高仿真模拟人在心肺复苏教学中的应用研究  

Application of high-fidelity human patient simulation in cardiopulmonary resuscitation （CPR） training of medical students

作　　者：陈志桥[1] 赵剡[1] 卢章洪[2] 蔡书翰[2] 赵树梁[2] 李海磊[2] 张凤玲[3] 

机构地区：[1]武汉大学中南医院急救中心,430071 [2]武汉大学第二临床学院2003级七年制临床医学专业,430071 [3]武汉大学HOPE护理学院,430071

出　　处：《中华医学教育杂志》2010年第1期98-101,共4页Chinese Journal of Medical Education

摘　　要：目的观察与评价高仿真模拟人在急诊医学心肺复苏术教学中的应用效果。方法选择武汉大学第二临床学院2008学年第一学期学习急诊医学课程的临床医学专业84名学生为研究对象；研究对象完成相同的心肺脑复苏理论课程学习后，随机分为应用高仿真模拟人的实验组）和使用非高仿真普通模拟人的对照组。两组学生进行相同时间的训练后，再采用高级心脏生命支持（ACLS）模拟人系统进行心肺复苏术相关操作技能测试，将两组学生操作技能评分分数运用SPSS11．5统计软件进行分析处理。结果实验组学生操作技能测试总平均分高于对照组（P〈0．05）；而在成功率、操作时间和按压质量等方面两组学生平均分差异之间无统计学意义（P〉0．05）。结论高仿真模拟人可以很好地模拟病人的病情变化和进行反馈，对提高医学生心肺复苏术的训练有明显的促进作用，但与普通模拟人训练效果相比仍各有利弊，使用高仿真模拟人进行教学训练的方法尚待进一步改进。Objective To evaluate the application effect of high-fidelity human patient simulation in cardiopulmonary resuscitation （CPR） training in emergency medicine course. Method All of the 84 medical freshmen in the academic year of 2008, who studied emergency medicine course, were chosen as the study object. The students were randomly divided into high-fidelity simulator （SimMan） training group （EG） and ordinary training group （CG）, when they finished the course. Two groups accepted training for the same time, and then examined the CPR performing by the system of advanced cardiovascular life support （ACLS） simulator, and make data-analysis with the software of SPSS 11.5. Result The students in EG group have higher total mean score than CG （ P 〈 0.05 ）. However, in the aspects of survival ratio, performing time and chest compression quality, EG has higher score than CG, but there is no significant statistical difference（ P 〉 0.05 ）. Conclusion This study demonstrates that high-fidelity human patient simulation can simulate many common symptoms of emergency patients, it has great effect on helping medical students to improve the quality of doing CPR, but the training results is not as good as the author expected compared with the ordinary training. So the training method in the application of high-fidelity human patient simulation should be improved.

关 键 词：模拟教学 高仿真模拟人 急诊医学 心肺复苏术 医学生 

分 类 号：R-4[医药卫生]