CAJ | 학술논문

目的探讨八年制临床医学专业学生第4至第5学年非手术定向腹腔镜模拟训练的可行性.方法选取我校八年制临床医学专业9名学生为学生组,40岁以上的5名志愿者为高龄组、18岁以下的5名志愿者为低龄组,进行非手术定向模拟腹腔镜训练操作,每人训练5轮,对完成时间、准确率及水平持镜时间比三种主要参数进行记录和统计分析.结果培训前,三组人员在准确率及水平持镜时间比两个参数间差异无统计学意义.完成时间高龄组最长、低龄组最短,三组之间差异有统计学意义.培训后,低龄组完成时间最短,学生组及低龄组很快达到学习曲线的平台期.结论腹腔镜模拟训练可以提高具有不同临床经验参与者的腹腔镜操作技巧,在八年制临床医学专业学生的实习阶段进行非手术定向模拟腹腔镜训练是可行的.
목적 탐토팔년제림상의학전업학생제4지제5학년비수술정향복강경모의훈련적가행성.방법 선취아교팔년제림상의학전업9명학생위학생조,40세이상적5명지원자위고령조、18세이하적5명지원자위저령조,진행비수술정향모의복강경훈련조작,매인훈련5륜,대완성시간、준학솔급수평지경시간비삼충주요삼수진행기록화통계분석.결과 배훈전,삼조인원재준학솔급수평지경시간비량개삼수간차이무통계학의의.완성시간고령조최장、저령조최단,삼조지간차이유통계학의의.배훈후,저령조완성시간최단,학생조급저령조흔쾌체도학습곡선적평태기.결론 복강경모의훈련가이제고구유불동림상경험삼여자적복강경조작기교,재팔년제림상의학전업학생적실습계단진행비수술정향모의복강경훈련시가행적.
Objective To explore the feasibility of nonprocedural laparoscopic training in 4th and 5th year of eight year medical student. Methods Nine eight-year program medical students were selected as student group. The other two groups were 5 volunteers age over 40 or below 18, belonged to younger and elder group separately. Nonprocedure simulation was used in these groups, 5 runs for each participant. The execution time, accuracy rate and maintenance of horizontal view time ratio were recorded and compared statistically. Results Before the training, the accuracy rate and the maintenance of horizontal view time ratio of the three groups were almost the same. Due to the duration time, the elder group was the longest, while the younger one was the shortest. There was a significants difference of these three groups. After the training, the execution time of the younger group was the shortest. Both the student group and the younger group reached the smooth area of learning curve. Conclusions Laparoscopic training can improve the lap-aroscopic skills of trainees of different ages. It is feasible to use nonprocedural simulation for eight-year pro-gram medical students.