A virtual simulation system-based teaching method for the experimental course of oral local nerve block anesthesia

Cao Yubin; Yang Chao; Men Yi; Wang Peng; Zeng Wei; Zhu Guiquan; Xia Chaohong; Liu Lei; Xie Huixu

doi:10.3760/cma.j.cn116021-20230412-01592

您当前的位置：

首页 >

文章列表页 >

A virtual simulation system-based teaching method for the experimental course of oral local nerve block anesthesia

Teaching Reform | 更新时间：2024-02-27

- A virtual simulation system-based teaching method for the experimental course of oral local nerve block anesthesia
- Chinese Journal of Medical Education Research Vol. 23, Issue 1, Pages: 74-77(2024)
- 作者机构：
  
  口腔疾病防治全国重点实验室/国家口腔医学中心/国家口腔疾病临床医学研究中心/四川大学华西口腔医学院/口腔颌面外科学教研室，成都　610041
- 作者简介：
  
  Xie Huixu, Email: aitian007@126.com
- 基金信息：
  
  University-Industry Collaborative Education Program, Department of Higher Education, Ministry of Education(202101099028);Virtual Simulation Experimental Teaching Project of Sichuan University(2020043)
- DOI：10.3760/cma.j.cn116021-20230412-01592
  CLC： R782.05⁺4
- Published：20 January 2024，
  
  Received：12 April 2023，
扫描看全文
曹钰彬, 杨超, 门乙, 等. 基于虚拟仿真系统的口腔局部神经阻滞麻醉实验课教学改革[J]. 中华医学教育探索杂志, 2024, 23(1): 74-77.

Cao Yubin, Yang Chao, Men Yi, et al. A virtual simulation system-based teaching method for the experimental course of oral local nerve block anesthesia. [J]. Chinese Journal of Medical Education Research 23(1):74-77(2024)
曹钰彬, 杨超, 门乙, 等. 基于虚拟仿真系统的口腔局部神经阻滞麻醉实验课教学改革[J]. 中华医学教育探索杂志, 2024, 23(1): 74-77. DOI： 10.3760/cma.j.cn116021-20230412-01592.

Cao Yubin, Yang Chao, Men Yi, et al. A virtual simulation system-based teaching method for the experimental course of oral local nerve block anesthesia. [J]. Chinese Journal of Medical Education Research 23(1):74-77(2024) DOI： 10.3760/cma.j.cn116021-20230412-01592.

摘要

目的

探究基于虚拟仿真系统的口腔局部神经阻滞麻醉实验教学方法对于传统教学方法的提升作用。

方法

将118名口腔医学本科生随机分为两组，试验组采用基于虚拟仿真系统的教学，对照组采用传统教学。通过课程反馈问卷、理论测试成绩分析、实施麻醉和接受麻醉的学员对本次麻醉的评价，以及教师对麻醉成功与否的评价来综合评估教学结果，采用SPSS 23.0进行

检验和卡方检验。

结果

两组学员基线水平无明显差异。试验组学员认为学习的生动性更高（

=4.24，

=0.005），对局麻的自信心也更强（

=4.99，

0.001）。试验组自我感觉注射过程中针尖抖动更少（

=2.22，

=0.048），与下颌骨内侧骨面接触更好（

=2.22，

=0.020）。接受麻醉的学员反映试验组注射时针尖刺痛感较轻（

=1.99，

=0.029），下牙槽神经麻醉的效果较好（

=3.36，

=0.039）。教师评估发现试验组的下牙槽神经阻滞失败率明显低于试验组（

=4.40，

=0.036）。

结论

虚拟仿真系统可优化口腔局部神经阻滞麻醉实验教学并能取得良好的教学效果。

Abstract

Objective

To investigate the effect of the virtual simulation system-based teaching method for the experimental course of oral local nerve block anesthesia in improving the effect of traditional teaching methods.

Methods

One hundred and eighteen undergraduate dental students were randomly divided into two groups

the experimental group was taught using a virtual simulation-based system

and the control group was taught using traditional teaching. The results of the teaching were comprehensively evaluated through course feedback questionnaires

analysis of theoretical test scores

evaluations of the trainees administering and receiving anesthesia on the current anesthesia

and faculty evaluations of the success of the anesthesia

and t-tests and chi-square tests were performed using SPSS 23.0.

Results

There was no significant difference in baseline level between the two groups. The students in the experimental group thought that the learning was more vivid (

=4.24

=0.005) and had more self-confidence in local anesthesia (

=4.99

0.001). The students in the experimental group felt less needle tip jitter during injection (

=2.22

=0.048) and better contact with the medial surface of the mandible (

=2.22

=0.020). The students who received anesthesia reported less pain during injection (

=1.99

=0.029) and better anesthesia of the inferior alveolar nerve (

=3.36

=0.039) in the experimental group. Teacher assessment revealed that the experimental group had a significantly lower failure rate of inferior alveolar nerve block than the control group (

=4.40

=0.036).

Conclusions

The virtual simulation system can optimize the experimental teaching of oral local nerve block anesthesia and can achieve a satisfactory teaching effect.

关键词

口腔颌面外科局部麻醉虚拟仿真教学

Keywords

Oral and maxillofacial surgeryLocal anesthesiaVirtual simulationTeaching

references

Simon JF, Peltier B, Chambers D, et al. Dentists troubled by the administration of anesthetic injections: long-term stresses and effects [J]. Quintessence Int, 1994, 25(9): 641-646.

Rosenberg M, Orr DL, Starley ED, et al. Student-to-student local anesthesia injections in dental education: moral, ethical, and legal issues [J]. J Dent Educ, 2009, 73(1): 127-132. DOI: 10.1002/j.0022-0337.2009.73.1.tb04645.xhttp://dx.doi.org/10.1002/j.0022-0337.2009.73.1.tb04645.x.

Wong NSM, Yeung AWK, Li KY, et al. Non-pharmacological interventions for reducing fear and anxiety in patients undergoing third molar extraction under local anesthesia: systematic review and meta-analysis [J]. Int J Environ Res Public Health, 2022, 19(18): 11162. DOI: 10.3390/ijerph191811162http://dx.doi.org/10.3390/ijerph191811162.

Sjöström M, Brundin M. The effect of extra educational elements on the confidence of undergraduate dental students learning to administer local anaesthesia [J]. Dent J, 2021, 9(7): 77. DOI: 10.3390/dj9070077http://dx.doi.org/10.3390/dj9070077.

王振慧，杨宏业. 虚拟仿真技术在口腔医学教育中的应用[J]. 口腔医学研究， 2022， 38（9）： 811-814. DOI: 10.13701/j.cnki.kqyxyj.2022.09.003http://dx.doi.org/10.13701/j.cnki.kqyxyj.2022.09.003.

Suebnukarn S, Haddawy P, Rhienmora P, et al. Augmented kinematic feedback from haptic virtual reality for dental skill acquisition [J]. J Dent Educ, 2010, 74(12): 1357-1366. DOI: 10.1002/j.0022-0337.2010.74.12.tb05011.xhttp://dx.doi.org/10.1002/j.0022-0337.2010.74.12.tb05011.x.

高阳，赵沁平，周学东，等. 虚拟现实技术在新医科人才培养中的作用及应用现状[J]. 四川大学学报（医学版）， 2021， 52（2）： 182-187. DOI: 10.12182/20210260301http://dx.doi.org/10.12182/20210260301.

付明明，王治乾. 仿真模拟结合PBL教学在内科实习临床带教中的应用研究[J]. 中华医学教育探索杂志， 2022， 21（10）： 1357-1360. DOI: 10.3760/cma.j.cn116021-20201222-01035http://dx.doi.org/10.3760/cma.j.cn116021-20201222-01035.

魏高峰，郭强，职康康，等. 基于仿真胸腔生物力学特性的新型模拟人在心肺复苏教学训练中的应用[J]. 中华医学教育探索杂志， 2023， 22（1）： 99-103. DOI: 10.3760/cma.j.cn116021-20211213-01148http://dx.doi.org/10.3760/cma.j.cn116021-20211213-01148.

Moussa R, Alghazaly A, Althagafi N, et al. Effectiveness of virtual reality and interactive simulators on dental education outcomes: systematic review [J]. Eur J Dent, 2022, 16(1): 14-31. DOI: 10.1055/s-0041-1731837http://dx.doi.org/10.1055/s-0041-1731837.

袁重阳，王晓燕，董艳梅，等. 数字化虚拟仿真培训系统用于髓腔冠部预备临床前教学的效果评价[J]. 中华口腔医学杂志， 2021， 56（5）： 479-484. DOI: 10.3760/cma.j.cn112144-20200831-00485http://dx.doi.org/10.3760/cma.j.cn112144-20200831-00485.

潘剑，张壮. 口腔局部麻醉的并发症及其防治[J]. 国际口腔医学杂志， 2012， 39（2）： 141-144. DOI: 10.3969/j.issn.1673-5749.2012.02.001http://dx.doi.org/10.3969/j.issn.1673-5749.2012.02.001.

Marei HF, Al-Jandan BA. Simulation-based local anaesthesia teaching enhances learning outcomes [J]. Eur J Dent Educ, 2013, 17(1): e44-e48. DOI: 10.1111/j.1600-0579.2012.00760.xhttp://dx.doi.org/10.1111/j.1600-0579.2012.00760.x.

周学东，张凌琳，叶玲，等. 虚拟仿真技术在口腔医学教育领域的应用[J]. 实验技术与管理， 2014， 31（5）： 4-6， 16. DOI: 10.16791/j.cnki.sjg.2014.05.002http://dx.doi.org/10.16791/j.cnki.sjg.2014.05.002.

Lee JS, Graham R, Bassiur JP, et al. Evaluation of a local anesthesia simulation model with dental students as novice clinicians [J]. J Dent Educ, 2015, 79(12): 1411-1417. DOI: 10.1002/j.0022-0337.2015.79.12.tb06040.xhttp://dx.doi.org/10.1002/j.0022-0337.2015.79.12.tb06040.x.

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Establishment and practice of virtual simulation experimental teaching platform of Health Management

Implementation of a hierarchical teaching model guided by "residency-specialty integration" in the training base of oral and maxillofacial surgery

Comparison of postgraduate global health courses in the context of China participating in global health governance

Application of WeChat group combined with case-based learning in probation teaching of vascular surgery

Application of digital 3D printed model combined with case-based learning in practice teaching of oral and maxillofacial surgery

Related Author

Wang Minghan

Zhang An

Sun Jijia

Zhao Hailei

Li Lianxiang

Yang Rong

Zhen Jinze

Wang Yexin

Related Institution

Shanghai Traditional Chinese Medicine Health Service Collaborative Innovation Center, Shanghai University of Traditional Chinese Medicine

School of Public Health, Shanghai University of Traditional Chinese Medicine

Master Degree Candidate, Public Health, School of Public Health, Shanghai University of Tradition Chinese Medicine

Department of Oral and Maxillofacial Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine; College of Stomatology, Shanghai Jiao Tong University; National Center for Stomatology; National Clinical Research Center for Oral Diseases; Shanghai Key Laboratory of Stomatology; Shanghai Research Institute of Stomatology

Discipline Research Office of School of Public Health, Fudan University

⁰