基于序贯阶梯式血管吻合模拟器的冠脉搭桥培训在心脏外科青年医师基本技能培训中的应用探讨
Investigation on the application of the coronary artery bypass grafting training model based on sequential stepped vascular anastomosis simulator in the basic skills training of young cardiac surgeons
滕鹏 1郑琦 1马量1
作者信息
- 1. 310003 浙江杭州,浙江大学医学院附属第一医院心脏大血管外科
- 折叠
摘要
目的 探讨序贯阶梯式血管吻合模拟器在心脏外科青年医师冠脉搭桥手术技能培训中的作用和效果.方法 利用序贯阶梯式血管吻合模拟器,对28名心脏外科青年医师开展冠脉搭桥手术的基本技能培训,然后由导师分别对学员的吻合技能进行评价,并分析基于该序贯阶梯式血管吻合模拟器的冠脉搭桥培训对提高学员冠脉搭桥技能的效果.结果 在接受基础培训后,每位学员单个吻合口的平均用时从(17.33±3.61)min明显缩短至(12.07±2.87)min(t=5.48,P＜0.05),吻合口渗漏率明显降低(89.28%vs.21.43%,χ2=26.08,P＜0.05);在接受进阶培训后,每位学员单个吻合口的平均用时从(30.16±4.39)min明显缩短至(21.81±4.46)min(t=4.84,P＜0.05).在完成所有培训后,培训学员在冠脉搭桥血管吻合操作中的各项量化评分较前均有明显上升.结论 基于序贯阶梯式血管吻合模拟器的冠脉搭桥培训可有效提高心脏外科青年医师冠脉搭桥手术技能,是一种值得推广的心脏外科模拟训练课程.
Abstract
Objective To explore the role and effect of sequential stepped vascular anastomosis simulator in the train-ing of surgical skills in coronary artery bypass grafting for young cardiac surgeons.Methods The basic skills training of coronary artery bypass grafting was carried out for 28 young cardiac surgeons,and then the instructors evaluated the anas-tomosis skills of the trainees and analyzed the effect of the new coronary artery bypass grafting training model based on the sequential stepped vascular anastomosis simulator on improving the coronary artery bypass grafting skills of the train-ees.Results After the basic training,the average time of a single anastomosis was significantly shortened from(17.33±3.61)minutes to(12.07±2.87)minutes(t= 5.48,P＜0.05),and the leakage rate of the anastomosis was significantly re-duced from 89.28%(25/28)to 21.43%(6/28)(χ2= 26.08,P＜0.05).After the advanced training,the average time of a single anastomosis was significantly shortened from(30.16±4.39)minutes to(21.81±4.46)minutes(t= 4.84,P＜0.05).After completing all the training program,the trainees had significantly higher quantitative scores in the coronary bypass vascular anastomosis procedure.Conclusion The mode of coronary artery bypass grafting training based on sequential stepped vascular anastomosis simulator can effectively improve the surgical skills of coronary artery bypass grafting of young cardiac surgeons.It is a kind of cardiac surgery simulation training course which is worth promoting.
关键词
心脏外科/冠脉搭桥/序贯/模拟器/基本技能培训Key words
cardiac surgery/coronary artery bypass grafting/sequential/simulator/basic skills training引用本文复制引用
基金项目
国家自然科学基金青年科学基金(82300385)
浙江省自然科学基金探索项目(LQ22H020005)
出版年
2024
NETL
NSTL
万方数据