目的 比较急诊住院医师在颈内静脉穿刺中使用传统解剖定位和超声辅助定位的教学效果,探讨颈内静脉穿刺超声辅助定位法在急诊住院医师规范化培训中的应用价值.方法 选取某三甲医院2020年9月1日-2022年8月31日参加急诊住院医师规范化培训的第三年住院医师作为研究对象,2020年9月1日-2021年8月31的20名住院医师作为对照组接受传统解剖定位法培训,2021年9月1日-2022年8月31的21名住院医师作为研究组接受超声辅助定位法培训,分别记录并分析培训考核成绩、教学满意度、操作前自信度、穿刺成功率、穿刺用时、穿刺并发症等指标.结果 考核成绩(86.90±4.93 VS 90.62±4.73分)、教学满意度(85.90±5.92 VS 96.90±5.67 分)和操作前自信度(69.40±13.25 VS 86.90±10.31分),研究组均优于对照组(P＜0.05).此外,研究组的首次穿刺成功率(71.4％)及总穿刺成功率(95.2％)均更高,穿刺用时(24.52±10.38分钟)和穿刺并发症(0％)均更少(P＜0.05).结论 颈内静脉穿刺超声辅助定位法穿刺安全、有效,更能提高操作者自信度,在急诊住院医师第一阶段规范化培训中值得推广.
Application of Ultrasound-assisted Positioning Technique in Internal Jugular Vein Puncture in Standardized Training of Emergency Resident
Objectives This study aims to compare the teaching effectiveness of traditional anatomical positioning and ultrasound-assisted positioning in internal jugular vein puncture for emergency department residents and explore the application value of ultrasound-assisted positioning method in internal jugular vein puncture in the standardized training of emergency department residents.Methods The third-year residents who participated in the standardized training of emergency residents in a tertiary hospital from September 1,2020 to August 31,2022 were selected as the research subjects.20 residents from September 1,2020 to August 31,2021 served as a control group and received training on traditional anatomical positioning methods,while 21 residents from September 1,2021 to August 31,2022 received training on ultrasound-assisted positioning method as a research group.Indicators such as training assessment results,teaching satisfaction,pre-operation confidence,puncture success rate,puncture time,puncture complications and other indicators were recorded and analyzed respectively.Results Compared with the control group,the research group had higher test scores(86.90±4.93 VS 90.62±4.73),satisfaction with teaching(85.90±5.92 VS 96.90±5.67),and self-confidence with puncture(69.40±13.25 VS 86.90±10.31)(all P＜0.05).Moreover,the first puncture success rate(71.4％)and overall puncture success rate(95.2％)of the research group were higher.The puncture time(24.52±10.38 minutes)and puncture complications(0％)were both shorter(P＜0.05).Conclusions Ultrasound localization for internal jugular puncture is safer and more effective and can improve residents'self-confidence.It is worth promoting in the first phase of standardized training for emergency residents.
NETL
NSTL
万方数据
维普
