规范化培训在缩短腹腔镜胃肠手术助手学习曲线中的作用分析

Study of standardized training in shorten the learning curve of zero-based assistant of laparoseopic gastrointestinal surgery

目的以科研思维方式为指导，针对零基础腹腔镜胃肠手术助手展开规范化培训，观察并探索该培训方式在缩短学习曲线中的作用。方法将2013年2月至2014年12月进入三级甲等医院外科学习的符合零基础手术助手医生40名分为Ⅰ组和Ⅱ组，并随机将Ⅰ、Ⅱ两组医生分为观察组及对照组，对观察组医生实施助手规范化培训，观察病例200例，观察两组医生在腹腔镜辅助下乙状结肠癌根治术或直肠癌Dixon切除术5例后手术配合熟练程度，并进行统计分析。结果观察组医生在手术配合、模拟考核成绩等均优于对照组。结论针对零基础腹腔镜胃肠手术助手的规范化培训对于腹腔镜手术团队的建设有着重要的意义。

Objective Using the scientific thinking mode, applied the standardized training in zero-based assistant of laparoseopic gastrointestinal surgery, observe and explore the effect of shorten learning curve. Methods Took 40 students studied in our hospital from February 2013 to December 2014 as object of our study, who were randomly divided into Group Ⅰ and Group Ⅱ. Group Ⅰ was given standardized training, group Ⅱ was given regular training. After total 200 cases of laparoseopic assisted colectomy, 5cases each doctor, we analyzed the two teams outcome of surgery cooperation. Results Compared with the control group, doctors from observation group were better in the surgery cooperation and the examination. Conclusions Standardized training is very meaningful for the zero based assistant of laparoseopic gastrointestinal surgery.