摘要
目的探讨AccuTouch Endoscopy Simulator内镜仿真模拟系统训练出的结肠镜技能转移至患者的可行性。方法将结肠镜初学者分为2组，对照组4名学员接受传统的内镜培训，实验组4名学员接受内镜仿真模拟系统培训。培训结束后，Mann-Whitney检验方法比较两组学员在各自最初10例查体患者结肠镜检查中的独立完成、辅助完成和不能完成情况。结果两组学员性别、年龄差异均无统计学意义（均P〉0．05）。实验组学历低于对照组（Z=-2．005，P=0．04）。对照组和实验组的独立完成检查病例数分别为2例和d例；辅助完成检查病例数分别为9例和21例；不能完成检查病例数分别为29例和15例。秩和检验分析表明实验组优于对照组（平均秩为56．14比24．86，Z=-6．393，P=0．00）。结论学员从AccuTouch Endoscopy Simulator内镜仿真模拟系统获得的结肠镜技能可转移至临床实践中，支持将仿真模拟系统纳人结肠镜培训课程中。
Objective To explore the feasibility of transferring the skills from the AccuTouch flexible endoscopy simulator colonoscopy training to clinical practices. Methods The novice colonoscopists were divided into 2 groups. Group A （control group） including 4 trainees for traditional training, Group B （ experimental group） including 4 trainees for simulator training. After training, we compared the number of cases for achieving independent competence, assisted competence and incompetence in the first ten patients. Results No significant differences existed between two groups in terms of age and gender （ both P 〉 0. 05 ）. Significant differences existed in educational background and the controlled group was better than the experimental group （ Z = - 2. 005, P = 0. 04 ） . The cases of independent completion, assisted competence and incompetence of the control and experimental groups were 2, 4, 9 and 21, 29, 15 respectively. Rank tests show that the simulator training was better than the traditional counterpart （average rank： 56. t4 vs 24. 86, Z = - 6. 393, P = 0.00 ）. Conclusions The skills acquired from AccuTouch Endoscopy Simulator may be well transferred into the clinical colonoscopy environment. It clearly supports the scheme of integrating simulator training into colonoscopic education curricula.
出处
《中华医学杂志》
CAS
CSCD
北大核心
2012年第18期1285-1287,共3页
National Medical Journal of China
