首页|视频喉镜结合综合困难气道训练考核系统在急诊规范化培训住院医师气管插管培训中的应用研究

视频喉镜结合综合困难气道训练考核系统在急诊规范化培训住院医师气管插管培训中的应用研究

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目的 探讨视频喉镜结合综合困难气道训练考核系统在急诊规范化培训住院医师气管插管培训中的应用效果.方法 选择2022年1月—2023年6月在首都医科大学宣武医院急诊科轮转的住院医师58人,随机分为对照组(n=28)和试验组(n=30).对照组应用直接喉镜结合综合困难气道训练考核系统进行气管插管技能培训,试验组应用视频喉镜结合综合困难气道训练考核系统进行气管插管技能培训.培训结束后对两组住院医师进行气管插管技能考核,内容包括正常气道和困难气道的气管插管,分别比较两组住院医师气管插管时间、一次性插管成功率、喉镜对门齿的压力、气管插管位置正确率的区别.另 外,分别对两组住院医师进行教学满意度问卷调查.结果 普通气道气管插管中,试验组与对照组喉镜对门齿的压力和气管插管位置正确率的差异无统计学意义(P>0.0 5);一次性插管成功率试验组大于对照组,气管插管时间试验组小于对照组(均P<0.05).在困难气道气管插管中,试验组的一次性插管成功率和气管插管位置正确率大于对照组(P<0.0 5),插管时间和喉镜对门齿的压力明显小于对照组(P<0.0 5).调查问卷自评显示,试验组对气管插管自信心和学习兴趣大于对照组(P<0.05),满意度和技能评分两组差异无统计学意义(P>0.05).结论 应用视频喉镜结合综合困难气道训练考核系统对急诊规范化培训住院医师进行气管插管培训可以提高气管插管成功率,减少对门齿的损伤,提高住院医师的学习兴趣.
Application of visual laryngoscope combined with comprehensive difficult airway training assessment system for tracheal intubation in emergency standardized resident training
Objective To explore the application effect of visual laryngoscope combined with comprehensive difficult airway training assessment system for tracheal intubation in emergency standardized resident training.Methods 58 residents who participated in rotation in the Department of Emergency,Xuanwu Hospital of Capital Medical University from January 2022 to June 2023 were selected and randomly divided into the control group(n=28)and the experimental group(n=30).The control group received tracheal intubation skill training with direct laryngoscope combined with comprehensive difficult airway training and assessment system,and the experimental group received tracheal intubation skill training with visual laryngoscope combined with comprehensive difficult airway training and assessment system.After the training,tracheal intubation skill assessment was carried out for residents,including tracheal intubation of normal airway and difficult airway.The differences in tracheal intubation time,the success rate of one-time tracheal intubation,laryngoscope pressure on incisors,and the accurate rate of tracheal intubation position were compared between the two groups.Besides,questionnaire survey was conducted to the two groups to investigate residents'satisfaction with teaching.Results In the ordinary airway tracheal intubation,there was no significant difference between the experimental group and the control group in laryngoscope pressure on incisors and the accurate rate of tracheal intubation position(P>0.05).The success rate of one-time tracheal intubation of the experimental group was greater than that of the control group,and the tracheal intubation time of the experimental group was less than that of the control group(all P<0.05).In difficult airway tracheal intubation,the success rate of one-time intubation and the accurate rate of tracheal intubation position in the experimental group were higher than those in the control group(P<0.05),and the intubation time and laryngoscope pressure on incisors were significantly lower than those in the control group(P<0.05).The questionnaire survey showed that self-confidence and learning interest of the experimental group were higher than those of the control group(P<0.05),and there was no statistical difference in satisfaction and skill scores between the two groups(P>0.05).Conclusion Visual laryngoscope combined with comprehensive difficult airway training and assessment system can improve the success rate of tracheal intubation for emergency residents,reduce the damage to incisors and promote the learning interest of residents.

visual laryngoscopecomprehensive difficulty airway training and assessment systemtracheal intubationemergency resident

李文、王长远、翟文亮、贺明轶、韩英娜

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首都医科大学宣武医院肾内科,北京 100053

首都医科大学宣武医院急诊科,北京 100053

可视喉镜 综合困难气道训练考核系统 气管插管 急诊住院医师

首都医科大学教育教学改革研究专项首都医科大学教育教学改革研究专项

2022JYY1042023JYY145

2024

中国医学教育技术
西安交通大学

中国医学教育技术

影响因子:1.087
ISSN:1004-5287
年,卷(期):2024.38(1)
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