探讨四川省甘孜藏族自治州儿科医师接受新生儿复苏类继续医学教育培训情况及新生儿复苏技能掌握情况，以便进一步完善对口支援培训计划，建立培训长效机制。

选择2015年8月24～26日参加四川省甘孜藏族自治州人民医院举办的国家级继续医学教育培训的112名儿科医师为研究对象。按照儿科医师工作医院级别，将其分为地市级医院组(n＝68)和区县级医院组(n＝44)。采用自行设计的《甘孜藏族自治州科儿科医师新生儿复苏技能调查表》对被调查者近5年(2010－2015年)接受新生儿复苏类继续医学教育情况及新生儿复苏技能知识，包括新生儿复苏状况判断、复苏技能操作、复苏效果判断、气管插管指征及药物应用共计5项知识的掌握情况进行调查，并对调查结果进行统计学分析。

①本研究调查问卷有效回收率为100.0%(112/112)。②两组儿科医师年龄、学历及职称构成比等基本资料比较，差异均无统计学意义(P>0.05)。③地市级医院组儿科医师近5年接受新生儿复苏类继续医学教育比例为60.3%(41/68)，明显高于区县级医院组的34.1%(15/44)，二者比较，差异有统计学意义(χ²＝7.337，P＝0.007)。两组儿科医师近5年接受的新生儿复苏类继续医学教育培训级别及是否进行模拟操作培训培训比较，差异均无统计学意义(P>0.05)。④地市级医院组儿科医师复苏技能操作及复苏效果判断知识掌握率分别为41.2%(28/68)与39.7%(27/68)，均明显高于区县级医院组的22.7%(10/44)与20.5%(9/44)，并且差异均有统计学意义(χ²＝4.056，P＝0.044；χ²＝4.539，P＝0.033)；而两组新生儿复苏状况判断、气管插管指征及药物应用知识掌握率比较，差异均无统计学意义(P>0.05)。

四川省甘孜藏族自治州儿科医师新生儿复苏技能掌握程度较差。该地区举办新生儿复苏类继续医学教育的频率和培训级别均有待进一步提高，需要采取各种培训方式进行针对性培训，以提高该地区儿科医师新生儿复苏技能掌握程度。

To investigate the demands and skills of continuing medical education about neonatal resuscitation of pediatricians working in Ganzi Tibetan Autonomous Prefecture, Sichuan Province, in order to improve the partner assistance training plans and build the permanent mechanisms of training.

From August 24 to 26, 2015, a total of 112 pediatricians who attended the continuing medical education in Ganzi Tibetan Autonomous Prefecture People's Hospital, Sichuan Province were included into this study. They were divided into two groups according to the degrees of hospitals they worked in, municipal level hospital group (n=68) and county level hospital group (n=44). Questionnaire on Neonatal Resuscitation Skill of Pediatricians Working in Ganzi Tibetan Autonomous Prefecture was self-designed and was used to collect their basic information (age, educational background, professional title and situation of continuing medical education about neonatal resuscitation during 2011-2015) and skills about neonatal resuscitation (neonatal birth condition judgment, resuscitation skills, evaluation of resuscitation effect, indication of tracheal intubation and drug application). And these results of the survey were compared statistically between two groups.

①The effective response rate of questionnaire was 100.0% (112/112). ②There were no significant differences between two groups among the aspects of age, ratio of educational background and professional title (P>0.05). ③The rate of pediatricians in municipal level hospital group who received continuing medical education about neonatal resuscitation during 2011-2015 was 60.3% (41/68), which was apparently higher than that of 34.1% (15/44) in county level hospital group, and the difference was statistically significant (χ²=7.337, P=0.007). There were no significant differences between two groups in levels of continuing medical education about neonatal resuscitation pediatricians received, and the rates of receiving simulation operations during the past 5 years (P>0.05). ④The rates of resuscitation skills and evaluation of resuscitation effect pediatricians in municipal level hospital group grasped were 41.2% (28/68) and 39.7% (27/68), respectively, which both were apparently higher than those of 22.7% (10/44) and 20.5% (9/44), respectively in county level hospital group, and both the differences were statistically different (χ²=4.056, P=0.044; χ²=4.539, P=0.033). There were no significant differences between two groups in the rates of neonatal birth condition judgment, indication of tracheal intubation and drug application pediatricians grasped (P>0.05).

The neonatal resuscitation skills of pediatricians working in Ganzi Tibetan Autonomous Prefecture, Sichuan Province was poor. It is necessary to improve the training frequency and degree of continuing medical education about neonatal resuscitation, and take a variety of training methods adjusted to this area to improve the degree of neonatal resuscitation skills of pediatricians.