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作 者:毕思伟 周彦楠 古君[3] 武忠[3] BI Siwei;ZHOU Yannan;GU Jun;WU Zhong(Department of Burn and Plastic Surgery,West China Hospital,Sichuan University,Chengdu,610041,P.R.China;West China School of Medicine,Sichuan University,Chengdu,610041,P.R.China;Department of Cardiovascular Surgery,West China Hospital,Sichuan University,Chengdu,610041,P.R.China)
机构地区:[1]四川大学华西医院整形外科/烧伤科,成都610041 [2]四川大学华西临床医学院,成都610041 [3]四川大学华西医院心脏大血管外科,成都610041
出 处:《中国胸心血管外科临床杂志》2024年第8期1101-1108,共8页Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
摘 要:目的系统性评价利用3D打印心脏模型进行先天性心脏病教学的有效性。方法计算机检索PubMed、Web of Science、EMbase数据库中关于3D打印心脏模型应用于先天性心脏病教学的文献,并用Meta分析评估其效果。检索时限为建库至2022年11月10日。两位研究者独立筛选文献、提取数据和评价文献质量。随机对照试验质量评价采用Cochrane文献评价标准,横断面和队列研究采用JBI评价量表。使用R软件进行Meta分析。结果筛选后纳入23篇文献,其中随机对照试验7篇、横断面研究15篇、队列研究1篇。随机对照试验均为低风险偏倚,横断面研究和队列研究均存在潜在偏倚。3D打印心脏模型与2D图像教学比较的文献有4篇,其Meta分析结果显示,两组对理论成绩的影响差异有统计学意义[SMD=0.31,95%CI(–0.28,0.91),P=0.05]。结论3D打印心脏模型对先天性心脏病教学效果有一定的促进作用,但未来仍需要更多随机对照试验提供相关证据。Objective To evaluate the effect of the 3D-printed heart model on congenital heart disease(CHD)education through systematic review and meta-analysis.Methods The literature about the application of the 3D-printed heart model in CHD education was systematically searched by computer from PubMed,Web of Science,and EMbase from inception to November 10,2022.The two researchers independently screened the literature,extracted data and evaluated the quality of the literature.Cochrane literature evaluation standard was used to evaluate the quality of randomized controlled trials,and JBI evaluation scale was used for cross-sectional and cohort studies.Results After screening,23 literatures were included,including 7 randomized controlled trials,15 cross-sectional studies and 1 cohort study.Randomized controlled trials were all at low-risk,cross-sectional studies and and the cohort study had potential bias.There were 4 literatures comparing 3D printing heart model with 2D image teaching and the meta-analysis result showed that the effect of 3D printing heart model on theoretical achievement was more significant compared with 2D image teaching(SMD=0.31,95%CI–0.28 to 0.91,P=0.05).Conclusion The application of the 3D-printed heart model in CHD education can be beneficial.But more randomized controlled trials are still needed to verify this result.
关 键 词:3D打印 心脏模型 教学效果 先天性心脏病 系统评价/META分析
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