中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2015年
1期
162-163,165
,共3页
可视喉镜%气管插管术%住院医师规范化培训%教学
可視喉鏡%氣管插管術%住院醫師規範化培訓%教學
가시후경%기관삽관술%주원의사규범화배훈%교학
Video laryngoscope%Tracheal intubation%The standardized residents training in hospital%Teaching
目的：探讨可视喉镜在临床住院医师规范化培训的气管内插管教学应用与效果。方法：2011年1月-2013年12月选择规范化培训临床住院医师40名，均为非麻醉专业，采用可视喉镜实施气管内插管教学，时间2个月(8周)；分析两组的独立插管考核及问卷调查情况。结果：可视喉镜组暴露声门及1次插管成功率达到96.25%，而插管即刻并发症(口腔咽黏膜与牙齿损伤)及术后咽痛等并发症发生率仅1.25%，与直接喉镜组的(87.5%、85%、7.5%)比较差异有统计学意义(P＜0.05)；综合考核平均得分，可视喉镜组(94.07±1.70)，直接喉镜组(91.20±1.96)，差异有统计学意义(P＜0.001)；问卷调查结果显示，学生对可视喉镜行气管插管的教学法比较满意，认为可视化对气管插管解剖结构知识的理解和记忆、对操作学习的兴趣、临床实际操作能力提高明显，整体评价与传统的直接喉镜教学法比较，差异有统计学意义(P＜0.001)。结论：可视喉镜运用于临床住院医师规范化培训的气管内插管教学，能提高临床医师的临床基本技能，值得在麻醉科的临床带教工作中推广应用。
目的：探討可視喉鏡在臨床住院醫師規範化培訓的氣管內插管教學應用與效果。方法：2011年1月-2013年12月選擇規範化培訓臨床住院醫師40名，均為非痳醉專業，採用可視喉鏡實施氣管內插管教學，時間2箇月(8週)；分析兩組的獨立插管攷覈及問捲調查情況。結果：可視喉鏡組暴露聲門及1次插管成功率達到96.25%，而插管即刻併髮癥(口腔嚥黏膜與牙齒損傷)及術後嚥痛等併髮癥髮生率僅1.25%，與直接喉鏡組的(87.5%、85%、7.5%)比較差異有統計學意義(P＜0.05)；綜閤攷覈平均得分，可視喉鏡組(94.07±1.70)，直接喉鏡組(91.20±1.96)，差異有統計學意義(P＜0.001)；問捲調查結果顯示，學生對可視喉鏡行氣管插管的教學法比較滿意，認為可視化對氣管插管解剖結構知識的理解和記憶、對操作學習的興趣、臨床實際操作能力提高明顯，整體評價與傳統的直接喉鏡教學法比較，差異有統計學意義(P＜0.001)。結論：可視喉鏡運用于臨床住院醫師規範化培訓的氣管內插管教學，能提高臨床醫師的臨床基本技能，值得在痳醉科的臨床帶教工作中推廣應用。
목적：탐토가시후경재림상주원의사규범화배훈적기관내삽관교학응용여효과。방법：2011년1월-2013년12월선택규범화배훈림상주원의사40명，균위비마취전업，채용가시후경실시기관내삽관교학，시간2개월(8주)；분석량조적독립삽관고핵급문권조사정황。결과：가시후경조폭로성문급1차삽관성공솔체도96.25%，이삽관즉각병발증(구강인점막여아치손상)급술후인통등병발증발생솔부1.25%，여직접후경조적(87.5%、85%、7.5%)비교차이유통계학의의(P＜0.05)；종합고핵평균득분，가시후경조(94.07±1.70)，직접후경조(91.20±1.96)，차이유통계학의의(P＜0.001)；문권조사결과현시，학생대가시후경행기관삽관적교학법비교만의，인위가시화대기관삽관해부결구지식적리해화기억、대조작학습적흥취、림상실제조작능력제고명현，정체평개여전통적직접후경교학법비교，차이유통계학의의(P＜0.001)。결론：가시후경운용우림상주원의사규범화배훈적기관내삽관교학，능제고림상의사적림상기본기능，치득재마취과적림상대교공작중추엄응용。
Objective:To explore the application and effect of teaching of video laryngoscope in standardized training of residents for endotracheal intubation in the clinical.Methods:40 standardized training of clinical resident physicians were selected from January 2011 to December 2013.They were not anesthesia professional.Endotracheal intubation teaching was implemented using video laryngoscope,and time was 2 months (8 weeks).40 standardized training of clinical resident physicians were selected from January 2008 to December 2010.They were not anesthesia professional,endotracheal intubation teaching was implemented using the traditional laryngoscope,and time was 2 months(8 weeks).We analyzed the independent intubation examination and questionnaire survey situation of the two groups.Results:In the video laryngoscope group,the success rate of exposure of the glottis and 1 time of intubation reached 96.25%,while the intubation complications(oral and pharyngeal mucosa and dental injury) and the occurrence of sore throat and other postoperative complication rate was 1.25% ;compared with the direct laryngoscope group(87.5%,85%,7.5%),the difference was statistically significant(P<0.05).For the average synthesis assessment scoring,video laryngoscope group was (94.07 ± 1.70),and direct laryngoscope group was (91.20 ± 1.96);the difference was statistically significant(P<0.001).The questionnaire survey results showed that video laryngoscope in anesthetic endotracheal intubation teaching method was satisfactory.They thought that visualization can significantly improve the tracheal intubation comprehension and memory of anatomical structure of knowledge,the interest for learning operation,clinical ability of practical operation. Compared with direct laryngoscope for traditional teaching method of overall evaluation,the difference was statistically significant(P<0.001).Conclusion:Video laryngoscope intubation teaching in clinical application of the standardized training of residents of the trachea can improve the clinical basic skills of clinicians.It is worthy of application in clinical anesthesiology teaching.
