中华医学杂志
中華醫學雜誌
중화의학잡지
National Medical Journal of China
2012年
18期
1285-1287
,共3页
白杨%智发朝%刘思德%陈村龙%潘德寿%杜许峰%张强%杜庆峰%肖冰%张亚历%姜泊
白楊%智髮朝%劉思德%陳村龍%潘德壽%杜許峰%張彊%杜慶峰%肖冰%張亞歷%薑泊
백양%지발조%류사덕%진촌룡%반덕수%두허봉%장강%두경봉%초빙%장아력%강박
结肠镜检查%计算机模拟%教学
結腸鏡檢查%計算機模擬%教學
결장경검사%계산궤모의%교학
Colonoscopy%Computer simulation%Teaching
目的 探讨AccuTouch(R) EndoscopySimulator内镜仿真模拟系统训练出的结肠镜技能转移至患者的可行性.方法 将结肠镜初学者分为2组,对照组4名学员接受传统的内镜培训,实验组4名学员接受内镜仿真模拟系统培训.培训结束后,Mann-Whitney检验方法比较两组学员在各自最初10例查体患者结肠镜检查中的独立完成、辅助完成和不能完成情况.结果 两组学员性别、年龄差异均无统计学意义(均P＞0.05).实验组学历低于对照组(Z=-2.005,P=0.04).对照组和实验组的独立完成检查病例数分别为2例和4例；辅助完成检查病例数分别为9例和21例；不能完成检查病例数分别为29例和15例.秩和检验分析表明实验组优于对照组(平均秩为56.14比24.86,Z=-6.393,P=0.00).结论 学员从AccuTouch(R) Endoscopy Simulator内镜仿真模拟系统获得的结肠镜技能可转移至临床实践中,支持将仿真模拟系统纳入结肠镜培训课程中.
目的 探討AccuTouch(R) EndoscopySimulator內鏡倣真模擬繫統訓練齣的結腸鏡技能轉移至患者的可行性.方法 將結腸鏡初學者分為2組,對照組4名學員接受傳統的內鏡培訓,實驗組4名學員接受內鏡倣真模擬繫統培訓.培訓結束後,Mann-Whitney檢驗方法比較兩組學員在各自最初10例查體患者結腸鏡檢查中的獨立完成、輔助完成和不能完成情況.結果 兩組學員性彆、年齡差異均無統計學意義(均P＞0.05).實驗組學歷低于對照組(Z=-2.005,P=0.04).對照組和實驗組的獨立完成檢查病例數分彆為2例和4例；輔助完成檢查病例數分彆為9例和21例；不能完成檢查病例數分彆為29例和15例.秩和檢驗分析錶明實驗組優于對照組(平均秩為56.14比24.86,Z=-6.393,P=0.00).結論 學員從AccuTouch(R) Endoscopy Simulator內鏡倣真模擬繫統穫得的結腸鏡技能可轉移至臨床實踐中,支持將倣真模擬繫統納入結腸鏡培訓課程中.
목적 탐토AccuTouch(R) EndoscopySimulator내경방진모의계통훈련출적결장경기능전이지환자적가행성.방법 장결장경초학자분위2조,대조조4명학원접수전통적내경배훈,실험조4명학원접수내경방진모의계통배훈.배훈결속후,Mann-Whitney검험방법비교량조학원재각자최초10례사체환자결장경검사중적독립완성、보조완성화불능완성정황.결과 량조학원성별、년령차이균무통계학의의(균P＞0.05).실험조학력저우대조조(Z=-2.005,P=0.04).대조조화실험조적독립완성검사병례수분별위2례화4례；보조완성검사병례수분별위9례화21례；불능완성검사병례수분별위29례화15례.질화검험분석표명실험조우우대조조(평균질위56.14비24.86,Z=-6.393,P=0.00).결론 학원종AccuTouch(R) Endoscopy Simulator내경방진모의계통획득적결장경기능가전이지림상실천중,지지장방진모의계통납입결장경배훈과정중.
Objective To explore the feasibility of transferring the skills from the AccuTouch flexible endoscopy simulator colonoscopy training to clinical practices.Methods The novice colonoscopists were divided into 2 groups.Group A ( control group) including 4 trainees for traditional training,Group B (experimental group) including 4 trainees for simulator training.After training,we compared the number of cases for achieving independent competence,assisted competence and incompetence in the first ten patients.Results No significant differences existed between two groups in terms of age and gender ( both P ＞ 0.05 ).Significant differences existed in educational background and the controlled group was better than the experimental group ( Z =- 2.005,P =0.04 ). The cases of independent completion,assisted competence and incompetence of the control and experimental groups were 2,4,9 and 21,29,15respectively.Rank tests show that the simulator training was better than the traditional counterpart( average rank:56.14 vs 24.86,Z =- 6.393,P =0.00).Conclusions The skills acquired from AccuTouch(R) Endoscopy Simulator may be well transferred into the clinical colonoscopy environment.It clearly supports the scheme of integrating simulator training into colonoscopic education curricula.
