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目的 探讨医学模拟教学提高医务人员临床技能的有效性与局限性.方法 采用医学模拟教学方法与传统授课方法分别对医务人员开展徒手心肺复苏( cardiopulmonary resuscitation,CPR)、胸腹(膜)腔穿刺术、骨髓腔穿刺术、中心静脉置管术、气管插管、呼吸机使用6项专项临床技能的培训和考核,比较两种教学方法下两组医务人员的成绩,以评价模拟培训教学的效果.结果 两组医务人员的骨髓腔穿刺术、中心静脉置管术、气管插管3项成绩比较,其差异无统计学意义；而徒手心肺复苏、胸腹(膜)腔穿刺术、呼吸机使用3项成绩比较,其采用医学模拟教学方法的医务人员成绩高于传统授课方法的医务人员成绩,差异有统计学意义,P＜0.05.结论 医学模拟教学对提高医务人员临床技能水平具有一定效果,有一定推广价值,但是也有其局限性.

Objective To explore the availability and limitation of medical simulation teaching to improve medical staffs' clinical skills.Methods The medical staffs were randomly distributed to the traditional team and simulation teaching team.The teaching effect was estimated by the monomial manipulation of cardiopulmonary resuscitation,thoracocentesis,abdominocentesis,bone marrow puncture,indwelling central veins catheters,trachea cannula and using breathing machine through statistical analysis.Results There was no statistical significance in bone marrow puncture,indwelling central veins catheters and trachea cannula between the control and simulation teaching teams.However,the achievement of cardiopulmonary resuscitation,thoracocentesis,abdominocentesis and using breathing machine in simulation teaching teams were significantly higher than the control.Conclusions Medical simulation teaching takes a certain extent effect on elevating the medical staffs' clinical skills.There is value to spread,but has limitation.