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通过蒂尔法与福尔马林防腐处理的尸体学习解剖学:学生对防腐方法的看法及其对功能解剖学知识的影响。

Learning anatomy through Thiel- vs. formalin-embalmed cadavers: Student perceptions of embalming methods and effect on functional anatomy knowledge.

机构信息

Centre for Anatomy and Human Identification, School of Science and Engineering, University of Dundee, Dundee, Scotland, United Kingdom.

School of Life Sciences, University of Dundee, Dundee, Scotland, United Kingdom.

出版信息

Anat Sci Educ. 2018 Mar;11(2):166-174. doi: 10.1002/ase.1715. Epub 2017 Jul 18.

Abstract

Thiel-embalmed cadavers, which have been adopted for use in anatomy teaching in relatively few universities, show greater flexibility and color retention compared to formalin-embalmed cadavers, properties which might be considered advantageous for anatomy teaching. This study aimed to investigate student attitudes toward the dissection experience with Thiel- compared to formalin/ethanol-embalmed cadavers. It also aimed to determine if one embalming method is more advantageous in terms of learning functional anatomy through the comparison of student anterior forearm functional anatomy knowledge. Student opinions and functional anatomy knowledge were obtained through use of a questionnaire from students at two medical schools, one using Thiel-, and one using more traditional formalin/ethanol-embalmed cadavers. Both the Thiel group and the formalin group of students were surveyed shortly after completing an anterior forearm dissection session. Significant differences (P-values <0.01) in some attitudes were found toward the dissection experience between cohorts using Thiel- vs. formalin-embalmed cadavers. The Thiel group of students felt more confident about recognizing anatomy in the living individual, found it easier to identify and dissect anatomical structures, and indicated more active exploration of functional anatomy due to the retained flexibility of the cadaver. However, on testing, no significant difference in functional anatomy knowledge was found between the two cohorts. Overall, although Thiel embalming may provide an advantageous learning experience in some investigated areas, more research needs to be carried out, especially to establish whether student perception is based on reality, at least in terms of structure identification. Anat Sci Educ 11: 166-174. © 2017 American Association of Anatomists.

摘要

经过泰尔氏液处理的尸体,由于其具有更好的柔韧性和颜色保持性,已被少数几所大学采用用于解剖学教学,相比之下,福尔马林/乙醇处理的尸体则不具备这些特性,因此被认为更有利于解剖学教学。本研究旨在调查学生对泰尔氏液处理的尸体进行解剖的态度,与福尔马林/乙醇处理的尸体相比有何不同。此外,本研究还旨在通过比较学生前臂前区功能解剖学知识,确定哪种处理方法在学习功能解剖学方面更具优势。学生的意见和功能解剖学知识是通过两所医学院的学生问卷调查获得的,其中一所使用泰尔氏液,另一所则使用更为传统的福尔马林/乙醇处理的尸体。在完成前臂前区解剖课程后,立即对使用泰尔氏液和福尔马林/乙醇处理的尸体的学生进行问卷调查。使用泰尔氏液和福尔马林/乙醇处理的尸体的学生在解剖体验方面存在一些明显的态度差异(P 值<0.01)。使用泰尔氏液的学生群体对在活体中识别解剖结构更有信心,他们发现更容易识别和解剖解剖结构,并表示由于尸体的柔韧性得以保留,他们更积极地探索功能解剖学。然而,在测试中,两个学生群体之间的功能解剖学知识没有显著差异。总的来说,尽管泰尔氏液处理可能在某些研究领域提供了有利的学习体验,但仍需要进行更多的研究,特别是要确定学生的感知是否基于现实,至少在结构识别方面是如此。解剖学教育 11: 166-174. © 2017 美国解剖学家协会。

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