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中华养生保健 ›› 2024, Vol. 42 ›› Issue (4): 1-4.

• 论著 •    下一篇

通过模拟器训练改善Perclose ProGlide血管缝合器系统的使用——一项回顾性队列研究

胡桓睿1, 谭清元2, 蒲丹3,*   

  1. 1.四川大学华西医院普通外科血管外科,四川 成都,610041;
    2.四川大学华西医院胰腺炎中心,四川 成都,610041;
    3.四川大学华西医院肺癌中心,四川 成都,610041
  • 出版日期:2024-02-16 发布日期:2024-02-21
  • 通讯作者: *蒲丹,E-mail:156775301@qq.com。
  • 作者简介:胡桓睿(1989—),男,汉族,籍贯:四川省凉山彝族自治州,博士研究生,讲师,研究方向:血管疾病。
  • 基金资助:
    四川省科技厅重点研发项目(2023YFS0302)

Improving the Use of Perclose ProGlide Vascular Suture System Through Simulator Training: A Retrospective Queue Study

HU Huan-rui1, TAN Qing-yuan2, PU Dan3,*   

  1. 1. Vascular Surgery Department of General Surgery, West China Hospital, Sichuan University, Chengdu Sichuan 610041, Chian;
    2. Pancreatitis Center of West China Hospital, Sichuan University, Chengdu Sichuan 610041, Chian;
    3. Lung Cancer Center of West China Hospital, Sichuan University, Chengdu Sichuan 610041, Chian
  • Online:2024-02-16 Published:2024-02-21

摘要: 目的 本研究旨在探究使用模拟器训练能否提高Perclose ProGlide血管缝合器系统使用的学习效率,以能更快、熟练地掌握缝合器系统。方法 本研究采用回顾性队列研究,选择2020年9月—2022年9月在本中心进行培训的11名医师作为研究对象,将他们分为研究组与对照组,采用不同方式培训他们对于Perclose ProGlide血管缝合器系统的使用。对照组仅通过说明书及教学视频进行学习,研究组则在此基础上增加模拟器训练。两组医师在学习后各使用Perclose ProGlide血管缝合器系统对100例股动脉穿刺点进行缝合操作,统计并比较两组医师使用Perclose ProGlide血管缝合器系统结局的差异。结果 两组医师使用Perclose ProGlide血管缝合器系统的成功率比较,差异无统计学意义(P>0.05)。研究组的封堵器释放时间明显缩短,差异有统计学意义(P<0.05),缝合时患者的出血量也有所减少,差异有统计学意义(P<0.05),其余两组间研究结果比较,差异无统计学意义(P>0.05)。结论 模拟器的使用有助于加快血管外科医师对于Perclose ProGlide血管缝合器系统的掌握,使医师能在实际操作中操作更加熟练,并减少患者的出血。

关键词: 模拟器, 血管缝合器, 血管腔内治疗

Abstract: Objectives This study aims to assess whether training with simulators can improve the learning efficiency of the Perclose ProGlide vascular closure system, thereby accelerating proficiency and mastery of the closure system. Methods This study adopts a retrospective cohort design, selecting 11 physicians trained at this center from September 2020 to September 2022 as the study subjects. They are divided into a research group and a control group. Different training methods are employed for their use of the Perclose ProGlide vascular closure system. The control group learns only through manuals and instructional videos, while the research group adds simulator training. After the training, both groups of physicians use the Perclose ProGlide system to close the puncture site of the femoral artery in 100 cases, and the outcomes are compared. Results There is no statistically significant difference in the success rate of using the Perclose ProGlide vascular closure system between the two groups(P>0.05). The research group shows a significantly shorter device release time(P<0.05)and a reduced bleeding volume during closure(P<0.05). The comparison of research results between the other two groups showed no statistically significant difference (P>0.05). Conclusion The use of simulators contributes to accelerating vascular surgeons' mastery of the Perclose ProGlide vascular closure system, enabling physicians to operate more proficiently in actual procedures and reducing patient bleeding.

Key words: simulator, vascular sutures, endovascular therapy

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