,以了解其对各自培训方式的满意度等。结果 培训前,实验组医师气管插管技能考核成绩[(52.8±10.7)分]与对照组医师[(53.1±11.2)分]相比,其差异无统计学意义(t=0.092,P＞0.05);培训后,实验组医师气管插管技能考核成绩[(89.4±3.7)分]高于对照组医师[(77.1±6.5)分],其差异具有统计学意义(t=-7.526,P＜0.05)。问卷调查结果显示,实验组受训医师认为进阶式培训方式对提高教学效果更为有利。结论 采用进阶式培训方式培训的麻醉学医师的气管插管技能掌握得更好,该培训方式得到受训医师的更多认可,值得在麻醉学医师技能培训中进一步推广。

Objective To explore the effective model to improve the skill of tracheal intubation and solve the trainees' skill heterogeneity.Methods Fourty-two trainees who scheduled for training in endotracheal intubation skills at Department of Anesthesiology,Peking University Third Hospital,during August 2016 to August 2017 were randomly divided into step-by-step training model group (n=21) and the traditional training model group (n=21).The endotracheal intubation skill of the two groups of trainees were assessed before and after the one year study.A questionnaire survey was conducted to obtain the satisfaction degree of the trainees in the two groups.Results The endotracheal intubation assessment score of step-by-step training model group and traditional training model group before the study were (52.8 ± 10.7,53.1 ± 11.2,t=0.092,P＞0.05),after the different model training,the score were (89.4±3.7,77.1 ± 6.5,t=-7.526,P＜0.05),the questionnaire survey showed that the trainees in the step-by-step training model group consider that the step-by-step training model is more favorable than the traditional training model in improving the teaching effect of endotracheal intubation.Conclusions The step-by-step training model can improve the trainees skill of tracheal intubation and solve the skill heterogeneity due to the different trainees source and ability.