医学模拟培训在体外循环临床教学中的应用  

The value of simulation training for cardiopulmonary bypass in clinical teaching

作　　者：高国栋[1] 赵举[1] 胡强[1] 杨九光[1] 段欣[1] 刘刚[1] 龙村[1] 黑飞龙[1] Gao Guodong;Zhao Ju;Hu Qiang;Yang Jiuguang;Duan Xin;Liu Gang;Long Cun;Hei Feilong(Department of Cardiopulmonary Bypass,Fuwai Hospital,National Center for Cardiovascular Disease,Chinese Academy of Medical Science and Peking Union Medical College,Beijing 100037,China)

机构地区：[1]中国医学科学院北京协和医学院国家心血管病中心阜外医院体外循环中心,北京100037

出　　处：《中国体外循环杂志》2018年第3期136-138,145,共4页Chinese Journal of Extracorporeal Circulation

基　　金：北京协和医学院研究生教育教学改革项目(10023201600205)

摘　　要：目的探讨模拟训练在体外循环临床教学中对提高医师基本技能以及应对体外循环中意外事件能力的培训价值,为临床教学改革和完善提供科学依据。方法 10名低年资体外循环医师参与本模拟训练,两人一组,使用高仿真体外循环模拟设备设计5种不同的体外循环意外场景。指导老师引导每组学员对场景进行分析与讨论,探讨每种场景所产生的原因及处理措施,并提出预防方法。对学员的评估预判、专业知识、临床操作及协作交流进行综合评分。一个月后重复训练并综合评分,与前期评分比较。结果与首次训练相比较,学员的评估预判能力、专业知识、临床操作及协作交流各方面表现均有所改善,评分得到了极显著地提高(P<0.01)。结论体外循环模拟教学可以有助于提升体外循环医师的临床思维、操作技能以及以应对及预防突发意外事件的能力,可取得较为理想的教学效果。Objective To investigate whether simulation training for cardiopulmonary bypass（ CPB） can improve the basic perfusion skills of perfusionists and their ability to deal with serious adverse events during cardiac operations. Methods Ten perfusion trainees with 2 to 3 years experience of CPB were enrolled in the simulations training,including first-time training and re-training one month later. The trainees were divided into five groups. Five different accidental episodes of CPB were designed in the training. Two instructors led each group of the trainees to analyze the causes of the unexpected scenes and discuss the solutions,then put forward preventive measures. The clinical assessment,professional knowledge,operational technique and collaborative communication of each trainee were evaluated and scored. Results Compared with the first simulation training of the trainees,the scores of clinical assessment,professional knowledge,operational technique and collaborative communication were significantly improved（ P 〈0.01） when the trainees were re-trained 1 month later. Conclusion The simulation training for CPB is beneficial to improve the skills and ability of the perfusionists when they are facing critical situations and dealing with adverse events.

关 键 词：体外循环 模拟训练 意外事件 

分 类 号：C975[经济管理—劳动经济] R-4[医药卫生]