香蕉皮缝合模型在口腔医学专业实习学生缝合教学中的应用  

A pilot research on the effect of banana peel model in suturing skill training for internship students majoring in stomatology

作　　者：柳英 葛雯姝[1] 谢尚 李健男[3] 叶国华 和晓庸 崔念晖[2] 王佃灿[2] Liu Ying;Ge Wenshu;Xie Shang;Li Jiannan;Ye Guohua;He Xiaoyong;Cui Nianhui;Wang Diancan(Department of General Dentistry II,Peking University School and Hospital of Stomatology&National Center of Stomatology&National Clinical Research Center for Oral Diseases&National Engineering Laboratory for Digital and Material Technology of Stomatology,Beijing 100081,China;Department of Oral and Maxillofacial Surgery,Peking University School and Hospital of Stomatology&National Center of Stomatology&National Clinical Research Center for Oral Diseases&National Engineering Laboratory for Digital and Material Technology of Stomatology,Beijing 100081,China;Department of General Dentistry,Peking University School and Hospital of Stomatology&National Center of Stomatology&National Clinical Research Center for Oral Diseases&National Engineering Laboratory for Digital and Material Technology of Stomatology,Beijing 100081,China;Department of Oral and Maxillofacial Surgery,First Affiliated Hospital of Dali University,Dali 671000,China)

机构地区：[1]北京大学口腔医学院·口腔医院综合二科国家口腔医学中心国家口腔疾病临床医学研究中心口腔数字化医疗技术和材料国家工程实验室,北京100081 [2]北京大学口腔医学院·口腔医院口腔颌面外科国家口腔医学中心国家口腔疾病临床医学研究中心口腔数字化医疗技术和材料国家工程实验室,北京100081 [3]北京大学口腔医学院·口腔医院综合科国家口腔医学中心国家口腔疾病临床医学研究中心口腔数字化医疗技术和材料国家工程实验室,北京100081 [4]大理大学第一附属医院口腔颌面外科,大理671000

出　　处：《中华医学教育杂志》2022年第5期458-462,共5页Chinese Journal of Medical Education

摘　　要：目的评价香蕉皮缝合模型在口腔医学专业实习学生缝合教学中的应用效果。方法 2021年1月至3月, 以北京大学2017级口腔医学专业82名实习学生为研究对象, 使用香蕉皮作为缝合模型进行缝合练习。记录课堂讲解前缝合评分(基线水平), 对课堂讲解后(训练1)和课下练习后(训练2)缝合结果进行评分。使用配对t检验比较每次训练评分, 使用Pearson相关分析检验评分的相关因素。结果训练1评分[(20.88±3.68)分]高于基线水平[(15.15±5.24)分], 训练2评分[(24.80±3.83)分]高于训练1评分, 其差异均具有统计学意义(均P<0.05)。训练1评分与全学程成绩相关(r=0.29);训练2评分与性别(r=0.39)、课下练习累计时长(r=0.44)、全学程成绩相关(r=0.29), 其差异均具有统计学意义(均P<0.05)。结论在课堂教学和课下练习中应用香蕉皮缝合模型, 可以有效提高口腔医学专业实习学生学生的缝合水平。Objective To evaluate the effect of the suture training for internship students majoring in stomatology using the banana peel model.Methods From January to March 2021,Eighty-two students in Peking University School and Hospital of Stomatology were trained in their pre-clinical year and then followed by a workshop on surgical suture.Banana peels were used as a suturing model.The baseline scores were recorded.The suturing skills were assessed after instruction(training 1)and after-class practicing(training 2).Paired t-test was used to compare the results.Pearson's correlation was used to analyze the relevant factors.Results The score of training 1(20.88±3.68)was higher than that of baseline level(15.15±5.24)and the score of training 2(24.80±3.83)was significantly higher than that of training 1(20.88±3.68),all P<0.05.The score of training 1 is related to the scores of the whole course(r=0.29).Training 2 results are related to gender(r=0.39),cumulative time of after-class exercises(r=0.44)and the whole course scores(r=0.29),all P<0.05.Conclusions The suturing skill of students was significantly improved after training with banana peel model.This provides a solid evidence to support the use of this model for suturing skill training.

关 键 词：教学 口腔颌面外科学 缝合 香蕉皮缝合模型 

分 类 号：R-05[医药卫生]