超声引导的动脉穿刺置管在麻醉学本科生实习教学中的应用  

The application of ultrasound-guided arterial catheterization in internships of anesthesiology

作　　者：熊秋菊[1] 程波[1] 闵苏[1] 黎平[1] 彭丽桦[1] 高进[1] 

机构地区：[1]重庆医科大学附属第一医院麻醉科,400016

出　　处：《中华医学教育探索杂志》2016年第3期283-286,共4页Chinese Journal of Medical Education Research

基　　金：重庆医科大学第一临床学院教改重点项目（CMER20131004）;重庆市教委教改重点项目（132082）;国家临床重点专科建设经费资助项目;重庆市医学重点学科建设经费资助项目

摘　　要：目的评价运用超声在动脉穿刺置管教学中的应用效果。方法将60名麻醉学实习学生随机分为超声指导组（n=30）和传统教学组（n=30），两组分别采用超声引导的动脉穿刺置管技术及传统的动脉穿刺置管技术进行教学。通过实习2个月和实习结束后的动脉穿刺置管成功率，以及实习结束后的问卷调查结果评价教学效果。结果超声引导组学生的动脉穿刺置管成功率在实习2个月时为（52±8）％，传统教学组为（38±10）％ （χ2=7．746，P=0．005）。实习结束后，超声引导组的动脉穿刺置管成功率为（67±7）％，传统教学组为（594-9）％（χ2=5．531，P=0．036）。100％的超声引导组学生认为用超声进行动脉穿刺置管教学有好处，提高了自身的学习兴趣。结论超声引导的动脉穿刺置管技术有利于麻醉本科生实习教学，可以帮助实习生更好地掌握动脉穿刺置管技巧，提高其穿刺置管的成功率和学习兴趣。Objective To evaluate the effect of ultrasound-guided arterial catheterization in intern- ships of anesthesiology. Methods Sixty students were randomly divided into ultrasound-guided teaching group（n=30, 3 male） and traditional teaching group （n=30, 4 male）. In the two groups, the uhrasound-guided arterial catheterization technology and artery catheterization technique were adopted respectively for teach- ing. The success rate of arterial catheterization was compared between the two groups after 2 months intern- ships and when finishing internships of anesthesiology. The questionnaire was investigated in ultrasound-guided teaching group after finished internships of anesthesiology. Results The success rate of arterial ca- theterization in ultrasound-guided teaching group was extremely higher than in traditional teaching group after 2 months internships of anesthesiology （52 ± 8）% vs. （38 ± 10）%,（χ2=7.746,P=0.005）. After finishing internships of anesthesiology, the success rate of arterial catheteri-zation was （67±7）% in ultrasound-guided teaching group and （59 ± 9）% in traditional teaching group （χ2=5.531 ,P=0.036 ）. And all students thought ultrasound-guided arterial catheters teaching was helpful to them and could improve their learning interest. Conclusion Ultrasound-guided arterial catheterization is beneficial to the internship teaching of under- graduate of anesthesiology, which can help them to master the arterial catheterization technique better, and improve the success rate of arterial catheterization and their learning interest.

关 键 词：超声引导动脉穿刺置管 传统动脉穿刺置管 实习教学 麻醉学专业 

分 类 号：R614[医药卫生—麻醉学]