目的 探究网络教学方式在神经外科住院医师腰椎穿刺术培训中的应用效果。方法 本研究采用试验对照方法。2019年2月至2020年8月,选取在北京大学第三医院神经外科接受规范化培训的80名住院医师为研究对象,将2020年2月至2020年8月接受规范化培训的40名住院医师设为试验组,采用网络教学方式进行腰椎穿刺术技能培训;将2019年2月至2019年8月接受规范化培训的40名住院医师设为对照组,采用传统教学方式培训。通过技能考核、问卷调查评价两组住院医师的培训效果。结果 试验组和对照组住院医师在技能考核总成绩[(83.9±4.9)分比(83.3±5.2)分]、腰椎穿刺操作完成时间[(11.6±2.3)分钟比(11.8±2.5)分钟]、对教学方式的满意率[67.5%(27/40)比60.0%(24/40)]等方面比较,其差异均无统计学意义(均P＞0.05);试验组和对照组住院医师在提高学习兴趣[92.5%(37/40)比75.0%(30/40)]和强化知识记忆[95.0%(38/40)比77.5%(31/40)]的教学方式认同率比较,其差异均具有统计学意义(均P<0.05)。结论 采用网络教学方式进行神经外科住院医师腰椎穿刺术培训,能够实现与传统教学方式相当的技能考核总成绩、操作完成时间和教学满意率等教学目标,有助于提高住院医师的学习兴趣,强化其知识记忆。

Objective To apply and evaluate internet teaching method in the training of lumbar puncture for residents in Neurosurgery Department. Methods The experimental control method was used. A total of 80 residents who were trained in neurosurgery department of Peking University Third Hospital from February 2019 to August 2020 were selected as the objects. They were divided into two groups with internet teaching and traditional teaching respectively to compare the training outcome of lumbar puncture. Skill assessment and the results of questionnaire were collected to evaluate the teaching effectiveness. Results The difference of skill total score, operating time, and satisfaction rate between internet teaching method group and traditional teaching group were not statistically significant [(83.9±4.9) vs. (83.3±5.2), (11.6±2.3) vs. (11.8±2.5), 67.5%(27/40) vs. 60.0%(24/40), all P＞0.05]. However, there was statistically significant difference in terms of improving learning interest and strengthening knowledge memory [92.5%(37/40) vs. 75.0%(30/40), 95.0%(38/40) vs. 77.5%(31/40), all P＜0.05]. Conclusions The internet teaching in skill training like lumbar puncture for neurosurgery residents can ensure the learning outcome non-inferior to that of traditional teaching method, but the internet method stimulates the residents'interest in learning and strengthens the knowledge memory.