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目的了解广州市院前急救医护人员气管插管技能掌握情况。方法对2008年3～6月参加广州市院前急救规范化培训的医护人员共216人进行调查分析。结果广州市院前急救医护人员总体气管插管技能掌握率偏低(51.9%),其中医生气管插管掌握率为74.1%,而护士掌握率为29.6%(P<0.001);三级医院院前急救医生比二级医院院前急救医生气管插管技能掌握率高(88.2%vs50%,P<0.001);部分医院(18.5%)仍然以麻醉科医生气管插管为主;98.1%的医院急救车未配备喉罩或联合导管等备用高级气道装置。结论广州院前急救医护人员气管插管技能掌握率低,不同级别医院医护人员气管插管掌握存在较大差异,需要加强气管插管技能的规范化统一培训,从而真正提高广州市院前急救的整体水平。
Objective To understand the situation of tracheal intubation skills of pre-hospital emergency medical staff in Guangzhou. Methods A total of 216 medical staff who participated in the standardized training of pre-hospital emergency care in Guangzhou from March to June 2008 were investigated and analyzed. Results The mastery rate of tracheal intubation skills was low (51.9%) in Guangzhou pre-hospital emergency medical personnel. The prevalence rate of tracheal intubation was 74.1% and that of nurses was 29.6% (P <0.001) The rate of tracheal intubation was higher in pre-emergency doctors than in pre-hospital emergency doctors in secondary hospitals (88.2% vs 50%, P <0.001); in some hospitals (18.5%), tracheal intubation was still mainly performed in anesthesiologists; 98.1% The ambulance is not equipped with a laryngeal mask or co-catheter and other spare advanced airway devices. Conclusions There is a low mastery rate of tracheal intubation skill in pre-hospital emergency medical staff in Guangzhou. There is a big difference in tracheal intubation masters among different levels of hospital medical staff. Standardized and unified training of tracheal intubation skills needs to be strengthened so as to truly improve the overall hospital pre-hospital emergency care in Guangzhou Level.