朱星华　郭勇

[摘要] 目的 总结基层医务人员骨质疏松知识培训的经验。 方法 对17家社区卫生服务中心300名基层医生组织骨质疏松知识进行健康宣传教育、定期规范化培训及考核。 结果 培训前社区医务人员对骨质疏松症的基本了解率为74.5%（224/300），对骨质疏松症相关专业知识总体掌握情况为42.0%（126/300）；培训后，约80.0%（240/300）医师初步掌握了骨质疏松症相关专业知识及诊疗新技术，培训医师对骨质疏松症的治疗规范率、技术明显提升，掌握情况达到80.0%（240/300）。 结论 加强基层医生对骨质疏松症防治知识的培训，能够提升基层医生骨质疏松规范化诊疗水平，对提升人群骨质疏松症的早期预防、诊治有重要意义。

[关键词] 骨质疏松症；新技术；推广；能力提升

[中图分类号] R683.4 [文献标识码] B [文章编号] 1673-9701（2017）26-0123-03

Practice and thinking on the ability improvement of osteoporosis primary training

ZHU Xinghua GUO Yong

Beijing Daxing District Integrated Traditional Chinese and Western Medicine Hospital， Beijing 100076， China

[Abstract] Objective To summarize the experience of osteoporosis knowledge training for primary medical staff. Methods The health education and education of 300 grassroots doctors' knowledge of tissue osteoporosis were carried out in 17 community health service centers. Regular training and assessment were carried out. The osteoporosis knowledge health education， regular standardized training and assessment were carried out in 300 grassroots doctors of the 17 community health service center. Results The basic understanding rate of osteoporosis in community medical staff before training was 74.5%（224/300）， and the overall situation of mastering related professional knowledge about osteoporosis was 42.0% （126/300）. After training， about 80.0% （240/300） physicians initially mastered the relevant knowledge of osteoporosis and new medical treatment technology. The treatment specification rate， and technology of physicians who were trained on osteoporosis were significantly improved， and mastering situation reached 80.0%（240/300）. Conclusion Strengthening the training of grassroots doctors on the prevention and treatment of osteoporosis can enhance the level of standardized treatment of osteoporosis of grassroots doctors， which has important significance in promoting the early prevention diagnosis and treatment of osteoporosis in the crowd.

[Key words] Osteoporosis； New technology； Promotion； Improvement of ability

骨質疏松症已成为全球性的公共健康问题，其并发症脆性骨折可使患者致残，严重影响患者的生活质量[1-3]。早期预防及诊治能够明显减少其发病率，提高治疗效果[4]。为遏制疾病发生，需要从三级医院、二级医院和基层医院的共同配合，形成“三、二、一”模式，把新技术尽快推广到基层医疗机构，使基层医务人员全面掌握新知识、新技术，更规范地诊治患者。社区卫生服务机构具有固定的人群、定期的随访、较强的疾病预防意识以及丰富的慢性病管理经验，应该成为骨质疏松症防治的主要阵地，而社区医务人员更应该成为骨质疏松症防治的“守门人”，但是北京市基层医生对骨质疏松症的预防和诊疗能力参差不齐，直接影响其防治效果，难以发挥慢性病防治主战场作用。……