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目的:调查四川省各级医务人员产后出血相关知识和技能掌握情况。方法:设计产后出血培训问卷,对1 000余名医务人员进行10次产后出血诊治培训,并抽取500名进行问卷调查。结果:402份有效问卷中产后出血病因判断类题目及产后出血处理流程类题目的正确率均在85%以上,但产后失血量估计类题目的正确率低于45%,第三产程规范化处理预防产后出血类题目的正确率仅为32%,答题错误者主要为低年资住院医生。402人中会进行B-Lynch缝合、子宫动脉结扎及知晓剖宫产子宫切除术技巧者均不足1/3。402人均对本次培训表示支持,并期望更多类似培训。结论:各级产科医生对产后出血量的估计、宫缩剂的正确应用及手术止血方法的掌握尚存在问题,应加强相关理论及手术操作技能的培训。
Objective: To investigate the knowledge and skills of post-partum hemorrhage among medical staff at all levels in Sichuan Province. Methods: The questionnaire of postpartum hemorrhage training was designed. Ten postpartum hemorrhage diagnosis and training courses were conducted for over 1,000 medical staffs, and 500 were selected for questionnaire survey. Results: The accuracy rate of postpartum hemorrhage in 402 valid questionnaires was over 85%, but the correct rate of postpartum hemorrhage was less than 45%. The standardized management of the third stage of labor The correct rate of postpartum hemorrhage class title is only 32%, answer the wrong person is mainly low-age resident doctors. Less than 1 in 3.402 B-Lynch sutures, ligation of uterine arteries and knowledge of cesarean hysterectomy were supported by 402 people, and more training was expected from this training. Conclusion: Obstetricians at all levels of postpartum hemorrhage estimates, the correct application of uterotonics and surgical hemostasis methods still exist problems, we should strengthen the relevant theory and surgical skills training.