Bai Yang, Zhi Fa-Chao, Liu Si-de, Chen Cun-Long, Pan De-Shou, DU Xu-Feng, Zhang Qiang, DU Qing-Feng, Xiao Bing, Zhang Ya-Li, Jiang Bo
Institute of Digestive Medicine, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China.
Zhonghua Yi Xue Za Zhi. 2012 May 15;92(18):1285-7.
To explore the feasibility of transferring the skills from the AccuTouch flexible endoscopy simulator colonoscopy training to clinical practices.
The novice colonoscopies were divided into 2 groups.Group A (control group) including 4 trainees for traditional training, Group B (experimental group) including 4 trainees for simulator training. After training, we compared the number of cases for achieving independent competence, assisted competence and incompetence in the first ten patients.
No significant differences existed between two groups in terms of age and gender (both P > 0.05). Significant differences existed in educational background and the controlled group was better than the experimental group (Z = -2.005, P = 0.04). The cases of independent completion, assisted competence and incompetence of the control and experimental groups were 2, 4, 9 and 21, 29, 15 respectively. Rank tests show that the simulator training was better than the traditional counterpart (average rank: 56.14 vs 24.86, Z = -6.393, P = 0.00).
The skills acquired from AccuTouch Endoscopy Simulator may be well transferred into the clinical colonoscopy environment. It clearly supports the scheme of integrating simulator training into colonoscopic education curricula.
探讨将AccuTouch柔性内镜模拟器结肠镜检查训练技能应用于临床实践的可行性。
将初诊结肠镜检查者分为两组。A组（对照组）包括4名接受传统训练的学员，B组（实验组）包括4名接受模拟器训练的学员。训练后，我们比较了前10例患者中达到独立操作能力、辅助操作能力和无操作能力的病例数。
两组在年龄和性别方面无显著差异（P均>0.05）。教育背景存在显著差异，对照组优于实验组（Z=-2.005，P=0.04）。对照组和实验组独立完成、辅助操作和无操作能力的病例数分别为2、4、9和21、29、15。秩和检验表明，模拟器训练优于传统训练（平均秩次：56.14对24.86，Z=-6.393，P=0.00）。
从AccuTouch内镜模拟器获得的技能可能很好地应用于临床结肠镜检查环境。这明确支持将模拟器训练纳入结肠镜检查教育课程的方案。
