模拟SimMan和活山羊对医务兵气管插管和气管切开的训练。

X. Xiao, X. Wang, S. Huang, Y. Zhao, W. Yi, Y. Wang, X. Wang, G. An, L. Jia, J. Zhao
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引用次数: 0

摘要

目的通过模拟模拟和山羊活体实验,提高医护兵气管插管和气管切开技术水平。方法对某集团军90名医护人员进行了气管插管和气管切开术的医学模拟和活体山羊实验训练。对所有医务人员进行了理论测试和实践测试,以评估这种培训方案的效果。结果接受过气管插管和气管切开相关培训的医务人员比例分别为25.6%和15.6%。培训前,这些医务人员的理论考试平均成绩为35.3分,气管插管成功率仅为18.9%。但经过训练后,两项测试的成绩分别提高到85.2%和81.1%。与训练前比较,差异均有统计学意义(p < 0.01)。在气管切开术相关的实战测试中,随机抽取14名医护兵,训练后成功率为71.4%,训练前成功率仅为14.3% (p < 0.01)。结论模拟与山羊实验相结合的训练模式对基层医务人员气管插管技术的提高是有效的。
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The Training on Medical Corpsmen for Tracheal Intubation and Tracheotomy Using SimMan Simulation and Living Goats.
Objective The study aimed to improve skills of tracheal intubation and tracheotomy on medical corpsmen using SimMan simulation and experiments on living goats. Methods A total of 90 medical corpsmen from a certain group of armies, were trained for the skills of tracheal intubation and tracheotomy using medical simulator and experiments on living goats. Both theoretical tests and practical examinations were performed on all medics to evaluate the efficacy of such training program. Results Only 25.6% and 15.6% of all medics have previously received trainings related to tracheal intubation and tracheotomy respectively. Before training, these medics got an average score of 35.3 marks in the theoretical test and the successful rate of tracheal intubation was only 18.9%. Their performances in both tests, however, increased to 85.2% and 81.1% respectively after training. All these differences were of statistical significance compared to those before training (p < 0.01). In a further practical test related to tracheotomy, 14 randomly selected medical corpsmen reached a 71.4% successful rate after training compared to only 14.3% before training (p < 0.01). Conclusion Training modules combining both simulator and goat experiments are effective in improving tracheal intubation techniques on medics especially those from primary units.
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