【摘要】 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。更多还原

【Abstract】 Objective To explore the Endotracheal Intubation Skills of Pre-hospital Emergency Personnel in Guangzhou. Method Survey the Endotracheal Intubation Skills of 216 individuals who participate standardized training of pre-hospital emergency from March to June in Guangzhou. Results The rate of managed the endotracheal intubation skills of Pre-hospital Emergency Personnel was lower(51.9%) than that of doctors 74.1% (P<0.001). However, the rate of managed tracheal intubation skill of nurses was 29.6%. The rate of managed the endotracheal intubation skills of pre-hospital emergency doctors from level 3 hospitals was significantly higher than that of pre-hospital emergency doctors from level 2 hospitals(88.2% vs 50%, P<0.001). In some hospitals, tracheal intubation was practiced mainly by anesthesia doctors. 98.1% of hospital emergency vehicle was not equipped with else advanced airway devices, such as laryngeal mask, esophageal-tracheal combitube. Conclusion The rate of managed the endotracheal intubation skills of pre-hospital emergency personnel was low. There was a big difference in managed the endotracheal intubation skill between the pre-hospital emergency doctors from hospital of different levels. In order to truly improve the overall level of pre-hospital emergency service of Guangzhou city, unify and standardize the endotracheal intubation skills training in pre-hospital emergency personnel is urgently needed.更多还原