利用家猪进行经内镜逆行胰胆管造影术模拟培训的效果评估
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北京市平谷区医院消化科

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Research on Domestic Pig Model for ERCP Simulation Training
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Pinggu District Hospital of Beijing

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    摘要:

    目的 评价利用家猪进行经内镜逆行胰胆管造影术(endoscopic retrograde cholangiopancreatography,ERCP)模拟培训的实际效果。方法 2018年2月—2019年2月,选取40位能够熟练操作胃肠镜的医师参加ERCP模拟培训班,采用四级阶梯式模式(理论基础学习,手术演示观摩,动物标本模拟训练,活体动物模拟训练),培训时间7 d,对比培训前后进镜找到十二指肠乳头时间、总操作时间以及操作技术评分。结果 全部学员完成了培训并能够熟练操作十二指肠镜,与培训前比较,培训后学员进镜找到十二指肠乳头时间明显缩短[(2.6±0.8)min比(8.2±1.6)min,P<0.05],总操作时间明显缩短[(20.2±3.8)min比(34.3±6.5)min,P<0.05],操作技巧评分明显提高[(22.5±3.5)分比(6.5±1.5)分,P<0.05]。结论 利用家猪进行ERCP操作技术的模拟培训,可真实地模拟人体内的操作情况,通过短期、高强度的训练,受训者能够较快掌握ERCP基本操作技术,实现快速培养ERCP人才的目的。

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    Research on Domestic Pig Model for ERCP Simulation Training Abstract: Objective: This study used the domestic pig whose anatomical structure is similar to that of the human body to implement the ERCP simulation training.Methods: 40 clinicians who were proficient in operating gastrointestinal endoscope were selected to participate in the training course from February 2018 to February 2019. The training adopted four-tiered mode and 7 days per session. The assessment was conducted after the training, and the satisfaction questionnaires were surveyed. The scope-forward time for finding the duodenal papilla and the evaluation of technique operation were compared respectively before and after the training.Results: All the trainees implemented the training and can operate duodenoscope skillfully. Compared with the pre-training,the trainees’average scope-forward time was significantly decreased (P<0.05) and the operation technique was significantly improved (P<0.05) after the training.Conclusion: The application of domestic pig for ERCP simulation training can simulate the real operation condition in the human body and provide more hands-on opportunities. Through short-term and high-intensity training, the trainees can master the basic ERCP technique quickly, thus realizing the goal of rapid talent growth.

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郭慧丽,张永潮,金大庆,等.利用家猪进行经内镜逆行胰胆管造影术模拟培训的效果评估[J].中华消化内镜杂志,2020,37(9):662-665.

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  • 收稿日期:2020-01-06
  • 最后修改日期:2020-07-29
  • 录用日期:2020-03-17
  • 在线发布日期: 2020-09-25
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