| 《针灸临床特色技术》在基层中医培训中的实践与思考 |
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| 引用本文： | 乔敏,高希言,周艳丽,张大伟.《针灸临床特色技术》在基层中医培训中的实践与思考[J].中华全科医学,2020,18(7):1210-1213. |
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| 作者姓名： | 乔敏 高希言 周艳丽 张大伟 |
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| 作者单位： | 1. 四川大学华西医院特需医疗中心全科医学病房, 四川 成都 610041; |
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| 基金项目： | 河南省高等教育教学改革研究与实践课题(2019SJGLX077Y)河南省高等教育教学改革研究与实践课题(2017SJGLX072)河南省中医药科学研究专项课题(2018ZY2056) |
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| 摘 要： | 目的 探讨《针灸临床特色技术》在基层中医师培训中的可行性、培训方式与提高培训效率及效果方法的思考。 方法 将我校针灸名医的特色临床经验制作成多语种微视频在线课程——《针灸临床特色技术》，每个微视频设计用时15～18 min，包括理论、技术、操作3个部分。从录制的技术看，包括针刺、艾灸、穴位埋线、刺络放血、火针、针刀、穴位、手法等较全面的针灸特色技术；从病种看，涉及哮喘、失眠、中风、腰痛、颈椎病、膝关节骨性关节炎、类风湿性关节炎、肥胖症、面瘫、脑瘫、乳癖、痛经、大小便障碍、肩周炎等内外妇儿各科基层临床常见病。采取理论讲解、现场视频播放和现场实际操作相结合的方式对基层中医师进行培训。 结果 计划听课240人，实际现场听课262人，课后发放学员培训满意度调查表262份，回收262份，对这次培训方式满意的占95.2%，对培训内容满意的占98.1%；课程内容“符合我的工作和个人发展需要”的占92.2%；本次培训“是我迫切需求的”占90.3%；培训后“准备临床开展相关技术”的占87.2%。 结论 该培训内容和方式为基层医生提供了有效、安全的新技术，为学习者提供了更直观的学习体验。该课程能提高培训的效果和效率，让基层医师用更短的时间掌握更有用的技术，值得在基层推广应用。通过对基层中医师的培训，将临床有效的针灸技术带到基层，为基层中医师提供更多简、便、廉、验的医疗技术，让更多的百姓受益。
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| 关 键 词： | 针灸 基层 中医师 培训 |
| 收稿时间： | 2019-10-09 |
The practice and thinking of"clinical characteristic technique of acupuncture and moxibustion"in basic traditional Chinese medicine training |
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| Affiliation: | Department of Rehabilitation, the Third Affiliated Hospital of Henan University of Traditional Chinese Medicine;School of Acupuncture-Moxibustion and Tuina, Henan University of Chinese Medicine, Zhengzhou, Henan 450003, China |
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| Abstract: | Objective To discuss the feasibility, training method, improving training efficiency and effect method of "clinical characteristic technique of acupuncture and moxibustion" in the training of basic-level Chinese medicine doctors. Methods The featured clinical experience of famous acupuncture and moxibustion doctors in our school was made into a multilingual micro-video online course-"featured acupuncture and moxibustion clinical technology". Each micro-video took 15 to 18 min to design, including three parts:theory, technology and operation. From the perspective of recording techniques, it includes acupuncture, moxibustion, acupoint embedding, acupuncture and bloodletting, fire needle, acupoint, acupoint and manipulation, etc. From the disease, involving asthma, insomnia, stroke, lumbago, cervical spondylosis, knee osteoarthritis, rheumatoid arthritis, obesity, facial paralysis, cerebral palsy, milk addiction, dysmenorrhea, dysmenorrhea, periarthritis of shoulder and other internal and external maternal and child basic clinical diseases. The training of Chinese medicine doctors at the grass-roots level was carried out by combining theoretical explanation, live video broadcast and on-site practical operation. Results Two hundred and forty students planned to attend the training, 262 students actually attended the on-site class, 262 questionnaires were distributed after class, and 262 questionnaires were recovered. The 95.2% of them were satisfied with the training method and 98.1% with the training content. The 92.2% of the course content met my work and personal development needs. This training was 90.3% of my urgent need. After training, 87.2% of them were ready to carry out relevant techniques in clinical practice. Conclusion The contents and methods of the training provide effective and safe new technologies for primary doctors and provide more intuitive learning experience for learners. The course can improve the training effect and efficiency, and enable grassroots doctors to master more useful techniques in a short time, which is worth promoting and applying in the grassroots. Through the training of grassroots Chinese medicine doctors, the effective clinical acupuncture technology will be brought to the grassroots, to provide more simple, convenient, inexpensive, inexpensive medical technology for grassroots Chinese medicine doctors, so that more grassroots people benefit. |
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