基于HC可视喉镜的可视化教学法在急诊气管插管规培教学中的应用  

The application of HC visual laryngoscope as a visualization teaching method for the standardized training of endotracheal intubation in emergency department

作　　者：潘龙飞[1] 白洁[2] 高彦霞[1] 王立明[1] 党晓燕[1] 冯辉[1] 孙江利[1] 裴红红[1] Pan Longfei;Bai Jie;Gao Yanxia;Wang Liming;Dang Xiaoyan;Feng Hui;Sun Jiangli;Pei Honghong(Emergency Department, Second Affiliated Hospital, Xi ＇an Jiaotong University;Department of Anesthesiology, Xi ＇an 710004, China)

机构地区：[1]西安交通大学第二附属医院急诊科,西安710004 [2]西安交通大学第二附属医院麻醉科,西安710004

出　　处：《中华急诊医学杂志》2018年第4期442-445,共4页Chinese Journal of Emergency Medicine

摘　　要：目的探索基于HC可视喉镜的可视化教学法应用于急诊气管插管规培教学的可行性及效果。方法选取40名规培医师，随机（随机数字法）分为N组和HC组，N组20名规培医师予以急诊医学传统的教学方法进行气管插管规培教学，HC组20名规培医师予以基于HC可视喉镜的可视化教学方法进行气管插管规培教学。1个月后，比较两组为气道管理模拟人进行气管插管的成功率和成功插管时间及尝试次数，以及规培医师对教学的满意度评分。结果HC组规培医师为气道管理模拟人进行气管插管的一次性插管成功率、插管总成功率均分别高于N组（40％vs．10％，85％vs．55％），差异有统计学意义（P〈0．05）；该组规培医师成功插管案例的平均尝试次数和平均插管时间均分别低于N组[（1．65±0．61）次vs．（2．27±0．66）次；（79．00±8．35）s vs．（89．36±12．03）s]，差异有统计学意义（P〈0．05）。HC组规培医师对教学形式和教学效果的满意度评分均分别高于N组[（8．10±0．74）分vs．（6．55±1．05）分；（8．15±0．80）分vs．（6．85±0．91）分]，差异有统计学意义（P〈0．05）。结论采用HC可视喉镜进行急诊气管插管规培的可视化教学，可以提高规培医师为气道管理模拟人气管插管的成功率和效率，这种教学方法的形式和效果可能优于传统教学方法，具备一定的可行性。Objective To investigate the feasibility and effect of visualization teaching method using HC visual laryngoscope for the standardized training of endotracheal intubation in emergency department. Methods Forty standard-trainee doctors were divided into two groups randomly. 20 standard-trainee doctors in team N were taught using the conventional teaching method of emergency medicine for the standardized training of endotracheal intubation, and the other 20 standard-trainee doctors in team HC were taught by visualization teaching method using HC visual laryngoscope. After 1 month training, comparisons of the success rate of tracheal intubation in airway management simulator, the time consumed for intubation and the number of attempt on successful intubation cases, and the satisfaction score with the teaching mode scored by standard-trainee doctors between the two groups were done. Results The one-attempt success rate and the success rate of tracheal intubation in airway management simulator by the standard-trainee doctors in group HC were significantly higher than those in group N （40% vs. 10%, 85% vs. 55%）, while the number of attempt and the time consumed for successful intubation were significantly less than those in group N[ （1.65±0.61） vs. （2.27±0.66）, （79.00±8.35） s vs. （89.36±12.03） s）.The satisfaction score with this teaching mode and teaching effect of standard-trainee doctors in group HC were significantly higher than those in group N （8.10±0.74 vs. 6.55±1.05, 8.15±0.80 vs. 6.85±0.91）. Conclusions The visualization teaching method with application of HC visual laryngoscope for standardized training of endotracheal intubation in emergency department could improve the success rate and efficiency of tracheal intubation in airway management simulator for standard-trainee doctors, and this teaching method may be better than the conventional teaching method on teaching mode presenting some feasibility.

关 键 词：HC可视喉镜 可视化教学 气管插管 急诊 规范化培训 教学 

分 类 号：G642[文化科学—高等教育学] R-4[文化科学—教育学]