中华医学教育探索杂志2024,Vol.23Issue(1) :74-77.DOI:10.3760/cma.j.cn116021-20230412-01592

基于虚拟仿真系统的口腔局部神经阻滞麻醉实验课教学改革

A virtual simulation system-based teaching method for the experimental course of oral local nerve block anesthesia

曹钰彬 杨超 门乙 王鹏 曾维 朱桂全 夏朝红 刘磊 谢蟪旭
中华医学教育探索杂志2024,Vol.23Issue(1) :74-77.DOI:10.3760/cma.j.cn116021-20230412-01592

基于虚拟仿真系统的口腔局部神经阻滞麻醉实验课教学改革

A virtual simulation system-based teaching method for the experimental course of oral local nerve block anesthesia

曹钰彬 1杨超 1门乙 1王鹏 1曾维 1朱桂全 1夏朝红 1刘磊 1谢蟪旭1
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作者信息

  • 1. 口腔疾病防治全国重点实验室/国家口腔医学中心/国家口腔疾病临床医学研究中心/四川大学华西口腔医学院/口腔颌面外科学教研室,成都 610041
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摘要

目的 探究基于虚拟仿真系统的口腔局部神经阻滞麻醉实验教学方法对于传统教学方法的提升作用.方法 将118名口腔医学本科生随机分为两组,试验组采用基于虚拟仿真系统的教学,对照组采用传统教学.通过课程反馈问卷、理论测试成绩分析、实施麻醉和接受麻醉的学员对本次麻醉的评价,以及教师对麻醉成功与否的评价来综合评估教学结果,采用SPSS 23.0进行t检验和卡方检验.结果 两组学员基线水平无明显差异.试验组学员认为学习的生动性更高(t=4.24,P= 0.005),对局麻的自信心也更强(t=4.99,P<0.001).试验组自我感觉注射过程中针尖抖动更少(t= 2.22,P=0.048),与下颌骨内侧骨面接触更好(t=2.22,P=0.020).接受麻醉的学员反映试验组注射时针尖刺痛感较轻(t=1.99,P=0.029),下牙槽神经麻醉的效果较好(t=3.36,P=0.039).教师评估发现试验组的下牙槽神经阻滞失败率明显低于试验组(χ2=4.40,P=0.036).结论 虚拟仿真系统可优化口腔局部神经阻滞麻醉实验教学并能取得良好的教学效果.

Abstract

Objective To investigate the effect of the virtual simulation system-based teaching method for the experimental course of oral local nerve block anesthesia in improving the effect of traditional teaching methods.Methods One hundred and eighteen undergraduate dental students were randomly divided into two groups,the experimental group was taught using a virtual simulation-based system,and the control group was taught using traditional teaching.The results of the teaching were comprehensively evaluated through course feedback questionnaires,analysis of theoretical test scores,evaluations of the trainees administering and receiving anesthesia on the current anesthesia,and faculty evaluations of the success of the anesthesia,and t-tests and chi-square tests were performed using SPSS 23.0.Results There was no significant difference in baseline level between the two groups.The students in the experimental group thought that the learning was more vivid(t=4.24,P=0.005)and had more self-confidence in local anesthesia(t=4.99,P<0.001).The students in the experimental group felt less needle tip jitter during injection(t=2.22,P=0.048)and better contact with the medial surface of the mandible(t=2.22,P=0.020).The students who received anesthesia reported less pain during injection(t=1.99,P=0.029)and better anesthesia of the inferior alveolar nerve(t=3.36,P=0.039)in the experimental group.Teacher assessment revealed that the experimental group had a significantly lower failure rate of inferior alveolar nerve block than the control group(χ2=4.40,P=0.036).Conclusions The virtual simulation system can optimize the experimental teaching of oral local nerve block anesthesia and can achieve a satisfactory teaching effect.

关键词

口腔颌面外科/局部麻醉/虚拟仿真/教学

Key words

Oral and maxillofacial surgery/Local anesthesia/Virtual simulation/Teaching

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基金项目

教育部高教司产学合作协同育人项目(202101099028)

四川大学虚拟仿真实验教学项目(2020043)

出版年

2024
中华医学教育探索杂志
中华医学会

中华医学教育探索杂志

CSTPCD
影响因子:0.641
ISSN:2095-1485
参考文献量7
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