手术模拟器培训眼科青年医师显微手术技能的观察研究  

Application effect of surgical simulator to improve the microsurgical skills in junior ophthalmologist

作　　者：吴航[1] 戴惟葭[1] 董莹[1] 刘大川[1] 

机构地区：[1]首都医科大学宣武医院眼科,中国北京市100053

出　　处：《国际眼科杂志》2015年第7期1240-1241,共2页International Eye Science

摘　　要：目的:利用眼科显微手术模拟器提高眼科青年医师白内障显微手术能力的量化观察。方法:眼科青年医师进行经过理论授课、模拟器训练及动物眼球操作,模拟器对学员完成白内障手术操作各项步骤行综合打分,并对学员培训前后完成白内障手术模拟器综合得分结果进行分析。结果:学员通过理论授课阶段后在模拟器完成白内障手术操作测试评分平均75.91±6.53分,再经过模拟器反复训练阶段后模拟器给予的测试评分平均85.57±4.64分,这两阶段学习后学员在模拟器上完成白内障手术操作的综合测试评分对比具有显著统计学差异(P<0.01),第三阶段学员经过动物眼球实际操作后,在模拟器上完成白内障手术的测试评分平均89.77±7.61分,与动物眼球操作前仅进行模拟器操作训练测试评分相比较具有统计学差异(P<0.05)。结论:利用眼科显微手术模拟器进行短期培训可显著提高眼科医师白内障手术能力,但长期效果及实际临床手术能力有待进一步观察。AIM ： To discuss the application effect of surgical simulator to improve the microsurgical skills in junior ophthalm ologist. METHODS： Lecture teaching, training in surgical simulator and operation in animal eyes were received in all these ophthalm ologists. Results of the ability of operation in cataract surgery after this training were analyzed. RESULTS： After taught theory, students completed cataract surgical procedures on simulator and the mean test score was 75. 91 ± 6. 53 points. After trained on simulator repeatedly,the mean test score was 85. 57±4. 64 points. There was statistically significant difference（ P 0. 01）. During the third stage of practicing on animal eyes,the score was 89. 77 ± 7. 61 points, there was statistically significant difference com pared with form er two stages（ P〈0. 05）. CONCLUSION： Comprehensive training can improve microsurgical skills of junior ophthalmologist, but the long effect need to be observed.

关 键 词：手术模拟器 显微手术技能 眼科青年医师 

分 类 号：R779.6[医药卫生—眼科]