The application of visualization techniques in clinical education of anesthesia resident standardizing training

您当前的位置：

首页 >

文章列表页 >

The application of visualization techniques in clinical education of anesthesia resident standardizing training

更新时间：2024-09-19

- The application of visualization techniques in clinical education of anesthesia resident standardizing training
- Vol. 17, Issue 8, (2018)
- 作者机构：
  
  1. 上海交通大学医学院附属第九人民医院麻醉科（严佳
  2. 胡蓉
  3. 黄燕
  4. 姜虹），住院医师规范化培训办公室（王欣倍）
- 作者简介：
- 基金信息：
- DOI：
  CLC：
- Published：2018，
- 稿件说明：
移动端阅览
The application of visualization techniques in clinical education of anesthesia resident standardizing training. [J]. 17(8).(2018)
DOI：

The application of visualization techniques in clinical education of anesthesia resident standardizing training. [J]. 17(8).(2018) DOI：

摘要

目的　探讨可视化技术在麻醉学住院医师规范化培训中的应用效果。方法　将50名接受住院医师规范化培训的临床医师随机分为对照组和可视组进行临床麻醉教学，每组25人。对照组采用传统喉镜进行气管内插管教学，以及采用传统“盲穿”法进行股静脉穿刺置管教学；可视组采用可视喉镜进行气管内插管教学，以及采用超声引导技术进行股静脉穿刺置管教学。教学后2组学员分别对模拟人进行实训以及对患者进行临床实践。记录各组完成操作所用时间、成功率和并发症发生率，并绘制相应学习曲线。采用GraphPad Prism 6进行统计分析，组间数据比较采用t检验或χ2 检验。结果　对照组和可视组学员对模拟人完成气管内插管时间分别为（45.1±16.3） s、（32.8±13.4） s（P<0.05），且可视组学习曲线下降较快。对照组和可视组学员对患者的气管内插管时间分别为（44.1±10.1）s、（36.7±9.8） s（P<0.05），可视组口腔内出血及术后咽痛等并发症发生率显著低于对照组（P<0.05）。对照组和可视组学员完成股静脉穿刺置管时间分别为（11.7±2.4） min、（10.6±2.5） min（P<0.05）；而对照组穿刺成功率为76.8%、可视组为89.6%（P<0.05），且可视组误穿动脉发生率显著低于对照组（P<0.05）；可视组学习曲线下降较对照组快。结论　可视化技术为麻醉学住院医师规范化培训提供了安全有效的教学手段和方法，具有广阔的应用前景

Abstract

Objective　To explore the applicative effects of visualization techniques in clinical education of anesthesia resident standardizing training. Methods　A total of 50 physicians who were receiv-ing resident standardizing training were recruited. They were randomly divided into the control group and visualization group with 25 residents each. The control group was taught to perform intratracheal intubation

using traditional laryngoscope and to perform indwelling catheter via femoral vein puncture

using traditional blind puncture method. The visualization group was taught to perform intratracheal intubation

using visual laryngoscope and to perform indwelling catheter via femoral vein puncture through ultrasound guidance method. Both groups conducted training on anthropomorphic dummy and patients. The operating time

success rates and incidence of complication were recorded. Learning curves were also graphed. GraphPad Prism 6 was used for statistical analysis. Data compared between groups were analyzed by t test and χ2 test. Results　The time of intratracheal intubating on anthropomorphic dummy in control group was (45.1±16.3) s and that in visualization group was (32.8±13.4) s (P<0.05). The learning curve decreased more quickly in visualization group. The time of intratracheal intubating on patients in control group was (44.1±10.1) s and that in visualization group was (36.7±9.8) s (P<0.05). Rates of complications such as oral bleeding and postoperative sore throat was lower in visualization group (P<0.05). The femoral catheterization time of control group was (11.7±2.4) min and that of visualization group was (10.6±2.5) min (P<0.05). The success rate of control group was 76.8% and that of visualization group was 89.6% (P<0.05). Furthermore

the rate of inadvertent arterial puncture was lower in visualization group (P<0.05)

and the learning curve decreased more quickly in visualization group. Conclusion　Visualization techniques can provide an effec-tive teaching method for anesthesia resident standardizing training and has broad prospects in application.

关键词

可视化技术　住院医师　麻醉学　规范化培训

Keywords

Visualization techniques　Resident　Anesthesiology　Standardizing training

references

Views

233

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Introducing positive psychology into resident standardized training

Research on primary and advanced levels of laparoscopic simulation training on improving laparoscopic skills of gynecologic residents with different seniority

Enlightenment of the training model of orthopedic residents in the US to orthopedics education in China

The application of SimMan 3G situational simulation method in anesthesiology teaching

Application of problem-based learning in clinical anesthesiology demonstration for clinical un-dergraduates

Related Author

陈涛

梁华茂　王一婷　王妍　姚颖　王彦洁　李圆　张坤　乔杰

王善安　代宇驰　戚世鹏　白洋　张德兵　杨友刚

程慧娴　张恺辰　鲁美静　金孝岠　郭文俊

杜权　张亚梅　但伶　刘祺　徐昆

刘力戈　郑志红　潘丽恩　万文慧

蒋鑫　徐海涛　石学银　蒋京京　赵凯　李莉　袁红斌

谢飞　闵苏

Related Institution

重庆医科大学附属第一医院

北京大学第三医院妇产科

重庆市九龙坡区人民医院骨科

皖南医学院第一附属医院麻醉科

北京协和医院心理医学科

⁰