虚拟现实情境系统结合ORSIM模拟器提升研究生纤支镜操作能力的研究-国际教育学-CSCIED科技核心评价数据库-手机版

虚拟现实情境系统结合ORSIM模拟器提升研究生纤支镜操作能力的研究

Virtual reality contextualization system combined with ORSIM simulator to enhance graduate students' fibrilloscopic operational skills

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DOI	10.12208/j.ije.20260012
刊名	国际教育学 International Journal of Education
年，卷(期)	2026, 8(1)
作者	吴政昊, 许尧, 许勇,
作者单位	锦州医科大学附属第一医院麻醉科辽宁锦州
摘要	纤支镜引导下气管插管是处理紧急困难气道的核心手段。麻醉研究生在临床困难气道病例有限且紧急的情况下，操作机会极少是现行研究生培训中的突出问题。通过虚拟现实（virtual reality, VR）情境系统，搭建VR情境模拟平台，可使用VR平台搭载ORSIM模拟器进行分阶段系统性的培训实践，完善临床技能多元化考核体系。本研究推测，通过分组训练，使用VR平台搭载ORSIM模拟器的模拟器组在纤维支气管镜插管操作的水平上优于使用传统人体模型的传统组，缩短了气管插管的时间，并在处理困难气道方面表现出更高的综合能力。本研究旨在探讨在VR平台上使用ORSIM模拟器进行教学培训的最佳方案，并将具体的培训方法纳入麻醉专业研究生的培训体系，以弥补当前研究生培训体系的不足，从而提升研究生在应对紧急困难气道时的综合能力。
Abstract	Fibrilloscopy-guided tracheal intubation is a core tool for dealing with emergency difficult airway. Postgraduate anesthesia students have very few opportunities to operate in limited and urgent clinical difficult airway cases, which is a prominent problem in the current postgraduate training. Through the virtual reality (VR) situation system, a VR situation simulation platform can be built, and the VR platform can be used to carry out systematic training practice in stages with the ORSIM simulator, and to improve the diversified assessment system of clinical skills. In this study, it was hypothesized that through group training, the simulator group using the VR platform with the ORSIM simulator outperformed the conventional group using the traditional manikin in the level of fiberoptic bronchoscopy intubation maneuvers, shortened the time of tracheal intubation, and demonstrated higher overall competence in dealing with a difficult airway. The aim of this study was to investigate the best option for teaching and training using the ORSIM simulator on a VR platform and to incorporate specific training methods into the training system for postgraduate anesthesia students to compensate for the shortcomings of the current postgraduate training system so as to improve the overall competence of postgraduate students in dealing with an emergency difficult airway.
关键词	虚拟现实情境系统；ORSIM模拟器；麻醉研究生；困难气道
KeyWord	Virtual reality context system; ORSIM simulator; Postgraduate anesthesia students; Difficult airway
基金项目
页码	54-58

参考文献
相关文献

[1] 于布为,吴新民,左明章,等.困难气道管理指南
[J].临床麻醉学杂志,2013,29(01):93-98.

[2] 田鸣,邓晓明,朱也森,等.困难气道管理专家共识
[J].临床麻醉学杂志,2009,25(03):200-203.

[3] 赵柏松,吴军,金赛芬,等.ORSIM模拟器提升规培医师纤支镜操作能力的实践研究
[J].中国现代医生,2021,59(22): 156-160.

[4] 邓信林,黄建成,蔡铁良,等.3.5毫米超细纤维支气管镜在小儿困难气道中的应用
[J].中国医师进修杂志,2018, 41(01):42-45.

[5] Kennedy CC, Cannon EK, Warner DO, Cook DA. Advanced airway management simulation training in medical education: a systematic review and meta-analysis. Crit Care Med. 2014 Jan;42(1):169-78.

[6] 黄之健,刘玉凤,张丽,等.医学生气道建立的学习在模拟人上的应用效果
[J].麻醉安全与质控,2024,6(05):281-284.

[7] ORSIM® 技术手册及官网技术参数.

[8] Baker PA, Weller JM, Baker MJ, Hounsell GL, Scott J, Gardiner PJ, Thompson JM. Evaluating the ORSIM® simulator for assessment of anaesthetists' skills in flexible bronchoscopy: aspects of validity and reliability. Br J Anaesth. 2016 Sep;117 Suppl 1:i87-i91.

[9] Melvin MT, Siddiqui NT, Wild E, Parotto M, Perelman VS, You-Ten KE. Achieving Competency in Fiber-Optic Intubation Among Resident Physicians After Higher- Versus Lower-Fidelity Task Training: A Randomized Controlled Study. Anesth Analg. 2023 Jul 1;137(1):200-208.

[10] 张璐,喻健.增强现实技术在口腔医学教学中的应用
[J].口腔材料器械杂志,2024,33(02):111-115.

[11] Jain S, Dripta Barua Chowdhury B, Mosier JM, Subbian V, Hughes K, Son YJ. Design and Development of an Integrated Virtual Reality (VR)-Based Training System for Difficult Airway Management. IEEE J Transl Eng Health Med. 2025 Jan 14;13:49-60.

[12] Aksoy ME, Özkan AE, Kitapcioglu D, Usseli T. Comparing the Outcomes of Virtual Reality-Based Serious Gaming and Lecture-Based Training for Advanced Life Support Training: Randomized Controlled Trial. JMIR Serious Games. 2023 Sep 28;11:e46964.

[13] Martin JA, Regehr G, Reznick R, MacRae H, Murnaghan J, Hutchison C, Brown M. Objective structured assessment of technical skill (OSATS) for surgical residents. Br J Surg. 1997 Feb;84(2):273-8.

[14] Wong DT, Mehta A, Singh KP, Leong SM, Ooi A, Niazi A, You-Ten E, Okrainec A, Patel R, Singh M, Wong J. The effect of virtual reality bronchoscopy simulator training on performance of bronchoscopic-guided intubation in patients: A randomised controlled trial. Eur J Anaesthesiol. 2019 Mar;36(3):227-233.

引用本文

吴政昊, 许尧, 许勇. 虚拟现实情境系统结合ORSIM模拟器提升研究生纤支镜操作能力的研究 [J]. 国际教育学. 2026; 8; (1). 54 - 58.

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