PBL结合可视喉镜在麻醉学气管插管术教学中的应用(1)
摘 要：目的 探討适合实习医师学习气管插管术的教学方法，使学生在短时间内掌握气管插管术。方法 选择2017年1月1日～12月31日同期进入东莞市人民医院麻醉科轮转培训的实习医师38人，采用随机数字表法随机分为C组和G组，各19人，C组学员采用传统教学模式培养，G组学员采用PBL教学模式。记录首次插管成功率、首次插管成功所需时间、导管误入食道的发生率、总体插管成功率以及总体并发症等，并进行理论考核及满意度调查。结果 G组学员首次插管成功率及总体插管成功率均高于C组(97.89% vs 78.07%，100.00% vs 85.79%)，且无气管导管误入食道病例，差异均有统计学意义(P<0.05)，两组首次插管成功所用时间比较[(53.66±8.33)s vs (58.32±7.61)s]，差异无统计学意义(P>0.05)；G组学员的插管相关并发症发生率为8.77%，低于C组的22.11%，对PBL教学模式的满意率为78.95%，高于C组的36.84%，差异均有统计学意义(P<0.05)。G组学员的理论考核成绩高于C组[(92.45±5.32)分vs(84.27±4.97)分] ，差异有统计学意义(P<0.05)。结论 PBL结合可视喉镜进行气管插管术的教学模式，可使实习医师在短时间内掌握气管插管术的相关解剖知识及操作要点，在提高非困难气管插管成功率的同时减少相关并发症，有利于保障医疗安全。
, http://www.100md.com
关键词：实习医师；麻醉学；气管插管术；PBL；可视喉镜
中图分类号：G642 文献标识码：B DOI：10.3969/j.issn.1006-1959.2018.23.004
文章编号：1006-1959(2018)23-0013-03
Abstract：Objective To explore the teaching method of tracheal intubation for intern，enabling students to master tracheal intubation in a short period of time.Methods From January 1st to December 31th， 2017， 38 intern doctors who entered the Department of Anesthesiology of Dongguan people's Hospital for rotation training were selected，the method of random digital table was used to divide them randomly into group C and group G， each with 19 person，group C adopted traditional teaching mode， group G adopted PBL teaching mode.The success rate of the first intubation， the time required for the first intubation， the incidence of misentry of the catheter into the esophagus， the overall success rate of intubation and the overall complications were recorded and theory examination and the satisfaction degree investigation were carried.Results The success rate of first intubation and total intubation in group G was higher than that in group C (97.89% vs 78.07%， 100.00% vs 85.79%). And there was no trachea tube straying into the esophagus，the difference was statistically significant (P<0.05).There was no significant difference in the time of successful intubation between the two groups [(53.66±8.33) s vs (58.32±7.61) s]，the difference was not statistically significant (P>0.05).The incidence of intubation related complications in group G was 8.77%， which was lower than that in group C 22.11%. The satisfaction rate of PBL teaching model was 78.95%， which was higher than that in group C 36.84%，the difference was statistically significant (P<0.05).The score of theoretical examination in group G was higher than that in group C [(92.45±5.32) vs (84.27±4.97)]，the difference was statistically significant (P< 0.05).Conclusion The teaching mode of tracheal intubation by PBL combined with visual laryngoscope can make the intern master the anatomical knowledge and the key points of operation in a short time.So that to improve the success rate of non-difficult tracheal intubation and reduce the related complications， it is helpful to ensure medical safety., 百拇医药(谢海辉 张曙 何炳华)
, http://www.100md.com
关键词：实习医师；麻醉学；气管插管术；PBL；可视喉镜
中图分类号：G642 文献标识码：B DOI：10.3969/j.issn.1006-1959.2018.23.004
文章编号：1006-1959(2018)23-0013-03
Abstract：Objective To explore the teaching method of tracheal intubation for intern，enabling students to master tracheal intubation in a short period of time.Methods From January 1st to December 31th， 2017， 38 intern doctors who entered the Department of Anesthesiology of Dongguan people's Hospital for rotation training were selected，the method of random digital table was used to divide them randomly into group C and group G， each with 19 person，group C adopted traditional teaching mode， group G adopted PBL teaching mode.The success rate of the first intubation， the time required for the first intubation， the incidence of misentry of the catheter into the esophagus， the overall success rate of intubation and the overall complications were recorded and theory examination and the satisfaction degree investigation were carried.Results The success rate of first intubation and total intubation in group G was higher than that in group C (97.89% vs 78.07%， 100.00% vs 85.79%). And there was no trachea tube straying into the esophagus，the difference was statistically significant (P<0.05).There was no significant difference in the time of successful intubation between the two groups [(53.66±8.33) s vs (58.32±7.61) s]，the difference was not statistically significant (P>0.05).The incidence of intubation related complications in group G was 8.77%， which was lower than that in group C 22.11%. The satisfaction rate of PBL teaching model was 78.95%， which was higher than that in group C 36.84%，the difference was statistically significant (P<0.05).The score of theoretical examination in group G was higher than that in group C [(92.45±5.32) vs (84.27±4.97)]，the difference was statistically significant (P< 0.05).Conclusion The teaching mode of tracheal intubation by PBL combined with visual laryngoscope can make the intern master the anatomical knowledge and the key points of operation in a short time.So that to improve the success rate of non-difficult tracheal intubation and reduce the related complications， it is helpful to ensure medical safety., 百拇医药(谢海辉 张曙 何炳华)