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基于模拟器的培训计划对外部头位翻转成功率的影响。

Impact of a simulator-based training program on the success rate of external cephalic version.

机构信息

Faculdade de Medicina, Universidade de Lisboa, Portugal.

Departamento de Obstetrícia, Ginecologia e Medicina da Reprodução, Centro Hospitalar Universitário Santa Maria, Lisboa, Portugal.

出版信息

Eur J Obstet Gynecol Reprod Biol. 2024 Oct;301:60-63. doi: 10.1016/j.ejogrb.2024.07.071. Epub 2024 Aug 2.

Abstract

OBJECTIVE

To compare the success and complication rates of external cephalic version before and after the implementation of a simulator-based training program at a tertiary care university centre with a dedicated external cephalic version team.

STUDY DESIGN

In this single-center intervention study, the success rate and the complication rates of external cephalic version in the two years before the implementation of a simulation-based training program for all specialists and residents, were compared with the two years following the event. T- student, Mann-Whitney, and Chi-square tests were used. All data were extracted from the hospital's electronic patient records.

RESULTS

A total of 96 external cephalic versions were performed in the 2 years before the training program, and 74 after the training program. The overall success rates were similar between the two groups: 44.8 % before training and 43.2 % after training (p = 0.824). No major complications occurred, and no emergency cesarean deliveries were performed in either period.

CONCLUSION

In a tertiary care university training center with a dedicated team in external cephalic version, a structured simulation-based training program did not impact the success rate or the complication rates of the procedure.

摘要

目的

比较在一家三级保健大学中心实施基于模拟器的培训计划前后,专门的外倒转术团队的外部头位翻转术的成功率和并发症发生率。

研究设计

在这项单中心干预研究中,比较了在所有专家和住院医师实施基于模拟的培训计划之前的两年内与之后的两年内外部头位翻转术的成功率和并发症发生率。使用了 t 检验、Mann-Whitney 检验和卡方检验。所有数据均从医院的电子病历中提取。

结果

在培训计划之前的 2 年内进行了 96 次外部头位翻转术,在培训计划之后的 2 年内进行了 74 次。两组的总体成功率相似:培训前为 44.8%,培训后为 43.2%(p=0.824)。两个时期均未发生重大并发症,也未进行紧急剖宫产。

结论

在设有专门的外倒转术团队的三级保健大学培训中心,结构化的基于模拟器的培训计划不会影响该手术的成功率或并发症发生率。

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