三维虚拟仿真系统应用下妇科急症综合教学探索

罗曼文; 赵嘉慧; 陈雨柔; 熊家强; 易跃雄; 樊冠兰; 吕琼莹; 张蔚

doi:10.3760/cma.j.cn116021-20250106-02078

您当前的位置：

首页 >

文章列表页 >

三维虚拟仿真系统应用下妇科急症综合教学探索

临床教学 | 更新时间：2025-12-18

- 三维虚拟仿真系统应用下妇科急症综合教学探索
- Exploration of teaching comprehensive clinical thinking in gynecological emergencies using a 3D virtual simulation system
- 中华医学教育探索杂志 2025年24卷第12期页码：1701-1708
- 作者机构：
  
  武汉大学中南医院妇科，武汉 430071
- 作者简介：
  
  张蔚，Email：zw6676@163.com
- 基金信息：
  
  武汉大学实验技术项目(WHU-2023-SYJS-0007);武汉大学第二临床学院本科生临床实践教学资源建设项目(2023BK023)
- DOI：10.3760/cma.j.cn116021-20250106-02078
  中图分类号： R71;R-05
- 收稿：2025-01-06，
  
  纸质出版：2025-12-20
- 稿件说明：
移动端阅览
罗曼文, 赵嘉慧, 陈雨柔, 等. 三维虚拟仿真系统应用下妇科急症综合教学探索[J]. 中华医学教育探索杂志, 2025, 24(12): 1701-1708.

Luo Manwen, Zhao Jiahui, Chen Yurou, et al. Exploration of teaching comprehensive clinical thinking in gynecological emergencies using a 3D virtual simulation system[J]. Chinese Journal of Medical Education Research, 2025, 24(12): 1701-1708.
罗曼文, 赵嘉慧, 陈雨柔, 等. 三维虚拟仿真系统应用下妇科急症综合教学探索[J]. 中华医学教育探索杂志, 2025, 24(12): 1701-1708. DOI： 10.3760/cma.j.cn116021-20250106-02078.

Luo Manwen, Zhao Jiahui, Chen Yurou, et al. Exploration of teaching comprehensive clinical thinking in gynecological emergencies using a 3D virtual simulation system[J]. Chinese Journal of Medical Education Research, 2025, 24(12): 1701-1708. DOI： 10.3760/cma.j.cn116021-20250106-02078.

摘要

目的

探索使用三维虚拟仿真系统进行本科生妇科急症综合思维培训的教学应用效果。

方法

选取2024年3月至6月参与《妇产科学》本科课程学习的武汉大学第二临床学院190名学生，开展课后“异位妊娠破裂出血综合诊治虚拟仿真实验系统”自主学习。采用问卷调查的方法，回收154份问卷，了解虚拟仿真学习前后对妇科急症综合思维的掌握情况及对本系统的使用评价。数据采用SPSS 26.0进行

检验统计学分析。

结果

问卷结果显示，在使用虚拟仿真系统后，学生对异位妊娠的诊疗掌握能力及诊疗操作等自身能力评价均高于使用前（

0.001）；学生基本满意本系统各项性能与设计，基本认可本系统能够促进知识获得、培养医疗能力；129名学生（83.77%）愿意将本系统推荐给其他人使用，认为本系统具备自主性强、随时可学、锻炼诊疗思维等优势。

结论

异位妊娠破裂出血综合演练虚拟仿真系统对本科生妇科急症临床教学具有促进作用，可培养学生自主处理临床问题的能力，锻炼学生对阴道后穹窿穿刺操作的熟练度，得到学生普遍认可。

Abstract

Objective

To explore the impact of integrating a 3D virtual simulation system into undergraduate training for comprehensive clinical thinking in gynecological emergencies.

Methods

A total of 190 students from the Second Clinical College of Wuhan University who participated in the undergraduate course of Obstetrics and Gynecology from March to June 2024 were selected to carry out after-class self-learning with th

e "virtual simulation experimental system for comprehensive diagnosis and treatment of rupture and bleeding in ectopic pregnancy". A questionnaire survey was conducted and 154 valid responses were collected to evaluate the mastery of comprehensive clinical thinking in gynecological emergencies before and after virtual simulation learning

as well their evaluations of system usability. SPSS 26.0

test was used for statistical analysis.

Results

The self-assessed competencies in the diagnosis and treatment of ectopic pregnancy and related clinical operations significantly improved after learning with the virtual simulation system (

0.001). Overall

students were satisfied with the system's features and design

recognizing its role in enhancing knowledge acquisition and clinical skill development. Moreover

129 (83.77%) students were willing to recommend the system to others

believing that the system has the advantages of promoting self-learning

learning at any time

and enhancing diagnostic and clinical thinking.

Conclusions

The "virtual simulation experimental system for comprehensive diagnosis and treatment of rupture and bleeding in ectopic pregnancy" plays a role in promoting the clinical teaching of gynecological emergencies among undergraduates

cultivating their ability to deal with clinical problems independently

and enhancing their proficiency in posterior vaginal fornix puncture. This system has been widely recognized by students.

关键词

Keywords

references

付文广，邓家琦，钱保林，等 . 医学本科生见习教育现状的问卷调查与分析 [J ] . 中国高等医学教育， 2019 （ 11 ）： 35 - 36 . DOI: 10.3969/j.issn.1002-1701.2019.11.017 http://dx.doi.org/10.3969/j.issn.1002-1701.2019.11.017 .

冉淑君，康琼屹，汪嘉 , 等 . 复合树脂充填术虚拟仿真实训系统在口腔专业本科教学中的应用研究 [J ] . 中华医学教育探索杂志， 2023 ， 22 （ 12 ）： 1772 - 1776 . DOI: 10.3760/cma.j.cn116021-20230514-01517 http://dx.doi.org/10.3760/cma.j.cn116021-20230514-01517 .

丁晶，曾超美 . 虚拟现实技术在临床医学教育中的应用及思考 [J ] . 中国高等医学教育， 2019 （ 7 ）： 27 - 28 . DOI: 10.3969/j.issn.1002-1701.2019.07.014 http://dx.doi.org/10.3969/j.issn.1002-1701.2019.07.014 .

刘亚丰，苏莉，吴元喜，等 . 虚拟仿真教学资源建设原则与标准 [J ] . 实验技术与管理， 2017 ， 34 （ 5 ）： 8 - 10 . DOI: 10.16791/j.cnki.sjg.2017.05.003 http://dx.doi.org/10.16791/j.cnki.sjg.2017.05.003 .

Chong KY , de Waard L , Oza M , et al . Ectopic pregnancy [J ] . Nat Rev Dis Primers , 2024 , 10 ( 1 ): 94 . DOI: 10.1038/s41572-024-00579-x http://dx.doi.org/10.1038/s41572-024-00579-x .

杨孜 . 不要漠视涉及多学科的异位妊娠早孕期孕产妇死亡 [J ] . 中国计划生育和妇产科， 2022 ， 14 （ 5 ）： 3 - 6 . DOI: 10.3969/j.issn.1674-4020.2022.05.01 http://dx.doi.org/10.3969/j.issn.1674-4020.2022.05.01 .

宋晓晨，钟森 . 将课程思政融入妇产科学异位妊娠教学课程的探讨 [J ] . 中国继续医学教育， 2023 ， 15 （ 22 ）： 183 - 186 . DOI: 10.3969/j.issn.1674-9308.2023.22.040 http://dx.doi.org/10.3969/j.issn.1674-9308.2023.22.040 .

袁丽，陈宇 . 重视妇科临床见习各环节努力提高教学质量探寻 [J ] . 中国卫生产业， 2021 ， 18 （ 13 ）： 138 - 140 . DOI: 10.16659/j.cnki.1672-5654.2021.13.138 http://dx.doi.org/10.16659/j.cnki.1672-5654.2021.13.138 .

Liepert AE , Velic AJ , Rademacher B , et al . Proficiency development for graduating medical students, using skills-level-appropriate mastery learning versus traditional learning for chest tube placement: assessing anxiety, confidence, and performance [J ] . Surgery , 2019 , 165 ( 6 ): 1075 - 1081 . DOI: 10.1016/j.surg.2019.01.015 http://dx.doi.org/10.1016/j.surg.2019.01.015 .

Özdemir RC , Işık MT , Durukan H . Gynecology and obstetrics patients' attitudes towards body privacy: a cross-sectional-descriptive study [J ] . Int J Gynaecol Obstet , 2025 , 169 ( 1 ): 224 - 231 . DOI: 10.1002/ijgo.16070 http://dx.doi.org/10.1002/ijgo.16070 .

Edmonds K , Warner S , Endicott S . Advances in gynecologic simulation: implementation, validity, and new resources [J ] . Curr Opin Obstet Gynecol , 2024 , 36 ( 4 ): 296 - 300 . DOI: 10.1097/GCO.0000000000000963 http://dx.doi.org/10.1097/GCO.0000000000000963 .

浏览量

下载量

CSCD

文章被引用时，请邮件提醒。

提交

工具集

关联资源

医文交叉课程建设与实践：以“基因的旋律”课程为例

基于四位一体翻转课堂的3D技术辅助教学在神经外科临床教学中的应用

多层次护理特色病例库在护理专业型研究生临床教学中的应用效果

医学国家虚拟仿真实验教学课程使用现状及影响因素研究