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| 中文摘要: |
| 目的 研究腹腔镜下诊刮术在住院医师规范化培训教学中的应用价值。方法 选取武汉市第一医院住院医师轮转学员为研究对象，其中2015级30人为对照组，2016级29人为实验组。两组教学均为3学时，包括理论授课1学时，实践操作2学时。实验组采用理论授课＋腹腔镜下诊刮术来实践操作，对照组为理论授课＋传统诊刮术。实践操作后实验组住培学员填写教学质量问卷调查表，两组学员均参加理论考试和实践操作考试。结果 腹腔镜下诊刮术可以明显提高学员对诊刮子宫的学习理解能力，使多数学员适应诊刮术，消除子宫穿孔的恐慌，增加了学员对子宫质地的感受能力，取得了满意的教学效果。实验组学员实践操作考试平均成绩为（9.150±2.461）分，高于对照组的（7.053±1.347）分，差异有统计学意义；理论考试平均成绩为（7.581±1.632）分，与对照组的（6.983±1.726）分相比，差异无统计学意义；实验组综合考试平均成绩为（9.037±1.951）分，与对照组（6.891±2.140）分相比，差异有统计学意义。结论 腹腔镜下诊刮术可以明显增加住院医师规范化培训学员对诊刮术的学习理解和感受能力，在住院医师三基操作培训教学中具有应用价值。 |
| 英文摘要: |
| Objective To study the application value of laparoscopic curettage in the standardized training for residents. Methods In this study, we selected residents of the Wuhan First Hospital as the research subjects. Thirty of the subjects from the 2015 grade were the control group and another 29 from the 2016 grade were the experimental group. Both groups had three classes, including one theory class, and two practice classes. After the theoretical class, the experimental group practiced laparoscopic curettage, while the control group practiced curettage. After practice, the experimental group filled out the questionnaire on teaching quality, and both groups participated in the theory test. Results Laparoscopic curettage can significantly improve students' ability to learn and understand curettage, so that most students can adapt to curettage, eliminate the panic from uterine perforation and be more sensitive to the uterus textures, and satisfactory teaching results were achieved. The average score of the practice test for the experimental group (9.150±2.461) was statistically higher than that for the control group (7.053±1.347). The average score of the theory test (7.581±1.632) for the experimental group was not statistically different from that for the control group (6.983±1.726). The average scores of the two tests for the experimental group (9.037±1.951) and the control group (6.891±2.140) were statistically different. Conclusions Laparoscopic curettage can significantly improve the ability to learn, understand and feel curettage for residents who are under standardized training, and it has great application value in the three basic operation trainings. |
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