关键词: 蝶腭神经节, 穿刺, 教学, 培训模式, 模拟培训

Abstract: Objective  To explore an ideal training pattern of sphenopalatine ganglion puncture technique (SPGP) based on anatomical structure. Methods  A total of 54 trainee doctors finished one-week training for SPGP in Pain Department of Anesthesia Center, Beijing Anzhen Hospital, Capital Medical University from April 2017 to October 2021. The training contents included theoretical knowledge teaching, simulation operation and clinical practice. After the training, theoretical knowledge and clinical practice assessments were carried out and the doctors' satisfaction with teaching was investigated by questionnaire survey. The completed SPGP cases in 1 or 2 years were obtained through follow-up. Results  All trainee doctors have passed the theoretical knowledge assessment with score (84.7±5.1) and clinical practice assessment with score (82.9±5.0); 17 doctors (31.5%) got the greatest benefit from theoretical knowledge teaching; 16 doctors (29.6%) got the greatest benefit from simulation-based teaching; 21 doctors (38.9%) got the greatest benefit from clinical practice teaching; 42 doctors (77.8%) were satisfied with the training pattern and 12 doctors (22.2%) were generally satisfied with the training pattern. Forty-five doctors (83.3%) were confident to carry out SPGP independently. forty-seven doctors (87.0%) and 49 doctors (90.7%) carried out SPGP within the first and second years after our training respectively. Compared with the first year, the completion rate of 201-300 cases was significantly higher in the second year after training (P＜0.05). Conclusion  This training pattern of SPGP in our center has high satisfaction, which can significantly improve their theoretical level and clinical ability of SPGP, so as to facilitate them to successfully carry out this technique.

Key words: sphenopalatine ganglion, punctures, teaching, training pattern, simulation training