标准空间半规管模型在良性阵发性位置性眩晕教学中应用.docVIP

标准空间半规管模型在良性阵发性位置性眩晕教学中应用 　　[摘要] 目的 探讨在传统教学模式基础上结合标准空间半规管模型动画演示及3D打印模型的新教学模式在良性阵发性位置性眩晕教学中的应用。 方法 将教学对象分为两组，分别为2016年9月及2016年10月在我院神经内科轮转实习的规范化培训住院医师、医学生及神经内科、急诊科临床医师，第一组共18例，第二组共19例。第一组学员采用良性阵发性位置性眩晕传统教学模式，第二组学员采用新教学模式学习，通过学员自评表调查教学效果，并进行比较。 结果 两组学员分别采用不同教学模式后对良性阵发性位置性眩晕诊断和复位手法掌握的熟练程度对比差异有统计学意义（P0.05）。第一组学员学习后的熟练程度以不大熟练所占比重最大，第二组学员学习后的熟练程度以熟练所占比重最大。 结论 基于标准空间半规管模型进行良性阵发性位置性眩晕教学可以有效达到教学目标。 　　[关键词] 半规管；眩晕；模型；教学 　　[中图分类号] R4 [文献标识码] B [文章编号] 1673-9701（2017）13-0135-04 　　[Abstract] Objective To explore the application of a new teaching mode combined with traditional teaching mode with standard space semi-circular canal model animation demonstration and 3D print model in benign paroxysmal positional vertigo teaching. Methods The teaching subjects were the resident physicians， medical students， clinicians from Neurology Department and Emergency Department who received standardized training of rotation residency in September 2016 and October 2016 respectively， and they were divided into two groups， 18 subjects for group 1 and 19 subjects for group 2. The subjects of group 1 were given traditional teaching mode of benign paroxysmal positional vertigo， and the subjects of group 2 were given new teaching mode， and the teaching effects were investigated with the student self-evaluation form and compared. Results After receiving different teaching mode， the subjects of both groups showed statistically significant difference in the proficiency of benign paroxysmal positional vertigo diagnosis and manipulative reduction（P0.05）. The large proportion of subjects of group 1 showed low proficiency， while large proportion of subjects of group 2 showed high proficiency. Conclusion Benign paroxysmal positional vertigo teaching based on standard space semicircular canal model can achieve teaching objective. 　　[Key words] Semicircular canal； Vertigo； Model； Teaching 　　良性?发性位置性眩晕（benign paroxysmal positional vertigo，BPPV）又称耳石症，是当特定头位改变时出现的阵发性短暂性眩晕，目前认为是最为常见的周围性前庭系统疾病[1-4]，占周围性眩晕的20%～