高仿真模拟人在心肺复苏培训中的应用

Application of the fidelity human patient simulator in the training of cardiopulmonary resuscitation

目的分析和评价高仿真电脑模拟人在心肺复苏培训中的应用效果。方法使用挪威Laerdal公司生产的SimMan4000综合模拟人和美国医学教育科技公司(METI)生产的高仿真电脑模拟人(HPS)对210名医生进行心肺复苏、各种恶性心律失常及呼吸衰竭的处理模拟培训。对参加培训的医生反馈问卷进行统计分析。结果培训前学员人工呼吸和胸外按压平均分数分别为65.41±24.36和75.62±24.65,培训后分数分别为88.37±22.45和88.23±21.46。学员经培训后心肺复苏能力明显提高(P<0.05)。99.5%的学员认为高仿真电脑模拟人在心肺复苏和危重病抢救教学中有非常大的作用,97.6%认为应用HPS培训可以培养团队精神。结论高仿真电脑模拟人在医学教育中可发挥巨大作用,它具有无风险、可重复、可控性、培养团队精神等优点,可以明显提高培训成绩,有利于我国医疗水平提高。

Object To analyze and evaluate the result of using high fidelity Human Patient Simulator in the training of cardiopulmonary resuscitation. Methods Use SimMan4000 human analogue of Norway Laerdal company and the high fidelity Human Patient Simulator of Medical Education Technology Incorporation, 210 doctors were trained, and training contented contain cardiopulmonary resuscitation,malignant arrhythmia and respiratory failure, then,score was gaven by computer.The freehack questionnaire of trained residents were added up. Result The average score of artificial respiration and press chest outside were 65.41 ±24.36 and 75.62± 24.65 before training respectively, the scores were 88.37 ± 22.45 and 88.23 ±21.46 after training respectively.The ability of cardiopulmonary resuscitation raised obviously（P〈0.01）. 99.5% trained doctors thought that high fidelity Human Patient Simulator was very important in the training of cardiopulmonary resuscitation. Conclusion The high fidelity Human Patient Simulator was very important in medical training, and it has no risk, repeatability,controllability and training team spirit and can obviously enhance the training resuh and help raise the medical level in my country.