血管介入手术模拟训练系统结合猪心解剖在心律失常介入教育培训中的应用

目的探讨血管介入手术模拟训练系统结合猪心解剖在心律失常介入教育培训中的应用价值。方法选取2008年9月-2018年10月在安徽医科大学附属省立医院心血管内科心律失常介入诊疗培训基地培训学员为研究对象,依据教学方式的不同将学员分为传统教学组和模拟教学组,其中传统教学组按照"理论课培训+跟台观看介入手术操作+作为助手参与手术+直接对患者进行操作"的顺序进行教学,而模拟教学组则在传统教学方式的基础上辅以血管介入手术模拟器训练和猪心解剖的教学方式。采用理论考核+技能考核的形式,比较两种培训教学方式对教学质量的影响。结果共52例学员纳入研究,其中传统教学组30例,模拟教学组22例,2组学员在性别、年龄、学历、工作年限、从事血管介入年限等基线指标方面差异无统计学意义(P>0.05);模拟教学组理论考核成绩高于传统教学组,差异有统计学意义(P<0.05);模拟教学组技能考核成绩高于传统教学组,差异有统计学意义(均P<0.05);模拟教学组学员手术操作并发症情况亦少于传统教学组。结论在心律失常介入教育培训中,血管介入手术模拟训练系统结合猪心解剖的教学方法优于传统教学法,值得在临床推广应用。

Application of pig heart anatomy combined with virtual reality simulator in arrhythmia intervention training

Objective To study the effect of pig heart anatomy combined with virtual reality simulator in arrhythmia intervention training. Methods A total of 52 arrhythmia intervention refresher doctors were selected in department of cardiology of The Affiliated Provincial Hospital of Anhui Medical University and were divided into the observation group (n=22) and control group (n=30). Doctors in observation group were trained by pig heart anatomy combined with virtual reality simulator while those in control group were taught by traditional teaching method. Theory examination and skill examination in real environment were performed after the training and achievement differences were compared between 2 groups. Results There was no statistical significance in such baseline as gender, age, certificates, working experience and years working in vascular intervention between the two groups(all P>0.05). Theory examination average score in observation group was significantly higher than that in control group (P<0.05). Skill examination average score in observation group was higher than that in control group (P<0.05). Compared with control group, the incidence rate of operative complication was lower in the observation group. Conclusion Teaching method of pig heart anatomy combined with virtual reality simulator can help arrhythmia intervention training, which is worthy of clinical promotion.