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目的:通过对全省产科适宜技术培训效果的评价,为改进今后全省产科适宜技术培训方法与内容提供科学依据。方法:对2003年以来参加过福建省产科适宜技术培训的全体学员发放“福建省产科适宜技术培训后调查问卷”。结果:培训后新应用于临床的十项理论:依次排列为头位难产、重度妊高征、宫缩剂产前应用、产后出血、产科出血、胎儿宫内窘迫、产科休克、剖宫产、孕期用药与优生、糖尿病;培训后新开展的五项操作:依次排列为新生儿复苏、肩难产、胎儿监护、阴道助产术、产程观察;培训后新开展的新生儿疾病防治依次排列为新生儿缺氧缺血性脑病、高危新生儿早期识别和处理、早产儿的十大问题、新生儿高胆红素;对再次培训时的具体要求以“理论与临床实践相结合”最多为14.4%,其次为“增加技术培训”和“提供最新进展知识”均为6.8%。结论开展产科适宜技术培训有助于产科人员理论知识、操作技能的提高和推进单位开展新项目。
OBJECTIVE: To provide a scientific basis for improving the method and content of appropriate technical training in obstetrics in the province by appraising the effect of appropriate technical training in obstetrics in the province. Methods: All trainees who participated in the appropriate technical training in obstetrics of Fujian Province since 2003 were awarded the Questionnaire on Post-Appropriate Technical Training in Obstetrics and Gynecology of Fujian Province. Results: Ten new theories were applied to clinical practice after training: dystocia, severe pregnancy-induced hypertension, preterm application of uterotonics, postpartum hemorrhage, obstetric hemorrhage, fetal distress, obstetric shock, cesarean section, Pregnancy medication and eugenics, diabetes mellitus; after the training of the five new operations: followed by neonatal resuscitation, shoulder dystocia, fetal monitoring, vaginal midwifery, labor observation; new training in neonatal disease prevention and control in turn arranged as a newborn Hypoxic-ischemic encephalopathy, early identification and treatment of high-risk newborns, ten problems of premature infants and neonatal hyperbilirubin; the specific requirements for re-training are based on the combination of theory and clinical practice up to 14.4%, followed by “increase technical training” and “provide the latest knowledge of progress” are 6.8%. Conclusion To carry out appropriate technical training of obstetrics is helpful for the improvement of theoretical knowledge and operation skills of obstetricians and promoting the units to carry out new projects.