美容缝合技术培训对提高非整形美容外科医师缝合质量的作用  

Impact of aesthetic suture techniques training in improving the suture quality of non-plastic surgeons

作　　者：毕晔[1] 杨锴[1] 姜冠潮[2] 梁书静[2] 刘岩[1] 李广学[1] 田蓉 曹赛赛[1] 穆籣 Bi Ye;Yang Kai;Jiang Guanchao;Liang Shujing;Liu Yan;Li Guangxue;Tian Rong;Cao Saisai;Mu Lan(Departetit of Plastic Surgery&Medical Aesthetic Surgery,Peking University People's Hospital,Beijing 100044,China;Clinical Skills Training,Center,Peking University People's Hospital,Beijing 100044,China;Department of Breast and Plastic Surgery,Hainan Hospital,Haikou 570311,China)

机构地区：[1]北京大学人民医院整形外科/医疗美容科,北京100044 [2]北京大学人民医院临床技能培训中心,北京100044 [3]海南省人民医院乳腺外科/整形外科,海口570311

出　　处：《中华医学美学美容杂志》2021年第6期481-483,共3页Chinese Journal of Medical Aesthetics and Cosmetology

基　　金：北京大学人民医院研究与发展基金(RDE201608,RDE2019025)。

摘　　要：目的了解美容缝合技术培训对提高非整形美容专业外科医师缝合质量的效果和必要性。方法2017年1月至2019年1月,北京大学人民医院外科非整形美容专业高年资住院医师及主治医师120人,男66人,女54人,年龄25〜32岁,平均28.9岁;进行了8期美容缝合技术培训,采用视频、面授、手术示教、情景模拟等多种教学手段完成教学计划。培训前对培训对象进行基线测试,培训结束后对学员进行操作考核。学员培训前后分别进行自我评价。结果美容缝合技术培训8期入组学员120人,通过培训考核102人,未通过8人;另有10人未全程参加培训或放弃考核;通过率85.0%。培训后学员在器械缝线选择、切口设计、皮下对合减张、美容缝合效果、技术综合运用5个方面主观及客观评分均有明显提高,差异有统计学意义。结论美容缝合技术培训可明显提升非整形美容专业外科医师的缝合质量,有必要在住院医师培训阶段予以推广。Objective To investigate the effect and necessity of aesthetic suture techniques training in improving the suture quality of non-plastic surgeons.Methods The well-planned aesthetic suture techniques training programs were run in non-plastic surgery senior residents and attending surgeons at Peking University Peoples Hospital from January 2017 to January 2019.There were 120.sen ior residents and attending surgeons included(aged from 25-32 years,average 28.9 years,with 66 males and 54 females).Mixed teaching methods were used such as video shows,lectures'surgery live show and scenario simulation.Baseline tests were taken before the training.Suture quality te.sts were taken when the trainings came to the end.Self-assessments were carried oul both before and after the trainings.Results Eight rounds of aesthetic suture techniques training were accomplished and 120 trainees were included in all.One hundred and two trainees passed the test while eight failed,while 10 trainees were absent in some courses or the final test.The passing rate was 85.0%.The scales of suture tools and material selection'incision design,subcutaneous tissue suture quality.tension relaxation,aesthetic suture appearance'and flexibility of different suture techniques were sharply improved after the training in both subjective and objective assessments.Conclusions The aesthetic suture technicjues training is effective in improving the suture quality of non-plastic surgeons,which is wor thy to generalize in resident training.

关 键 词：美容技术 缝合技术 临床技能培训 住院医师培训 专科医师培训 

分 类 号：R-4[医药卫生] C975[经济管理—劳动经济]