CAJ | 학술논문

目的：评价临床进修与短期强化模拟培训相结合的模式在妇科宫腔镜技能培训中的效果。方法将2012年1月至2012年12月在北京妇产医院妇科微创中心接受宫腔镜培训的初学学员根据培训模式不同分为两组；组1（临床进修组），参加3个月的宫腔镜临床进修学习，共24人；组2（临床进修+短期强化模拟培训组），临床进修3个月，其中包括1周宫腔镜技能强化模拟培训，共22人。培训结束后，两组均行宫腔镜技能操作考核，对各项考核指标采用等级评分。两组间各指标得分均值的比较选用秩和检验，P<0.05则表示差异有统计学意义。结果与组1相比，组2在宫腔镜时间控制（P=0.03）、镜下操作前瞻性（P=0.02）、手术操作准确性（P=0.00）、术中特殊情况处理（P=0.04）方面掌握得更好，得分更高。结论临床进修与短期强化模拟培训相结合的模式能明显提高宫腔镜技能培训效果，值得推广应用。
목적：평개림상진수여단기강화모의배훈상결합적모식재부과궁강경기능배훈중적효과。방법장2012년1월지2012년12월재북경부산의원부과미창중심접수궁강경배훈적초학학원근거배훈모식불동분위량조；조1（림상진수조），삼가3개월적궁강경림상진수학습，공24인；조2（림상진수+단기강화모의배훈조），림상진수3개월，기중포괄1주궁강경기능강화모의배훈，공22인。배훈결속후，량조균행궁강경기능조작고핵，대각항고핵지표채용등급평분。량조간각지표득분균치적비교선용질화검험，P<0.05칙표시차이유통계학의의。결과여조1상비，조2재궁강경시간공제（P=0.03）、경하조작전첨성（P=0.02）、수술조작준학성（P=0.00）、술중특수정황처리（P=0.04）방면장악득경호，득분경고。결론림상진수여단기강화모의배훈상결합적모식능명현제고궁강경기능배훈효과，치득추엄응용。
Objective To evaluate effect of clinical study combined with short-term intensive simulation on training of hysteroscopy technology. Methods Trainees receiving training of hystero-scopy technology from the January to December 2012 in Gynecology Minimally Invasive Center, Bei-jing Gynecology and Obstetrics Hospital Affiliated to Capital Medical University were enrolled and di-vided into two groups depending on the different training modes. Twenty-four trainees in group1 par-tic-ipated in three-month hysteroscopic clinical study program. Twenty-two trainees in group2 partici-pated in three-month clinical study program including one-week short term intensive simulation. After the training, the effect was evaluated by the rating scale and the Rank sum test was used for statisti-cal analysis. P<0.05 signifies statistically significant difference. Results The operation time(P=0.03), forward planning (P=0.02), instrument handing (P=0.00) and knowledge of specific procedure (P=0.04) were improved significantly in group 2 compared with those in group 1. Conclusions The training mode of clinical study combined with the short-term intensive simulation can improve hys-teroscopy technology effectively and should be widely applied.