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目的:探讨对规培住院医师进行团队模拟训练在急诊高级生命支持培训中的效果。方法:所有住院医师均通过心肺复苏、电除颤、气管插管等培训。将60名住院医师规范化培训的学员随机分为实验组和对照组,实验组采用5人1组进行团队模拟训练,对照组采用传统的培训模式,培训结束后应用高仿真模拟人再次进行考核,统计分析2组考核成绩。结果:两次考核中其单项操作人工气道建立、除颤操作、以及静脉通路的建立成绩均无显著差异。2组在第1次考核结果中显示胸外按压单项操作的差异无统计学意义。均存在按压的频率过快、按压深度过浅、回弹不够、按压分数过低。2组学员经过操作训练后平均按压频率、平均按压深度、胸廓回弹速率、平均按压分数以及胸外按压合格率均较操作训练前有显著改善。实验组在胸外按压中断时间、人工气道建立时间、第1次除颤实施时间以及静脉通道建立时间上均短于对照组,学员对课程反馈评价实验组均优于对照组。结论:团队模拟训练能显著提高住院医师的高级生命支持培训效果。
OBJECTIVE: To explore the effect of team simulation training of regular residents in emergency senior life support training. Methods: All residents were trained in cardiopulmonary resuscitation, defibrillation and endotracheal intubation. A total of 60 residents trained in standardization were randomly divided into experimental group and control group. In the experimental group, a team of 5 was used to train the team and a control group of the traditional training model. After the training, Statistical analysis of two sets of test scores. Results: There was no significant difference in the establishment of artificial airway, defibrillation operation and establishment of venous access during the two examinations. There was no significant difference between the two groups in the first examination results showing the single operation of chest compressions. There are pressing the frequency too fast, the depth of the pressure is too shallow, not enough rebound, press the score too low. After operation training, the average pressing frequency, average depth of compression, the rate of thoracic rebound, the average compression score and the rate of chest compression were significantly improved after operation training. The experimental group in the chest compression time, artificial airway establishment time, the first defibrillation implementation time and venous access time were shorter than the control group, students feedback evaluation of the experimental group were better than the control group. Conclusion: Team simulation training can significantly improve residency senior life support training effectiveness.