CN114186982A - Bronchus soft lens training method, electronic device and storage medium - Google Patents
Bronchus soft lens training method, electronic device and storage medium Download PDFInfo
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Abstract
The invention discloses a method for training bronchoscope, which comprises the following steps: providing a training course of bronchoscope theory; the examination of the reversing training device is controlled through a bronchus soft lens; controlling the examination of the target hole without moving the training box through a bronchus soft lens; controlling the target hole through a bronchus soft lens to move the intelligent training box for examination; simulating the training device examination of the normal airway of the human body through the real scene of the bronchus soft lens; simulating the examination of a training device of the abnormal airway of the human body through the bronchus soft lens live-action; and training and checking through a bronchoscope. The training method for the bronchoscope effectively ensures the training effect, realizes that the user autonomously completes the operation training and the examination of the bronchoscope without the guidance of a guide, and reduces the training cost. The invention also provides an electronic device and a storage medium.
Description
Technical Field
The present disclosure relates to the field of instrument training, and in particular, to a method for training bronchoscope, an electronic device, and a storage medium.
Background
The bronchoscope is a medical instrument which is placed in the respiratory tract of a patient through mouth or nose, can be used for guiding general anesthesia tracheal intubation, can be used for observing lung lobe, segment and sub-segment bronchial lesions, collecting tissue samples, and can be used for photographing, teaching and dynamic recording in cooperation with a TV system. The bronchoscope is an important tool used for general anesthesia tracheal intubation, is recommended as the first choice for treating the difficult airways in difficult airway treatment guidelines of international versions, and is also the bronchoscope when the conscious tracheal intubation is carried out. However, because of high difficulty of operation technology and long learning period, many clinical anesthetists cannot master the technology and can not play the important value of the technology in clinical anesthesia and airway management.
The bronchoscope comprises a fiber bronchoscope and an electronic bronchoscope, and can be used for guiding the tracheal catheter inserted into the trachea. The basic components of the fiber bronchoscope are glass fiber bundles, the diameter of each fiber bundle is 8-12 mu m, and a 2 nd layer of glass, namely an outer membrane, is coated outside the fiber bronchoscope. When the soft lens is operated, the fine control is needed, the physiological structure or abnormal deformation pathological structure of the patient is identified under the lens, and the soft lens is delivered to the target position under the high coordination operation of hands and eyes. Therefore, the operator is extremely required to perform a procedure using a fiberbronchoscope.
In the teaching of bronchoscopes, the most basic operations of holding manipulation of the endoscope body, precisely controlling horizontal forward and backward, horizontal rotation, vertical and horizontal swinging and the like of the visual field are the skills which each practitioner should master firstly, and then training needs to be carried out in the physiological structure and the pathological structure of the human body, and the combination of basic actions is utilized to reasonably avoid obstacles so as to reduce the risk of damaging patients as much as possible.
However, the conventional scientific and systematic bronchoscope training method is lacked, the training effect is often poor, and the training cost is high if manual training is performed, so that a scientific, efficient and progressive bronchoscope training system needs to be researched and developed urgently.
Disclosure of Invention
The invention aims to solve the problems that a scientific bronchoscope training method is lacked at present, the training effect is poor, and the training cost is high if manual band training is adopted. The invention provides a training method of a bronchoscope, which is characterized in that a user sequentially passes through the examination of a bronchoscope theory training course, the examination of a bronchoscope control reversing training device, the examination of a bronchoscope control target hole without moving a training box, the examination of a bronchoscope control target hole with moving an intelligent training box, the examination of the bronchoscope live-action simulation human body non-tumor training device, the examination of the bronchoscope live-action simulation human body tumor and secretion training device, and then the training and examination of the whole bronchoscope training method are passed, so that the using method of the bronchoscope is mastered. The training method for the bronchoscope effectively ensures the training effect, realizes that the user autonomously completes the operation training and the examination of the bronchoscope without the guidance of a guide, and reduces the training cost.
In order to solve the technical problem, the embodiment of the invention discloses a method for training a bronchoscope, which comprises the following steps: providing a training course of bronchoscope theory; providing a bronchus soft lens operation primary training course; providing a bronchus soft lens control middle-level training course; providing a bronchus soft lens control advanced training course; providing a theoretical course of inserting the tube by a general anesthesia bronchoscope of a patient with normal airway anatomy; providing a theoretical course of a conscious bronchoscope guide intubation of an abnormal airway anatomical patient; training and checking through a bronchoscope; the bronchoscope manipulation primary training course comprises: introducing a using method and a scoring target of the bronchus soft lens control reversing training device; the bronchus soft lens manipulation middle-level training course comprises the following steps: introducing a using method of a bronchus soft lens operation target hole non-moving training box and a scoring target; the bronchoscope manipulation advanced training course comprises: introducing a using method of a bronchus soft lens control target hole moving intelligent training box and a scoring target; theoretical courses of general anesthesia bronchoscopy guided intubation of patients with normal airway anatomy include: introducing a using method and a scoring target of a bronchus soft-lens live-action simulation human body non-tumor training device; theoretical courses for conscious bronchoscope guided intubation of patients with abnormal airway anatomy include: a method for using a training device for simulating the presence of tumor and secretion in human body by using a bronchus soft lens live-action and a scoring target are introduced.
By adopting the technical scheme, the training effect of the bronchoscope is effectively guaranteed, a user can comprehensively master the advancing, retreating, left-right rotating, up-down left-right swinging of the bronchoscope, the proficiency of the bronchoscope in use is improved, the user can independently complete the operation training and examination of the bronchoscope without guidance of a guide, and the training cost is reduced.
According to another embodiment of the invention, after providing the bronchoscope theoretical training course, performing the bronchoscope theoretical training to obtain a score of the bronchoscope theoretical training, and judging whether the score of the bronchoscope theoretical training is greater than or equal to a first preset value, wherein when the score of the bronchoscope theoretical training is less than the first preset value, the bronchoscope theoretical training course is provided, and when the score of the bronchoscope theoretical training is greater than or equal to the first preset value, the bronchoscope manipulation primary training course is provided;
after a bronchus soft-mirror operation primary training course is provided, performing a bronchus soft-mirror operation primary training model test to obtain the score of the bronchus soft-mirror operation primary training model test, and judging whether the score of the bronchus soft-mirror operation primary training model test reaches a second preset value or not, wherein when the score of the bronchus soft-mirror operation primary training model test does not reach the second preset value, the bronchus soft-mirror operation primary training course is provided, and when the score of the bronchus soft-mirror operation primary training model test reaches the second preset value, the bronchus soft-mirror operation intermediate training course is provided;
after a bronchus soft-lens control middle-level training course is provided, performing a bronchus soft-lens control middle-level training model test to obtain a score of the bronchus soft-lens control middle-level training model test, and judging whether the score of the bronchus soft-lens control middle-level training model test reaches a third preset value or not, wherein when the score of the bronchus soft-lens control middle-level training model test does not reach the third preset value, the bronchus soft-lens control middle-level training course is provided, and when the score of the bronchus soft-lens control middle-level training model test reaches the third preset value, the bronchus soft-lens control high-level training course is provided;
after a bronchus soft lens control advanced training course is provided, performing a bronchus soft lens control advanced training model test to obtain the score of the bronchus soft lens control advanced training model test, and judging whether the score of the bronchus soft lens control advanced training model test reaches a fourth preset value or not, wherein when the score of the bronchus soft lens control advanced training model test does not reach the fourth preset value, the bronchus soft lens control advanced training course is provided, and when the score of the bronchus soft lens control advanced training model test reaches the fourth preset value, a theoretical course of a normal airway anatomical patient general anesthesia bronchus soft lens guide intubation is provided;
providing a theoretical course of a normal airway anatomical patient general anesthesia bronchoscope guide intubation, then performing a live-action primary training model examination to obtain a score of the live-action primary training model examination, and judging whether the score of the live-action primary training model examination reaches a fifth preset value, wherein when the score of the live-action primary training model examination does not reach the fifth preset value, the theoretical course of the normal airway anatomical patient general anesthesia bronchoscope guide intubation is provided, and when the score of the live-action primary training model examination reaches the fifth preset value, the theoretical course of the abnormal airway anatomical patient clear-headed bronchoscope guide intubation is provided;
after providing a theoretical course of the conscious bronchoscope guide intubation of the abnormal airway anatomical patient, performing a live-action advanced training model test to obtain the score of the live-action advanced training model test, and judging whether the score of the live-action advanced training model test reaches a sixth preset value, wherein when the score of the live-action advanced training model test does not reach the sixth preset value, the theoretical course of the conscious bronchoscope guide intubation of the abnormal airway anatomical patient is provided, and when the score of the live-action advanced training model test reaches the sixth preset value, the training and examination are performed through the bronchoscope.
According to another specific embodiment of the present invention, the primary training model for controlling the bronchoscope is a training device for controlling and reversing the bronchoscope, the bronchoscope comprises a lens, a bendable part, a scope body, a holding handle, an operation trigger and a display screen, and the training device for controlling and reversing the bronchoscope comprises: the shell is internally provided with a hollow cavity, and the bottom surface of the hollow cavity is provided with an indicating component; the insertion opening is arranged at the top of the shell and is communicated with the hollow cavity so that the lens body can enter the hollow cavity;
the hollow cavity chamber is also internally provided with a clapboard fixed on the shell, and the clapboard is provided with a small hole opposite to the insertion hole, so that the lens body is kept vertical after penetrating through the clapboard;
the diameter of the insertion opening and/or the small hole is 1.2 to 2.5 times of the diameter of the section of the lens body;
the diameter of the insertion opening or the small hole is 8 mm-10 mm;
the indicating part comprises first indicating parts which are arranged at intervals and are projected on the bottom surface around the insertion opening and/or the small hole;
the first indicating member is arranged in a timepiece orientation;
the indicating part comprises a second indicating part which is positioned at the insertion opening and/or the projection of the small hole on the bottom surface;
the bottom surface of the hollow cavity is also provided with a first indicator light which is arranged corresponding to the first indicator component and/or the second indicator component and is used for indicating the direction of the first indicator component and/or the second indicator component;
the sensing assembly is arranged on the periphery of the hollow cavity, and when the sensing assembly senses that the mirror body is close to the first indicating part and/or the second indicating part, a first indicating lamp corresponding to the first indicating part and/or the second indicating part is turned off;
the shell is opaque, and the outer surface of the shell is also provided with a reminding device which can show the light and shade state of the first indicator light;
the reminding device is a second indicator light;
the shell further comprises a base, the base is arranged on the lower portion of the hollow cavity, a button is arranged on the outer side of the base, a control module is arranged in the base and connected with the button, a first indicator lamp, a second indicator lamp and a sensing assembly, the training device is started or closed according to the button, and the brightness of the first indicator lamp or the second indicator lamp is controlled according to signals of the sensing assembly.
According to another embodiment of the invention, the using method and the scoring target of the bronchoscope steering and reversing training device comprise:
the using method of the bronchoscope control reversing training device comprises the following steps: after the button is pressed, the bronchus soft lens is vertically placed into the hollow cavity chamber through the insertion opening, when the sensing component of the second indicating component senses the lens body, the first indicating lamp corresponding to the number on the bottom surface of the hollow cavity chamber is lightened, and when an operator sees that the second indicating lamp on the shell is lightened, the trainer should turn the lens to the corresponding direction of the number; when the lens turns to the correct direction, the sensing component corresponding to the number senses the lens body and extinguishes the first indicator light corresponding to the lens body, namely, an operator finishes one training; after one training is finished, the first indicator light of the second indicator part is turned on to prompt an operator to return the bronchus soft lens to an initial state, the operator needs to rotate the lens to the position of the second indicator part, the first indicator light corresponding to the second indicator part is turned off after a sensing assembly of the second indicator part senses the lens, the first indicator light corresponding to another number on the bottom surface of the hollow cavity is turned on, and the first indicator light and the second indicator light are turned on randomly in the training process;
the scoring target of the bronchus soft lens control reversing training device comprises: repeating the above steps until completing the steering training in twelve directions;
the score target of the bronchus soft lens control reversing training device is a second preset value.
According to another embodiment of the present invention, the bronchoscope manipulation middle-level training model is a bronchoscope manipulation target hole non-moving training box, and the bronchoscope manipulation target hole non-moving training box includes: device body and parallel arrangement are equipped with a through-hole in a plurality of baffles of device body inside, and the preceding curb plate of device body all is provided with at least one through-hole on every baffle, and bronchus soft mirror intelligence trainer still includes:
the detection devices are respectively arranged at each through hole and used for sending out a detection signal when the bronchus soft lens passes through the through hole;
the control module is connected with the detection device and used for receiving the detection signal and judging whether the bronchoscope passes through each through hole or not according to the detection signal;
the training box for the bronchus soft lens control target hole not to move further comprises a timing module which is connected with the control module, when the control module judges that the bronchus soft lens passes through the through hole, a timing signal is sent to the timing module, and the timing module records the time when the bronchus soft lens passes through the through hole according to the timing signal;
the timing module is also used for transmitting the recorded time to the control module, and the control module calculates the time from the time when the bronchoscope passes through the through hole in the front side plate to the time when the bronchoscope passes through the through hole in the partition plate close to the rear side plate of the device body according to the time, and/or calculates the time consumed by the bronchoscope passing through the through holes of the two partition plates;
the training box with the bronchoscope control target hole not moving further comprises a mode setting module for setting an exercise mode and an examination mode, and the mode setting module is connected with the control module;
the training box with the bronchoscope control target hole not moving further comprises a display module, and the display module is connected with the mode setting module and used for displaying the exercise mode and the examination mode of the mode setting module for an operator to select;
and the display module is connected with the control module and is used for displaying whether the bronchoscope passes through each through hole.
According to another embodiment of the invention, the method for using the training box without moving the bronchus soft lens operation target hole and the scoring target comprise the following steps:
the using method of the training box with the bronchus soft lens to control the target hole without moving comprises the following steps: the training box with the bronchoscope for controlling the target hole and without moving can be used for training and examination purposes; when the operator uses the bronchoscope to control the target hole without moving the training box, the practice mode and the examination mode are displayed on the screen of the display module for the operator to select; when the operator selects the practice mode, the operator firstly determines a target and determines which letter on the marking board is seen by the bronchus soft lens; after the determination is finished, the screen of the display module is divided into two parts, all through holes are displayed in parallel, and one part of the through holes displays the through holes, through which the bronchus soft lens needs to pass when reaching the designated letter, in different colors for the reference of an operator; the other part displays the through hole through which the bronchus soft lens passes in real time and displays the through hole in different colors, and when an operator operates the bronchus soft lens to pass through the appointed through hole, the real-time display part of the display module changes the color of the through hole to indicate that the through hole passes through; if the operator passes through the through hole, the through hole is displayed on the display module, and the operator finds an error and can operate again;
the timing module records the passing time, so that the control module can calculate the time from the first through hole passing through the front side plate to the through hole of the last partition plate, can also calculate the time for passing through the through holes on any two partition plates and can display the time on the display module;
for example, in the practice mode, after the designated letter a is selected, all the through holes are colored red, but the display positions on the display module, which are used for reference and correspond to the through holes reaching the letter, are changed to green; the display module is also used for displaying the real-time position of the bronchus soft lens in parallel, and when the detection device detects that the bronchus soft lens passes through the specified through hole, the display position corresponding to the through hole is changed into green; by comparing the two displayed pictures, the operator can observe whether the operation is correct and the position where the error occurs;
when an operator selects the examination mode, the order of randomly generated letters is displayed on a screen of the display module, and the operator needs to operate in order to enable the bronchoscope to reach the through hole corresponding to the designated letter; displaying all the through holes on the screen, and displaying the through holes through which the bronchus soft lens passes in real time;
the scoring target of the training box with the target hole not moved by the operation of the bronchoscope comprises the following steps: displaying the order of randomly generated letters on a screen of the display module, operating the display module by an operator in the order, and enabling the bronchus soft lens to reach through holes corresponding to all the designated letters within the time designated by the timing module;
the score target of the training box with the target hole not moved is controlled by the bronchoscope to be a third preset value.
According to another embodiment of the present invention, the bronchoscope manipulation advanced training model is a bronchoscope manipulation target hole movement intelligent training box, and the bronchoscope manipulation target hole movement intelligent training box includes:
the side wall of the box body is provided with a through hole; the mounting plate assembly is arranged in the box body and provided with a target hole; the driving mechanism is arranged on the box body and used for driving the target hole to move relative to the box body;
the mounting plate assembly includes: the mounting plate is arranged in the box body, and a abdicating groove is formed in the mounting plate; the sliding chute is arranged on the mounting plate; the moving plate is arranged in the sliding groove, the target hole is arranged on the moving plate, the position of the target hole corresponds to that of the abdicating groove, the driving mechanism is connected with the moving plate, and the driving mechanism is used for driving the moving plate to slide back and forth along the sliding groove;
the drive mechanism includes: the magnet is arranged on the moving plate; the electromagnet is arranged on the inner wall of the box body, and the position of the electromagnet corresponds to that of the magnet;
an elastic part is arranged between the moving plate and the box body, the elastic part is used for buffering the movement of the moving plate, and the elastic part is a spring;
the inner wall of the box body is provided with a plurality of plug block groups, each plug block group comprises two plug blocks arranged at intervals along a first direction, and the mounting plate is inserted into a gap between the two plug blocks of the plug block group;
the number of the mounting plate assemblies is multiple, and the mounting plate assemblies are sequentially arranged along a first direction;
the moving directions of the target holes on two adjacent mounting plate assemblies are opposite;
the number of the target holes arranged on each mounting plate component is increased along the first direction in sequence;
the number of the target holes arranged on each mounting plate component is sequentially in an integral multiple increasing relationship along the first direction;
the number of the mounting plate assemblies is four, the first mounting plate assembly, the second mounting plate assembly, the third mounting plate assembly and the fourth mounting plate assembly are sequentially arranged along the first direction, the number of the target holes in the first mounting plate assembly is one, the number of the target holes in the second mounting plate assembly is two, the number of the target holes in the third mounting plate assembly is four, and the number of the target holes in the fourth mounting plate assembly is sixteen;
a first partition plate is arranged between the second mounting plate assembly and the third mounting plate assembly, a second partition plate is arranged between the third mounting plate assembly and the fourth mounting plate assembly, a third partition plate is arranged between the fourth mounting plate assembly and the side wall of the box body, the first partition plate evenly partitions the target holes on the second mounting plate assembly and the target holes on the third mounting plate assembly into two areas, the second partition plate evenly partitions the target holes on the third mounting plate assembly and the target holes on the fourth mounting plate assembly into four areas, and the third partition plate evenly partitions the target holes on the fourth mounting plate assembly into sixteen areas;
the bronchus soft lens control target hole moving intelligent training box further comprises sixteen identification plates, the identification plates are arranged on the inner wall of the box body adjacent to and parallel to the fourth mounting plate assembly, and the positions of the identification plates correspond to the positions of the target holes in the fourth mounting plate assembly respectively.
According to another embodiment of the invention, the using method of the bronchoscope manipulation target hole moving intelligent training box and the scoring target comprise the following steps:
the using method of the intelligent training box for controlling the movement of the target hole by the bronchus soft lens comprises the following steps: starting the driving mechanism to enable the driving mechanism to drive the moving plate to shake, and then enabling the trainer to penetrate the bronchus soft lens into the through hole and the target hole in the first mounting plate assembly in sequence;
after passing through the first mounting plate component, a trainer can observe two target holes arranged on the second mounting plate component under the endoscope, and the trainer selects one target hole according to a preset standard intubation path and inserts a bronchoscope into the target hole;
after passing through the second mounting plate assembly, a trainer can observe two target holes arranged on the third mounting plate assembly under a mirror (the third mounting plate assembly is provided with four target holes which are evenly divided into two regions by the first partition plate, so that only two target holes on the third mounting plate assembly can be seen after passing through one of the through holes on the second mounting plate assembly), the trainer selects one of the target holes according to a preset standard intubation path and inserts a bronchoscope into the target hole;
after passing through the third mounting plate assembly, a trainer can observe four target holes arranged on the fourth mounting plate assembly under a mirror (the fourth mounting plate assembly is provided with sixteen target holes which are averagely divided into four regions by the second partition plate, so that only four target holes on the fourth mounting plate assembly can be seen after passing through one of the through holes on the third mounting plate assembly), and the trainer selects one of the target holes according to a preset standard intubation path and inserts a bronchoscope into the target hole;
after the cannula passes through the fourth mounting plate assembly, a trainer can observe the identification plate corresponding to the target hole which passes through at last under a mirror (the identification plates are sixteen in total, and are evenly divided into sixteen areas by the third partition plate, namely, only one identification plate is arranged in each area, so that the trainer can only see the identification plate corresponding to the target hole after passing through a certain target hole in the fourth mounting plate assembly), and can know whether the cannula path completed by the trainer is correct or not by observing the mark on the identification plate;
the score target of the intelligent training box for moving the bronchus soft lens control target hole comprises the following steps: the trainer operates the bronchus soft lens to sequentially pass through sixteen target holes to see the identification plates corresponding to the target holes;
the score target of the bronchus soft lens control target hole moving intelligent training box is a fourth preset value.
According to another embodiment of the present invention, the live-action primary training model is a training device for simulating a bronchus soft-lens live-action human body without a tumor, the training device for simulating a bronchus soft-lens live-action human body without a tumor comprises: a base; the replacing module is detachably arranged on the base, and a first human tissue model is arranged in the replacing module;
the base is also provided with a head model, an inner cavity is arranged in the head model, a first cavity is arranged in the first human tissue model, and when the replacement module is arranged on the base, the inner cavity is communicated with the first cavity;
the base is provided with a mounting groove, and the replacement module can be inserted into the mounting groove;
the opening of the mounting groove is arranged on the side surface of the base;
the base is also provided with a fixed model, the fixed model is provided with a second human tissue model, and when the replacing module is arranged on the base, the replacing module is positioned between the head model and the fixed model;
the second human tissue model is internally provided with a second cavity, and when the replacement module is arranged on the base, the first cavity is communicated with the second cavity;
a fixing device is arranged between the replacement module and the base or the head model or the fixing model, and the fixing device is used for fixing the replacement module;
the base is provided with a fixed groove, and the replacement module can be arranged in the fixed groove;
the first human tissue model comprises a first simulated trachea and a first simulated esophagus, and the first cavity comprises a pipeline cavity of the first simulated trachea and a pipeline cavity of the first simulated esophagus;
the inner cavity comprises nasal cavity, oral cavity, pharyngeal cavity and laryngeal cavity;
the second human tissue model comprises a second simulated trachea, a second simulated esophagus and a simulated lung, the simulated lung is connected to the end part of the second simulated trachea, and the second cavity comprises a second simulated trachea and a pipeline cavity of the second simulated esophagus;
the training device for simulating the real scene of the bronchoscope to simulate the body without the tumor further comprises a control system, wherein a sensor is arranged at one end, extending into the body, of the tracheal intubation tool, and the sensor is electrically connected with the control system;
the sensor is a pressure sensor, the control system is also electrically connected with an alarm device, and when the pressure value detected by the pressure sensor is greater than a preset pressure value, the alarm device gives an alarm.
According to another embodiment of the invention, the using method and the scoring target of the training device for simulating the human body without the tumor in the bronchus soft lens live-action comprises the following steps:
the using method of the training device for simulating the human body without the tumor in the real scene by using the bronchus soft lens comprises the following steps: firstly, a practicer selects a replacing module to be exercised and installs the replacing module on a base, then the practicer supports a bronchus soft lens to enter a first simulated trachea in a replacing model from a nasal cavity or an oral cavity, and the trachea cannula is finished after the first simulated trachea is seen; when the bronchoscope touches the inner cavity or the wall of the first cavity, the pressure value detected by the pressure sensor is increased; when the pressure value is larger than the preset pressure value, the alarm device gives an alarm, so that a trainer is prompted, and the trainer avoids contacting the trachea cannula tool with the wall of the airway cavity in the cannula inserting process;
the scoring target of the training device for simulating the human body without the tumor in the real scene of the bronchus soft lens comprises the following steps: a practicer supports the bronchus soft lens to enter a first simulation trachea in the replacement model from the nasal cavity or the oral cavity, and sees the first simulation trachea under the condition that the alarm device does not give an alarm;
the scoring target of the training device for simulating the human body without the tumor in the real scene of the bronchus soft lens is a fifth preset value.
According to another embodiment of the present invention, the live-action advanced training model is a bronchus soft-lens live-action body-simulated swollen and secretion training device, the bronchus soft-lens live-action body-simulated swollen and secretion training device is obtained by improving the bronchus soft-lens live-action body-simulated non-swollen training device, and the bronchus soft-lens live-action body-simulated swollen and secretion training device further comprises: the inner wall of the first cavity is provided with a simulated tumor;
a liquid spraying cavity is further arranged on the inner wall of the first cavity, one end, far away from the first cavity, of the liquid spraying cavity is connected with a connecting pipe, the other end of the connecting pipe is connected with a liquid storage box, the liquid storage box is used for containing liquid, and a valve is arranged on the connecting pipe;
the liquid spraying cavity penetrates through the simulated tumor;
the replacing module is provided with a vibrating motor, an elastic piece is arranged between the replacing module and the base, and the vibrating motor is used for driving the replacing module to vibrate up and down;
the elastic piece is a spring;
the inner wall of the pharyngeal cavity or the laryngeal cavity is provided with an air bag, the air bag is connected with an air pipe, the head model is provided with a abdicating hole, the air pipe penetrates out of the abdicating hole to the outside of the head model, one end of the air pipe positioned outside the head model is connected with an air pump, and the air pipe is provided with a reversing valve;
the base is also provided with a broadcaster, and the broadcaster is used for broadcasting interference sound;
the remote controller is used for controlling the on-off of the broadcaster and adjusting the size of interference sound;
the remote controller is provided with a timer which is used for timing for the trainer.
According to another embodiment of the invention, the method for using the bronchoscope live-action simulation human body tumor and secretion training device and the scoring target comprise the following steps:
the using method of the training device for simulating the swelling and secretion of the human body by using the bronchus soft lens live-action comprises the following steps: firstly, a practicer selects a replacing module to be exercised and installs the replacing module on a base, then the practicer supports a bronchus soft lens to enter a first simulated trachea in a replacing model from a nasal cavity or an oral cavity, and the trachea cannula is finished after the first simulated trachea is seen; meanwhile, a bystander can use a remote controller to time a practicer or turn on interference sound, or start a vibration motor to drive a replacement module to vibrate, or start a valve to spray liquid into the first cavity, or start an air pump and a reversing valve to inflate or exhaust an air bag, or monitor whether an alarm device gives an alarm when a bronchus soft lens touches the inner cavity or the first cavity, thereby enhancing the training difficulty;
the scoring target of the bronchus soft lens live-action simulation human body swollen matter and secretion training device comprises: under the conditions of timing limitation, noise interference, replacement module vibration, simulated tumor on the inner wall of the first cavity and simulated secretion of the sprayed liquid in the first cavity, a practicer supports the bronchoscope to enter a first simulated trachea in the replacement model from the nasal cavity or the oral cavity, and sees the first simulated trachea under the condition that the alarm device does not give an alarm;
the score target of the bronchus soft lens live-action simulation human body swollen matter and secretion training device is a sixth preset value.
According to another embodiment of the invention, before providing the training course of bronchoscopy theory, the method comprises: inputting user confirmation information, and providing test questions for investigating and evaluating the maturity of the bronchus soft lens of the user; and after the user completes the survey evaluation, providing a bronchoscopy theory training course.
The embodiment of the invention also discloses an electronic device, which comprises: a memory to store instructions for execution by one or more processors of an electronic device; a processor, which when executed by the processor, causes the electronic device to perform a bronchoscopy training method.
By adopting the technical scheme, a user can learn the bronchus soft lens training method on the electronic equipment without being limited by the learning environment.
The embodiment of the invention also discloses a computer readable storage medium, wherein the computer readable storage medium is stored with instructions, and the instructions cause the computer to execute the bronchoscope training method when executed on the computer.
Drawings
Fig. 1 is a schematic flow chart of a bronchoscope training method according to an embodiment of the present invention.
Fig. 2 is a schematic view of the overall structure of the bronchoscope.
Fig. 3 is a schematic overall structure diagram of the bronchoscope steering and reversing training device.
FIG. 4 is a schematic diagram of the overall structure of a training box with no movement of the bronchoscope manipulation target hole.
FIG. 5 is a schematic view of a placard with bronchoscope manipulation targeting orifices not moving training boxes.
Fig. 6 is a schematic diagram of the whole structure of the intelligent training box for moving the bronchus soft lens control target hole.
FIG. 7 is a partial schematic view of a target hole marking plate of the bronchoscope manipulation target hole moving intelligent training box.
Fig. 8 is a schematic diagram of the whole structure of the training device for simulating the real scene of the bronchus soft lens without the tumor in the human body.
FIG. 9 is a schematic structural diagram of a training device for simulating the presence of a tumor and secretion in a human body by using a bronchoscope live-action.
FIG. 10 is a schematic semi-sectional view of a training device for simulating the presence of tumor and secretion in a human body by using a bronchoscope live-action.
Detailed Description
The following description of the embodiments of the present invention is provided for illustrative purposes, and other advantages and effects of the present invention will become apparent to those skilled in the art from the present disclosure. While the invention will be described in conjunction with the preferred embodiments, it is not intended that features of the invention be limited to these embodiments. On the contrary, the invention is described in connection with the embodiments for the purpose of covering alternatives or modifications that may be extended based on the claims of the present invention. It should be noted that the embodiments and features of the embodiments may be combined with each other without conflict.
In the description of the present embodiment, it should be noted that the terms "upper", "lower", "inner", "bottom", and the like indicate orientations or positional relationships based on the orientations or positional relationships shown in the drawings or orientations or positional relationships that are conventionally placed when the products of the present invention are used, and are only used for convenience in describing the present invention and simplifying the description, but do not indicate or imply that the devices or elements indicated must have specific orientations, be configured in specific orientations, and operate, and thus, should not be construed as limiting the present invention.
The terms "first," "second," "third," "fourth," "fifth," "sixth," and the like are used merely to distinguish one description from another, and are not to be construed as indicating or implying relative importance.
In the description of the present embodiment, it should be further noted that, unless explicitly stated or limited otherwise, the terms "disposed," "connected," and "connected" are to be interpreted broadly, e.g., as a fixed connection, a detachable connection, or an integral connection; can be mechanically or electrically connected; they may be connected directly or indirectly through intervening media, or they may be interconnected between two elements. The specific meanings of the above terms in the present embodiment can be understood in specific cases by those of ordinary skill in the art.
In order to make the objects, technical solutions and advantages of the present invention more apparent, embodiments of the present invention will be described in detail with reference to the accompanying drawings.
The sobering endotracheal intubation is effective artificial or mechanical ventilation for keeping the respiratory tract unobstructed, timely sucking out sputum or blood in the trachea, and preventing and treating anoxia and carbon dioxide accumulation of a patient. The bronchoscope is a medical instrument which is placed in the lower respiratory tract of a patient through mouth or nose, is used for observing the pathological changes of lung lobes, segments and sub-segments of bronchus, and can be used for biopsy sampling, bacteriological examination and cytological examination and shooting, teaching and dynamic recording by matching with a TV system. For example, by inserting a tracheal tube through an incision in the chest wall into the chest cavity, a bronchoscope is introduced into the chest cavity along the tracheal tube. To ensure that the conscious intubation can be carried out smoothly, the manipulation should be as light, slow and correct as possible, so that the manipulation of the bronchoscope by the operator for conscious intubation is highly required.
The following description will be made of a bronchoscope training method, but the present invention is not limited thereto, and the training method is also applicable to other instruments, for example, flexible endoscopic instruments such as a ureteroscopy, a cholangioscope, a gastroscope, and an enteroscope.
As shown in fig. 1, the bronchoscope training method of the present invention comprises the following steps:
and step S10, providing a training course of bronchoscopy theory.
The training course of the bronchus soft lens theory is a basic theory course for comprehensively introducing the bronchus soft lens, and comprises the following steps: development history, classification, range of use, contraindications, cautions, complications, high risk groups, applications, etc.
And step S11, performing the bronchoscope theoretical examination to obtain the score of the bronchoscope theoretical examination, and judging whether the score of the bronchoscope theoretical examination is larger than or equal to a first preset value.
The user performs examination after learning the bronchoscopy theory training course, and the examination content comprises mastery of the bronchoscopy theory knowledge, such as examination in the form of selection questions or examination in the form of filling-in-blank questions. And obtaining the score of the bronchoscope theoretical examination after the examination, entering the learning of the bronchoscope operation primary training course if the score of the bronchoscope theoretical examination is larger than or equal to a first preset value, and otherwise, continuing to learn the bronchoscope theoretical training course. Here, the first preset value is 80 points, that is, the passing score of the bronchoscopy theoretical examination of the user is 80 points, and the definition of the first preset value is not required, and the first preset value can be set autonomously according to the actual application situation.
And step S20, providing a bronchus soft lens operation primary training course.
The bronchoscope manipulation primary training course comprises: a method for using a soft bronchoscope steering and reversing training device and a scoring target are introduced.
The specific structure of the bronchoscope control reversing training device is as follows:
as shown in fig. 2, the bronchoscope 1200 includes a lens 1201, a bendable portion 1202, a scope body 1203, a grip handle 1204, an operation trigger 1205, and a display screen 1206. The lens body 1203 is of a flexible tube type structure, the lens 1201 provided with a camera is arranged at the head end of the lens body 1203, and the shot content of the lens 1201 can be displayed on the display screen 1206; when the operation trigger 1205 is pressed downward, the bendable portion 1202 of the mirror body 1203 bends upward by about 90 °, and when the operation trigger 1205 is pushed upward, the bendable portion 1202 bends downward by about 90 °. The head of the bronchoscope 1200 can be turned in different directions by bending the bendable portion 1202 of the bronchoscope 1200 and turning the grip 1204.
As shown in fig. 3, the bronchoscope steering and reversing training device 1100 includes: a housing 1111, wherein the housing 1111 has a hollow chamber 1112, and an indication member 1113 is arranged on the bottom surface of the hollow chamber 1112; an insertion opening 1114 is disposed at the top of the housing 1111 and is communicated with the hollow chamber 1112, so that the lens body 1203 can enter the hollow chamber 1112.
An operator can extend the soft bronchoscope 1200 into the soft bronchoscope steering training device 1100 through the insertion opening 1114, and operate the bending of the bendable part 1202 of the soft bronchoscope 1200 and rotate the holding handle 1204 to control the steering of the soft bronchoscope 1200, so that the lens 1201 of the soft bronchoscope 1200 moves according to the indication of the indication part. An operator can practice a manipulation of turning the bronchoscope 1200 to different directions through the training device, the housing 1111 is internally provided with the hollow chamber 1112, and the bronchoscope 1200 is not easy to touch the housing 1111 in the hollow chamber 1112, so that the bronchoscope 1200 is further protected from being damaged.
As shown in fig. 3, a partition 1115 fixed to the housing 1111 is further disposed in the hollow chamber 1112, and a small hole 1151 is disposed in the partition 1115 opposite to the insertion port 1114 to allow the lens body 1203 to pass through the partition 11151 and then to be kept upright. The lens body 1203 is fixed through the insertion opening 1114 and the small hole 1151, so that when an operator exercises by using the training device, the bronchoscope 1200 is always in a vertical state, and the operator can only change the rotation direction of the lens 1201 by holding the handle 1204 and control the bending of the bendable part 1202 by operating the trigger 1205.
As shown in FIG. 3, the diameter of the insertion opening 1114 and/or the small hole 1151 is 1.2 to 2.5 times the diameter of the cross section of the lens body 1203, and the diameter of the insertion opening 1114 or the small hole 1151 is 8 to 10 mm. The cross-sectional diameter of the lens body 1203 of the bronchoscope 1200 is 4-6mm, so the insertion opening 1114 and the small hole 1151 do not cause excessive friction to the lens body 1203.
The indicator member 1113 comprises first indicator members 1131 spaced apart and projected on the bottom surface around the insertion opening 1114 and/or the aperture 1151. The first indicator members 1131 are circumferentially equally spaced. The first indicator 1131 is a number that is arranged in the orientation of the timepiece.
The indicating member 1113 further includes a second indicating member 1132 projected on the bottom surface at the insertion port 1114 and/or the small hole 1151. When the bronchoscope 1200 passes through the insertion opening 1114 and the small hole 1151, the bronchoscope 1200 is in a vertical state, which is the initial state of the bronchoscope 1200. When the bronchoscope 1200 is in the initial state, the lens 1201 of the bronchoscope 1200 will shoot the second indication part 1132 but will not shoot the first indication part 1131, so that only the second indication part 1132 is shown on the display 1206 of the bronchoscope 1200, thereby prompting the operator that the bronchoscope 1200 is in the initial state at this time, and the next training operation can be started. When the operator operates the lens 1201 of the bronchoscope 1200 to the first indicating part 1131 according to the prompt of the first indicating part 1131, the lens 1201 shoots only the first indicating part 1131 but not the second indicating part 1132, so that only the first indicating part 1131 is shown on the display 1206 of the bronchoscope 1200, and the operator completes one training. The operator needs to return to the initial state for the next training.
The bottom surface of the hollow chamber 1112 is also provided with a first indicator light 1116. The first indicator light 1116 is provided corresponding to the first indicator member 1131 for indicating the orientation of the first indicator member 1131, and the first indicator light 1116 is also provided corresponding to the second indicator member 1132 for indicating the orientation of the second indicator member 1132. When the first indicator light 1116 is turned on, the operator is informed to move the lens 1201 of the bronchoscope 1200 to the position of the indicator part corresponding to the first indicator light 1116 which is turned on. A sensing element (not shown) is disposed around the hollow chamber 1112, and when the sensing element senses that the mirror body 1203 approaches one of the first indicator 1131 and the second indicator 1132, the first indicator 1116 corresponding to the indicator is turned off to notify the operator that the training is completed.
The housing 1111 is transparent so that an operator can view the contents of the hollow chamber 1112 directly through the housing 1111. The outer surface of the housing 1111 is further provided with a warning device, which can indicate the brightness state of the first indicator light 1116. The reminding device is an indicator light. The operator acquires the training instruction through the first indicator light 1116, and the teacher can acquire whether the operator has completed training through the second indicator light, so that the teacher can evaluate the operation level of the operator.
The housing 1111 further includes a base 1117, the base 1117 is disposed at the lower portion of the hollow chamber 1112, a button 1171 is disposed at the outer side of the base 1117, and a control module is further disposed in the base 1117, connected to the button 1171, the first indicator light 1116, the second indicator light and the sensing assembly, and configured to start or stop the exercise device according to the button, and control the brightness of the first indicator light 1116 or the second indicator light according to the signal of the sensing assembly.
The using method of the bronchoscope control reversing training device comprises the following steps:
after the button 1171 is pressed, the bronchoscope 1200 is vertically placed into the hollow cavity 1112 through the insertion opening 1114, when the sensing component of the second indicating component 1132 senses the scope body 1203, the first indicating lamp 1116 corresponding to the number "1" on the bottom surface of the hollow cavity 1112 is lighted, and when the operator sees that the second indicating lamp on the shell 1111 is lighted, the trainer should turn the lens 1201 to the corresponding direction of the number "1"; when the lens 1201 is turned to the correct direction, the sensing component corresponding to the number "1" senses the lens body 1203 and turns off the first indicator light 1116 corresponding to the sensing component, i.e. the operator completes one training. After a training session, the first indicator light 1116 of the second indicator member 1132 is lit to prompt the operator to return the bronchoscope 1200 to the initial state. The operator needs to rotate the lens 1201 back to the position of the second indicator 1132, and after the sensing assembly of the second indicator 1132 senses the mirror body 1203, the first indicator 1116 corresponding to the mirror body is turned off, the first indicator 1116 corresponding to the number "5" on the bottom surface of the hollow cavity 1112 is turned on, and the above operation steps are repeated until the twelve-direction steering training is completed. During the training process, the first indicator light 1116 and the second indicator light are randomly illuminated.
The scoring target of the bronchus soft lens control reversing training device comprises: and repeating the operation steps until the steering training in twelve directions is completed.
And step S21, performing a bronchus soft lens control primary training model test to obtain the score of the bronchus soft lens control primary training model test, and judging whether the score of the bronchus soft lens control primary training model test reaches a second preset value.
After a user learns the primary training course controlled by the bronchoscope, the primary training model controlled by the bronchoscope is tested, the score of the primary training model controlled by the bronchoscope is obtained, whether the score of the primary training model controlled by the bronchoscope reaches a second preset value or not is judged, when the score of the primary training model controlled by the bronchoscope does not reach the second preset value, the primary training course controlled by the bronchoscope is continuously learned, and when the score of the primary training model controlled by the bronchoscope reaches the second preset value, the middle training course controlled by the bronchoscope is started to be learned.
The bronchus soft lens controls the primary training model, namely, the bronchus soft lens controls the reversing training device.
And the second preset value is the scoring target of the bronchoscope control and steering training device.
And step S30, providing a bronchus soft lens manipulation middle-level training course.
The bronchus soft lens manipulation middle-level training course comprises the following steps: a method for using a training box with a bronchus soft lens to control a target hole without moving and a scoring target are introduced.
The specific structure of the training box with the bronchus soft lens to control the target hole without moving is as follows:
as shown in fig. 4 and 5, the training box without moving the bronchoscope manipulation target hole comprises a device body 2221 and a plurality of partition plates 2222 arranged in parallel inside the device body 2221, wherein each partition plate 2222 is detachably arranged below the inside of the device body 2221, so as to set the difficulty of training or examination as required. The partition 2222 is provided between the front side plate 2211 and the rear side plate side by side and is parallel to the front/rear side plates, and the indication plate 2220 is attached to the rear side plate. A through hole 2210 is formed in the front side plate 2211 of the device body 2221, at least one through hole 2210 is formed in each partition 2222, and the number of the through holes 2210 in the partitions 2222 is gradually increased in the direction from the front side plate 2211 to the rear side plate. The marking plate 2220 is provided with letter-indicating layers, the number and position of which are identical to the number and arrangement of the through-holes 2210 of the partition 2222 closest to the rear side plate. The through holes 2210 of the partition 2222 closest to the rear side plate are sixteen in number, and correspondingly, the number of letters on the letter-indicating layer on the marking plate 2220 is also sixteen, a-P, respectively.
The device body 2221 has a rectangular parallelepiped structure, and at least one side plate of the device body 2221 is detachably provided on the device body 2221, so that the partition 2222 can be conveniently replaced.
The training box with the bronchoscope manipulation target hole not moving further comprises a detection device and a control module arranged inside the device body 2221. A detecting means is provided at each through hole 2210, respectively, for emitting a detection signal when the bronchoscope 1200 passes through the through hole 2210. The passage of the bronchoscope 1200 is detected by providing a detecting means at each through hole 2210, and the detecting means sends a detection signal to the control module after detecting the passage of the bronchoscope 1200 through the through hole 2210, and the control module determines whether or not the bronchoscope 1200 passes through the through hole 2210 based on the detection signal.
The training box with no movement of the bronchoscope manipulation target hole further comprises a display module 2224, which is arranged on the upper portion of the front side plate 2211 of the device body 2221. The display module 2224 is used to display whether the bronchoscope 1200 passes through each through hole 2210. When the detection device detects that the bronchoscope 1200 passes through a through hole 2210, the detection device at the through hole 2210 sends a detection signal to the control module, and after the control module receives the detection signal, the control display module 2224 displays a position mark corresponding to the through hole 2210.
On the screen of the display module 2224, the initial display color of each through hole 2210 is red, and once the bronchoscope 1200 passes through the through hole 2210, the color of the through hole 2210 on the screen of the display module 2224 through which the bronchoscope 1200 passes is controlled to be green, while the color of the through hole 2210 not through which the bronchoscope 1200 passes is not changed.
The training box for the bronchoscope manipulation target hole not to move further comprises a timing module for recording the time when the bronchoscope 1200 passes through each through hole 2210. When the control module determines that the bronchoscope 1200 passes through the through hole 2210, the control module sends a timing signal to the timing module, and the timing module records the time when the bronchoscope 1200 passes through the through hole 2210 according to the timing signal.
The timing module is also used to transmit the recorded time to the control module, which calculates the time from the passage of the bronchoscope 1200 through the through hole 2210 in the front side plate 2211 to the passage of the through hole 2210 in the partition 2222 close to the rear side plate of the apparatus body 2221, and/or calculates the time from the passage of the through hole 2210 through both the partitions 2222, based on the received time.
The display module 2224 displays the above-described elapsed time for each operation of the bronchoscope 1200.
The training box with the bronchoscope control target hole not moving further comprises a mode setting module for setting an exercise mode and an examination mode, and the mode setting module is connected with the control module.
As shown in fig. 4, a switch button 2228 is provided above the rear side plate of the apparatus body 2221, and the switch button 2228 is connected to the control module. Still be provided with power module in the device body 2221, this power module is connected with shift knob 2228, and shift knob 2228 control power on and off between power module and the control module. When the operator operates the bronchoscope to operate the target hole without moving the training box, the start-up and the shutdown of the training device can be controlled by opening or closing the switch button 2228 at the rear side of the device body 2221.
The detection device detects the through hole 2210 through which the bronchoscope 1200 passes and correspondingly displays the through hole on the display module 2224, and the control module calculates the time consumption of the operator, so that the operator can independently complete training and examination operations without supervision, timing, instruction and other work of other personnel.
The using method of the training box with the bronchus soft lens to control the target hole without moving comprises the following steps:
the training box with the bronchoscope for controlling the target hole and without moving can be used for training purposes and also for examination purposes. When the training box is not moved by the operator using the bronchoscope to manipulate the target hole, the practice mode and the examination mode are displayed on the screen of the display module 2224 for the operator to select. When the operator selects the practice mode, the operator first determines the target, i.e., which letter on the marking plate 2220 is to be seen by the bronchoscope 1200. After the determination, the screen of the display module 2224 is divided into two parts, and all the through holes 2210 are displayed in parallel, wherein one part displays the through holes 2210 through which the bronchoscope 1200 needs to reach the designated letter in different colors for the operator to refer to; the other part displays the through hole 2210 through which the bronchoscope 1200 passes in real time and displays it in a different color so as to observe which through hole 2210 the operator passes through and whether the through hole 2210 passes through correctly.
When the operator operates the bronchoscope 1200 to pass through the designated through hole 2210, the real-time display portion of the display module 2224 changes the color of the passing through hole 2210 to indicate that the through hole 2210 has passed through. If the operator passes through the through hole 2210, the through hole 2210 is displayed on the display module 2224, and the operator finds an error and can perform the operation again. The operator can know how to operate and whether the operation is correct without the need of a teaching person to guide and supervise.
For example, in the practice mode, after the designated letter a is selected, all the through holes 2210 are colored red, but the display positions on the display module 2224 referred to for use corresponding to the through holes 2210 reaching that letter are changed to green; the display module 2224 also displays the real-time position of the bronchoscope 1200 in parallel, and when the detection device detects that the bronchoscope 1200 passes through the designated through hole 2210, the display position corresponding to the through hole 2210 is changed to green. By comparing the two displayed screens, the operator can easily observe whether the operation of the operator is correct and the position where the error occurs. In addition, when the operator selects the examination mode, the order of the randomly generated letters is displayed on the screen of the display module 2224, and the operator needs to operate in order to make the bronchoscope 1200 reach the through hole 2210 corresponding to the designated letter. At this time, all the through holes 2210 are displayed on the screen, and the through holes 2210 through which the bronchoscope 1200 passes are displayed in real time, that is, the display color of the positions corresponding to the through holes 2210 is changed according to the operation of the bronchoscope 1200.
The scoring target of the training box with the target hole not moved by the operation of the bronchoscope comprises the following steps: the order of the randomly generated letters is displayed on the screen of the display module, and the operator operates the display module in order and makes the bronchoscope 1200 reach the through holes corresponding to all the designated letters within the time designated by the timing module.
And step S31, performing a bronchus soft lens control middle-level training model test to obtain the score of the bronchus soft lens control middle-level training model test, and judging whether the score of the bronchus soft lens control middle-level training model test reaches a third preset value.
After a user learns the bronchus soft lens control middle-level training course, performing bronchus soft lens control middle-level training model test to obtain the score of the bronchus soft lens control middle-level training model test, and judging whether the score of the bronchus soft lens control middle-level training model test reaches a third preset value or not, wherein when the score of the bronchus soft lens control middle-level training model test does not reach the third preset value, the user continues to learn the bronchus soft lens control middle-level training course, and when the score of the bronchus soft lens control middle-level training model test reaches the third preset value, the user starts to learn the bronchus soft lens control high-level training course.
The bronchus soft lens controls the middle-level training model, namely, the bronchus soft lens controls the target hole without moving the training box.
And the third preset value is that the score target of the training box is not moved by the bronchoscope manipulation target hole.
And step S40, providing a bronchus soft lens manipulation advanced training course.
The bronchoscope manipulation advanced training course comprises: a method for using an intelligent training box for moving a bronchus soft lens control target hole and a scoring target are introduced.
The specific structure of the intelligent training box for controlling the movement of the target hole by the bronchoscope is as follows:
as shown in fig. 6, the intelligent training box for the bronchoscope to control the target hole movement comprises:
the box body 3331 is a cuboid, and the side wall of the box body 3331 is provided with a through hole 3313 for inserting the bronchoscope 1200;
the installation plate assembly is arranged in the box body 3331, is parallel to the side wall of the box body 3331 where the through hole 3313 is positioned, and is provided with a target hole 3325;
and a driving mechanism provided in the housing and configured to drive the target hole 3325 to move relative to the housing 3331.
By designing the target hole 3325 to be movable, the activity state of a patient during the intubation of a clinically awake bronchoscope is simulated, so that the training difficulty is enhanced, and a trainer is helped to adapt to the actual clinical state quickly.
As shown in fig. 6 and 7, the mounting plate assembly includes:
the mounting plate 3321 is arranged in the box body 3331, the mounting plate 3321 is arranged in parallel with the side wall of the box body 3331 where the through hole 3313 is arranged, the mounting plate 3321 is provided with a yielding groove 3322, and the yielding groove 3322 is a strip-shaped through groove;
a sliding chute 3323, which is arranged on the mounting plate 3321;
the moving plate 3324 is arranged in the sliding groove 3323, the target hole 3325 is arranged on the moving plate 3324, the position of the target hole 3325 corresponds to that of the abdicating groove 3322, the driving mechanism is connected with the moving plate 3324 and is used for driving the moving plate 3324 to slide back and forth along the sliding groove 3323, and the target hole 3325 can be driven by the moving plate 3324 to move back and forth in an area covered by the abdicating groove 3322.
As shown in fig. 7, the driving mechanism includes a magnet 3332 provided on the moving plate 3324; and an electromagnet 3333 provided on the inner wall of the housing 3331, the electromagnet 3333 corresponding to the magnet 3332. Wherein, both sides of the moving plate 3324 are provided with a magnet 3332 and an electromagnet 3333. By changing the magnetic poles of the electromagnets 3333, the electromagnets 3333 attract or repel the corresponding magnets 3332, thereby driving the moving plate 3324 to shake. By adjusting the magnitude of the magnetic force, the moving speed of the moving plate 3324 can be adjusted. The frequency of the movement of the moving plate 3324 can be adjusted by adjusting the frequency of the magnetic pole change of the electromagnet 3333. The moving plate 3324 is moved by the electromagnet 3333 and the magnet 3332.
As shown in fig. 7, an elastic member 3334 is provided between the moving plate 3324 and the housing 3331, and the elastic member 3334 is used to buffer the movement of the moving plate 3324. The resilient member 3334 is a spring. The elastic piece 3334 is arranged to buffer the movement of the moving plate 3324, so that the running acceleration of the target hole 3325 is reduced, the condition that the running acceleration of the target hole 3325 is too large is eliminated, and the activity state of a patient during clinical intubation is better simulated.
As shown in fig. 6, a plurality of insert blocks are disposed on the inner wall of the box 3331, each insert block includes two insert blocks 3314 spaced along a first direction (X direction in fig. 6), and the mounting plate 3321 is inserted into a gap between the two insert blocks 3314 of the insert block. Through the mode of cartridge, conveniently assemble and dismantle mounting panel 3321.
The number of the installation plate assemblies is multiple, and when a trainer trains the bronchoscope 1200, the bronchoscope 1200 needs to sequentially pass through the target holes 3325 on the installation plate assemblies.
The target holes 3325 on two adjacent mounting plate assemblies move in opposite directions to enhance training difficulty.
The number of the target holes 3325 provided on each installation plate assembly is increased in the first direction (X direction in fig. 6) in sequence. The number of targeting apertures 3325 provided on each mounting plate assembly is in sequentially increasing integer multiples along the first direction (the X-direction in fig. 6). The number of the target holes 3325 on each mounting plate assembly is sequentially increased along the first direction (the X direction in fig. 6), so that after a trainer passes a bronchoscope 1200 through one target hole 3325, a plurality of target holes 3325 are arranged on the next mounting plate assembly along the first direction (the X direction in fig. 6) for selection of next intubation, whether the trainer can select a correct intubation path or not is checked, namely, a standard intubation path is preset, whether the trainer can pass the bronchoscope 1200 through each target hole 3325 on the standard path or not is checked, and the training difficulty is enhanced.
The number of the installation plate assemblies is 4, the 4 installation plate assemblies are sequentially a first installation plate assembly 3326, a second installation plate assembly 3327, a third installation plate assembly 3328 and a fourth installation plate assembly 3329 along a first direction (X direction in fig. 6), the number of the target holes 3325 on the first installation plate assembly 3326 is 1, the number of the target holes 3325 on the second installation plate assembly 3327 is 2, the number of the target holes 3325 on the third installation plate assembly 3328 is 4, and the number of the target holes 3325 on the fourth installation plate assembly 3329 is 16.
A first partition plate 3309 is arranged between the second mounting plate assembly 3327 and the third mounting plate assembly 3328, a second partition plate 3305 is arranged between the third mounting plate assembly 3328 and the fourth mounting plate assembly 3329, and a third partition plate 3306 is arranged between the fourth mounting plate assembly 3329 and the side wall of the box body 3331. The first spacer 3309 evenly separates the target holes 3325 on the second mounting plate assembly 3327 and the target holes 3325 on the third mounting plate assembly 3328 into 2 zones, the second spacer 3305 evenly separates the target holes 3325 on the third mounting plate assembly 3328 and the target holes 3325 on the fourth mounting plate assembly 3329 into 4 zones, and the third spacer 3306 evenly separates the target holes 3325 on the fourth mounting plate assembly 3329 into 16 zones. Providing the first, second, and third spacers 3309, 3305, 3306 to separate the target hole 3325 into different areas prevents the bronchoscope 1200 from penetrating into the target hole 3325 that is positioned at an excessively large deviation from a standard intubation path, resulting in damage to the bronchoscope 1200 due to excessive distortion.
In training, after the trainer passes the bronchoscope 1200 through the target hole 3325 of the first mounting plate assembly 3326, the trainer can observe two target holes 3325 arranged on the second mounting plate assembly 3327 under the bronchoscope, the trainer selects one of the target holes 3325 according to a preset standard intubation path, and inserts the bronchoscope 1200 into the target hole 3325. After passing through the second mounting plate assembly 3327, the trainee can see two target holes 3325 provided on the third mounting plate assembly 3328 under the scope, select one of the target holes 3325 according to a preset standard intubation path, and insert the bronchoscope 1200 into the target hole 3325. After passing through the third mounting plate assembly 3328, the trainee can see the four target holes 3325 provided on the fourth mounting plate assembly 3329 under the scope, and the trainee selects one of the target holes 3325 according to a preset standard intubation path and inserts the bronchoscope 1200 into the target hole 3325.
The soft bronchoscope is controlled the target hole and is moved intelligent training case, and the training person uses the compound gimmick of soft bronchoscope 1200 forward, retreat, rotation, bucking, thinks that the operator has basically mastered the operation technique of soft bronchoscope 1200 when the training person can operate soft bronchoscope 1200 freely and get into the target hole 3325 that fourth mounting plate subassembly 3329 has.
The intelligent training box for controlling the target hole movement by the bronchus soft lens further comprises 16 marking plates, and the schematic diagram of the marking plates can refer to fig. 5. The marking plate is arranged on the inner wall of the box body 3331 which is adjacent to and parallel to the fourth mounting plate assembly 3329, and the position of each marking plate mark corresponds to the position of each target hole 3325 on the fourth mounting plate assembly 3329. After the trainer completes the intubation training, the marker plate corresponding to the target hole 3325 which passes through the last can be seen under the mirror, and whether the intubation path completed by the trainer is correct can be known by watching the mark on the marker plate. During examination, a trainer enters the target hole 3325 corresponding to one of the mark plates, if the trainer finally enters the correct target hole 3325, the mark plate corresponding to the target hole 3325 can be seen under the bronchoscope 1200, and if the mark on the mark plate finally seen is consistent with the mark required to enter the target hole 3325, the trainer can operate the bronchoscope 1200 as required.
The using method of the intelligent training box for controlling the movement of the target hole by the bronchus soft lens comprises the following steps:
the driver is activated to move the movable plate 3324 to swing, and then the trainer inserts the bronchoscope 1200 into the through-hole 3313 and the target hole 3325 of the first mounting plate assembly 3326.
After passing through the first mounting plate assembly 3326, the trainee can see two target holes 3325 provided on the second mounting plate assembly 3327 under the scope, and the trainee selects one of the target holes 3325 according to a preset standard intubation path and inserts the bronchoscope 1200 into the target hole 3325.
After passing through the second mounting plate assembly 3327, the trainee can see two target holes 3325 provided on the third mounting plate assembly 3328 under the scope (four target holes 3325 are provided on the third mounting plate assembly 3328, and since the three target holes are equally divided into two regions by the first partition 3309, only two target holes 3325 on the third mounting plate assembly 3328 can be seen after passing through one of the through holes on the second mounting plate assembly 3327), and the trainee selects one of the target holes 3325 according to a preset standard intubation path and inserts the bronchoscope 1200 into the target hole 3325.
After passing through the third mounting plate assembly 3328, the trainee can see four target holes 3325 provided on the fourth mounting plate assembly 3329 under the scope (16 target holes 3325 are provided on the fourth mounting plate assembly 3329, and since they are equally divided into four regions by the second partition 3305, only four target holes 3325 on the fourth mounting plate assembly 3329 can be seen after passing through one of the through holes on the third mounting plate assembly 3328), and the trainee selects one of the target holes 3325 according to a preset standard intubation path and inserts the bronchoscope 1200 into the target hole 3325.
After passing through the fourth mounting plate assembly 3329, the trainee can see under the mirror the indicator plate corresponding to the target hole 3325 that passes through last (16 indicator plates in total, since the indicator plates are equally divided into 16 regions by the third partition plate 3306, that is, only one indicator plate is in each region, after passing through a certain target hole 3325 in the fourth mounting plate assembly 3329, only the indicator plate corresponding to the target hole 3325 can be seen), and can know whether the cannula path completed by himself is correct by looking at the mark on the indicator plate.
The score target of the intelligent training box for moving the bronchus soft lens control target hole comprises the following steps: the trainer operates the bronchus soft lens to sequentially pass through sixteen target holes to see the marking plates corresponding to the target holes.
And step S41, performing a bronchus soft lens control advanced training model test to obtain the score of the bronchus soft lens control advanced training model test, and judging whether the score of the bronchus soft lens control advanced training model test reaches a fourth preset value.
After a user learns the bronchus soft lens control advanced training course, conducting bronchus soft lens control advanced training model test to obtain the score of the bronchus soft lens control advanced training model test, and judging whether the score of the bronchus soft lens control advanced training model test reaches a fourth preset value or not, wherein when the score of the bronchus soft lens control advanced training model test does not reach the fourth preset value, the user continues to learn the bronchus soft lens control advanced training course, and when the score of the bronchus soft lens control advanced training model test reaches the fourth preset value, the user starts to learn the theoretical course of a patient with normal airway anatomy and general anesthesia bronchus soft lens guide intubation.
The bronchus soft lens controls the advanced training model, namely, the bronchus soft lens controls the target hole moving intelligent training box.
And a fourth preset value, namely, the score target of the intelligent training box is moved by the bronchus soft lens control target hole.
And step S50, providing a theoretical course of general anesthesia bronchoscopy guiding intubation of a patient with normal airway anatomy.
Theoretical courses of general anesthesia bronchoscopy guided intubation of patients with normal airway anatomy include: a method for using a training device for simulating the real scene of a bronchus soft lens to simulate a human body without a tumor and a scoring target are introduced.
The concrete structure of the training device for simulating the human body without the tumor in the real scene by using the bronchus soft lens is as follows:
as shown in figures 8-10, the soft bronchoscope real-scene simulation human body non-tumor training device is used for the intubation skill training of the endotracheal intubation tool (such as a soft bronchoscope, a hard tube core, a laryngoscope, a laryngeal mask and the like), and comprises the following components: a base 4001; replacement module 4002, demountable installation is equipped with first human tissue model 4021 in replacement module 4002 on base 4001.
The replacement module 4002 is detachably connected with the base 4001, so that different types of human tissue models can be installed on the base 4001, and requirements of students on understanding anatomical variation structures under various conditions are met.
Still be equipped with head model 4003 on base 4001, the inside inner chamber that is equipped with of head model, first human tissue model 4021 is inside to have first cavity, and inner chamber and first cavity can be used to simulate human air flue. When the replacement module 4002 is mounted on the base 4001, the inner cavity is communicated with the first cavity. The head model 4003 is arranged to enable the tracheal intubation tool to enter the model from the inner cavity and further extend into the first cavity, so that the clinical simulation effect is enhanced.
The quantity of replacement module 4002 is a plurality of, contains different human tissue models in each replacement module 4002, through making up different replacement modules 4002, simulates more human anatomical structures, strengthens the variety of training.
As shown in fig. 10, the internal cavities include a nasal cavity 4031, an oral cavity 4032, a pharyngeal cavity 4033 and a laryngeal cavity 4034, the first human tissue model 4021 includes a first simulated trachea 4211 and a first simulated esophagus 4212, wherein the duct cavities of the first simulated trachea 4211 and the first simulated esophagus 4212 are the first cavities, and the positions and the proportional relationships of the above parts are all set with reference to the human body.
The device also comprises a control system (which can be a single chip microcomputer or a PLC system).
The end of the trachea cannula tool extending into the human body is provided with a sensor which is electrically connected with the control system and is a pressure sensor. The control system is also electrically connected with an alarm device, when the pressure value detected by the pressure sensor is greater than a preset pressure value (the preset pressure value can be set to a pressure value capable of causing a patient to choke cough), the pressure sensor sends a trigger signal to the control system, and the control system controls the alarm device to give an alarm after receiving the trigger signal. Through set up pressure sensor at the one end that trachea cannula instrument stretched into the human body, when trachea cannula instrument touched inner chamber or first cavity chamber wall, the pressure value that pressure sensor detected increased. When the pressure value is greater than the preset pressure value, the alarm device gives an alarm, so that a trainer is prompted, the trainer is exercised, the tracheal intubation tool is prevented from contacting the wall of the airway cavity in the intubation process, and the training difficulty is enhanced.
The using method of the training device for simulating the human body without the tumor in the real scene by using the bronchus soft lens comprises the following steps:
firstly, a practicer selects a replacing module 4002 to be exercised and installs the replacing module on a base, then the practicer supports the bronchoscope 1200 to enter a first simulated trachea 4211 in a replacing model from a nasal cavity 4031 or an oral cavity 4032, and the tracheal intubation is finished after the first simulated trachea 4211 is seen; when the soft bronchoscope 1200 touches the inner cavity or the wall of the first cavity, the pressure value detected by the pressure sensor is increased; when the pressure value is larger than the preset pressure value, the alarm device gives an alarm, so that a trainer is prompted, and the trainer avoids contacting the trachea cannula tool with the wall of the airway cavity in the cannula inserting process;
the scoring target of the training device for simulating the human body without the tumor in the real scene of the bronchus soft lens comprises the following steps: the practitioner supports the bronchoscope to enter the first simulated trachea in the replacement model from the nasal cavity or the oral cavity, and sees the first simulated trachea under the condition that the alarm device does not generate an alarm.
And step S51, performing the live-action primary training model test to obtain the score of the live-action primary training model test, and judging whether the score of the live-action primary training model test reaches a fifth preset value.
After learning a theoretical course of a normal airway anatomical patient's full-anesthesia bronchoscope guide intubation tube, a user performs a live-action primary training model examination to obtain a score of the live-action primary training model examination, and judges whether the score of the live-action primary training model examination reaches a fifth preset value, wherein when the score of the live-action primary training model examination does not reach the fifth preset value, the user continues to learn the theoretical course of the normal airway anatomical patient's full-anesthesia bronchoscope guide intubation tube, and when the score of the live-action primary training model examination reaches the fifth preset value, the user starts to learn the theoretical course of the abnormal airway anatomical patient's conscious bronchoscope guide intubation tube;
the live-action primary training model is a training device for simulating the live-action of the bronchus soft lens without the tumor of the human body.
And the fifth preset value is the scoring target of the bronchus soft lens live-action simulation human body non-tumor training device.
Step S60, providing a theoretical course of the abnormal airway anatomy patient clear bronchoscope guiding intubation.
Theoretical courses for conscious bronchoscope guided intubation of patients with abnormal airway anatomy include: a method for using a training device for simulating the presence of tumor and secretion in human body by using a bronchus soft lens live-action and a scoring target are introduced.
The concrete structure of the training device for simulating the swelling and secretion of the human body by using the bronchus soft lens live-action is as follows:
the training device for simulating the swelling and secretion of a human body by using the bronchus soft lens live-action is a training device which is added with partial components on the basis of the structure of the training device for simulating the swelling and secretion of the human body by using the bronchus soft lens live-action.
Referring to fig. 9 and 10, the bronchoscope realistic simulation human body has a tumor, and a simulated tumor 4213 is further arranged on the inner wall of the first cavity of the secretion training device, and the simulated tumor 4213 is arranged on the airway path from the soft palate to the cricoid cartilage. The design provides trainers with simulated operation training of the soft lens of the periglottic tumor. By arranging the simulated tumor 4213, the influence on the tracheal intubation caused by the tumor growing on the respiratory tract in the clinical practice is simulated, and the training difficulty is enhanced.
The base 4001 is further provided with a sound transmitter for playing an interfering sound, wherein the interfering sound is an alarm sound, a sound urging sound of the surrounding environment or a cough sound. Through setting up the broadcaster, the real clinical environment of simulation provides interference factor for the training person to strengthen practitioner's psychological endurance.
The remote control 4005 is used for remotely controlling the switch of the broadcaster and adjusting the size of the interference sound. By arranging the remote controller, the bystander can control the interference sound according to the actual situation, so that the interference factor simulation is more targeted. In addition, a timer is also provided on the remote control 4005 for timing the trainee.
As shown in fig. 10, a liquid spraying cavity 4007 is further disposed on the inner wall of the first cavity, one end of the liquid spraying cavity 4007, which is far away from the first cavity, is connected to a connection pipe 4072, the other end of the connection pipe 4072 is connected to a liquid storage box 4071, the liquid storage box 4071 is used for containing liquid, a valve 4073 is disposed on the connection pipe, and the valve 4073 is an electrically controlled valve. When the valve 4073 is opened, the liquid in the liquid storage box 4071 flows into the first cavity through the connecting pipe 4072 and the liquid spraying cavity 4007, so as to simulate the clinical practical situation that the visual field of a bronchoscope or other trachea cannula tools is polluted due to respiratory tract bleeding or secretion generation, enhance the training difficulty and help the trainee adapt to the clinical practical state. The spray cavity 4007 penetrates through the simulated tumor 4213 to simulate the effect of bleeding from the tumor in clinical practice.
As shown in fig. 9 and 10, air bags 4006 are arranged on the inner walls of the pharyngeal cavity 4033 and the laryngeal cavity 4034, the air bags 4006 are connected with air pipes 4061, the head model 4003 is provided with abdicating holes 4035, the air pipes 4061 penetrate out of the abdicating holes 4035 to the outside of the head model 4003, one end of the air pipes 4061, which is located at the outside of the head model 4003, is connected with an air pump 4063 for supplying air to the air bags 4006, and the air pipes 4061 are provided with reversing valves 4062 for controlling air intake and exhaust of the air bags 4006. When the reversing valve 4062 is in the intake state, the air pump 4063 inflates the balloon 4006, the balloon 4006 bulges, and the cross-sectional area of the pharyngeal cavity 4033 or the laryngeal cavity 4034 decreases. When the diverter valve 4062 is in the exhaust state, the bladder 4006 will exhaust a portion of the gas from the diverter valve 4062 due to its internal pressure being greater than the external pressure, resulting in an increase in the cross-sectional area of the pharyngeal cavity 4033 or the laryngeal cavity 4034. A groove 4036 is arranged on the wall of the pharyngeal cavity 4033 or the laryngeal cavity 4034, and the air bag 4006 is embedded into the groove 4036. By inflating or exhausting the air bag 4006, the cross-sectional area of the pharyngeal cavity 4033 or the laryngeal cavity 4034 is changed, the influence on the tracheal intubation caused by the constriction of the pharynx or the larynx of the patient in clinical practice is simulated, and the training difficulty is enhanced.
The device also comprises a control system (which can be a single chip microcomputer or a PLC system), wherein the control system is electrically connected with the remote controller 4005, the reversing valve 4062, the air pump 4063, the valve 4073 and the vibrating motor 4008 and is used for controlling the operation of the components.
As shown in fig. 9, a vibration motor 4008 is disposed on the replacement module 4002, an elastic member 4081 is disposed between the replacement module 4002 and the base 4001, the elastic member 4081 is a spring, the elastic member 4081 provides a flexible support for the replacement module 4002, and the vibration motor 4008 is configured to drive the replacement module 4002 to vibrate up and down. The mounting mode of the spring is as follows: two mounting panels 4082 of replacement module 4002's both sides difference fixedly connected with, the first installation pipe 4083 of below fixedly connected with of each mounting panel 4082, four second installation pipes 4084 of fixedly connected with on base 4001, each second installation pipe 4084 is corresponding with first installation pipe 4083's position. The number of the springs is four, and two ends of each spring are respectively sleeved on each first mounting pipe 4083 and each second mounting pipe 4084. The quantity of vibrating motor is two, arranges replacement module 4002 both sides in branch, uses two vibrating motor simultaneously, eliminates the moment of torsion that single vibrating motor produced replacement module 4002.
When the vibration motor 4008 is activated, the replacement module 4002 vibrates up and down by the driving of the vibration motor 4008. Through making replacement module 4002 vibrate from top to bottom, the vibration state of respiratory track when the patient coughs in the simulation clinical reality strengthens the training degree of difficulty, helps the training person to adapt to clinical actual state.
The using method of the training device for simulating the swelling and secretion of the human body by using the bronchus soft lens live-action comprises the following steps:
when performing difficult airway soft lens simulation operation training or around-glottis mass soft lens simulation operation training, firstly, the practicer selects the replacing module 4002 to be trained to be installed on the base 4001, and then the practicer holds the soft lens to enter the first simulated trachea 4211 in the replacing module 4002 from the nasal cavity 4031 or the oral cavity 4032 to complete trachea intubation. Meanwhile, a bystander uses the remote controller 4005 to time a practicer, turns on interference sound, turns on the vibrating motor 4008 to drive the replacing module 4002 to vibrate, turns on the valve 4073 to spray liquid into the first cavity, or turns on the air pump 4063 and the reversing valve 4062 to inflate or exhaust the air bag 4006, and monitors whether the alarm device gives an alarm when the bronchoscope 1200 touches the inner cavity or the first cavity, thereby enhancing the training difficulty. Different replacement modules 4002 are used for simulating the anatomical structures of various difficult airways or periglottis tumors, and simulating the conditions of cough vibration, respiratory tract contraction, bleeding and visual field pollution of a patient, the contact between the bronchoscope 1200 and the airways and the like in clinical practice, so that a practicer is familiar with the anatomical structures of different difficult airways or periglottis tumors.
The scoring target of the bronchus soft lens live-action simulation human body swollen matter and secretion training device comprises: under the conditions of timing limitation, noise interference, replacement module vibration, simulated tumor on the inner wall of the first cavity and simulated secretion of the sprayed liquid in the first cavity, the practitioner holds the bronchoscope 1200 to enter the first simulated trachea in the replacement model from the nasal cavity or the oral cavity, and sees the first simulated trachea without the alarm device giving an alarm.
And step S61, performing a live-action advanced training model test to obtain the score of the live-action advanced training model test, and judging whether the score of the live-action advanced training model test reaches a sixth preset value.
After learning the theoretical course of the conscious bronchoscope guide intubation of the abnormal airway anatomy patient, a user performs a live-action advanced training model test to obtain the score of the live-action advanced training model test, and judges whether the score of the live-action advanced training model test reaches a sixth preset value, wherein when the score of the live-action advanced training model test does not reach the sixth preset value, the user continues to learn the theoretical course of the conscious bronchoscope guide intubation of the abnormal airway anatomy patient, and when the score of the live-action advanced training model test reaches the sixth preset value, the training and examination are performed through the bronchoscope soft-mirror.
The live-action advanced training model is a training device for simulating the swelling and secretion of the human body by using the bronchus soft lens live-action.
And the sixth preset value is the training device for simulating the swelling and secretion of the human body by the bronchus soft lens live-action.
The live-action advanced training model comprises a sound playing module, a vibration module and a blood flow and secretion simulation module, so that scenes and possible emergency situations of a user using the bronchus soft lens for a patient are simulated really, and the psychological tolerance of the user is improved effectively while the bronchus soft lens manipulation of the user is improved.
And step S70, training and assessing through a bronchoscope.
The steps S10 to S61 are completed, namely, the user passes the training and examination of the whole bronchoscope, and the using and operating method of the bronchoscope is well mastered. After the user passes the training and examination of the bronchoscope, the user uploads the bronchoscope operation video of the real case, and provides a step-up course according to the score of the bronchoscope operation video of the real case, so that the user can know the defects of the user in the bronchoscope operation process without the guidance of a guide, watch the step-up course, and further improve the acquaintance and the accuracy of the user in the bronchoscope operation. Here, the advanced improvement course is a course provided based on the deficiency of the user in the operation of the bronchoscope, and the advanced improvement course includes non-technical contents, specifically, communication skills, operation environment, psychological state, related instruments, operation procedures of local anesthesia and general anesthesia, and the like of the medical care patients.
Before providing a bronchoscopy theory training course, the method comprises the following steps: inputting user confirmation information, and providing test questions for investigating and evaluating the maturity of the bronchus soft lens of the user; after the user completes the survey evaluation, a bronchoscopy theory training course is provided based on the result of the survey evaluation, wherein the bronchoscopy theory training course is matched with the survey evaluation result.
After watching the bronchoscope theory training course, if the user needs to watch the bronchoscope theory training course again, the user can choose to return to provide the bronchoscope theory training course, if the user does not need to watch the bronchoscope theory training course again, the user can input confirmation information to learn the bronchoscope operation primary training course, operation training is subsequently carried out on the bronchoscope operation reversing training device according to the prompt of the bronchoscope operation primary training course, and the operation training process can be stored.
An embodiment of the present invention further provides an electronic device, including: a memory to store instructions for execution by one or more processors of an electronic device; a processor, which when executed by the processor, causes the electronic device to perform a bronchoscopy training method. Here, the electronic device may be implemented as a desktop computer device, a notebook computer device, a tablet type computing device, a mobile terminal, a network server, or the like.
The electronic device may include one or more processors coupled to the controller hub. The processor executes instructions that control data processing operations of a general type. In one embodiment, the Controller hubs include, but are not limited to, a Graphics Memory Controller Hub (GMCH) and an Input/Output Hub (IOH), wherein the GMCH includes a Memory and a Graphics Controller and is coupled to the IOH. The electronic device may also include a coprocessor and a memory coupled to the controller hub. Alternatively, one or both of the memory and GMCH may be integrated within the processor, with the memory and coprocessor being directly coupled to the processor and to a controller hub in a single chip with the IOH. In one embodiment, the coprocessor is a special-purpose processor, such as, for example, a high-throughput MIC (man Integrated Core) processor, a network or communication processor, compression engine, graphics processor, GPGPU (General-purpose computing on a graphics processing unit), embedded processor, or the like. The electronic device may further include an Input/Output (I/O) device.
The embodiment of the invention also provides a storage medium, wherein a computer program capable of running on the processor is stored on the storage medium, and when being executed by the processor, the computer program can realize any one of the bronchoscope training methods. The storage medium may include a computer-readable recording/storage medium such as a Random Access Memory (RAM), a Read Only Memory (ROM), a flash memory, an optical disc, a magnetic disc, a solid state disc, and the like. In accordance with one or more embodiments, the controller is executed by a microprocessor programmed to perform one or more operations and/or functions described herein. In accordance with one or more embodiments, the controller is executed in whole or in part by specially configured hardware, for example, by one or more application specific integrations or asics(s).
While the invention has been shown and described with reference to certain preferred embodiments thereof, it will be understood by those skilled in the art that the foregoing is a more detailed description of the invention, taken in conjunction with the specific embodiments thereof, and that no limitation of the invention is intended thereby. Various changes in form and detail, including simple deductions or substitutions, may be made by those skilled in the art without departing from the spirit and scope of the invention.
Claims (15)
1. A method of bronchoscopy training, the method comprising:
providing a training course of bronchoscope theory;
providing a bronchus soft lens operation primary training course;
providing a bronchus soft lens control middle-level training course;
providing a bronchus soft lens control advanced training course;
providing a theoretical course of inserting the tube by a general anesthesia bronchoscope of a patient with normal airway anatomy;
providing a theoretical course of a conscious bronchoscope guide intubation of an abnormal airway anatomical patient;
training and checking through a bronchoscope;
the bronchoscope manipulation primary training course comprises: introducing a using method and a scoring target of the bronchus soft lens control reversing training device;
the bronchoscope manipulation intermediate training course comprises: introducing a using method of a bronchus soft lens operation target hole non-moving training box and a scoring target;
the bronchoscope manipulation advanced training course comprises: introducing a using method of a bronchus soft lens control target hole moving intelligent training box and a scoring target;
the theoretical courses of the general anesthesia bronchoscopy guiding intubation of the patient with normal airway anatomy comprise: introducing a using method and a scoring target of a bronchus soft-lens live-action simulation human body non-tumor training device;
the theoretical courses of the conscious bronchoscope-guided intubation of the abnormal airway anatomical patient comprise: a method for using a training device for simulating the presence of tumor and secretion in human body by using a bronchus soft lens live-action and a scoring target are introduced.
2. The bronchoscope training method according to claim 1, wherein after the bronchoscope training course is provided, performing a bronchoscope theoretical examination to obtain a score of the bronchoscope theoretical examination, and determining whether the score of the bronchoscope theoretical examination is greater than or equal to a first preset value, wherein when the score of the bronchoscope theoretical examination is smaller than the first preset value, the bronchoscope training course is provided, and when the score of the bronchoscope theoretical examination is greater than or equal to the first preset value, the bronchoscope manipulation primary training course is provided;
after the primary training course controlled by the bronchoscope is provided, performing a primary training model control test by the bronchoscope to obtain a score of the primary training model control test by the bronchoscope, and judging whether the score of the primary training model control test by the bronchoscope reaches a second preset value or not, wherein when the score of the primary training model control test by the bronchoscope does not reach the second preset value, the primary training course controlled by the bronchoscope is provided, and when the score of the primary training model control test by the bronchoscope reaches the second preset value, the middle training course controlled by the bronchoscope is provided;
after the bronchus soft-lens control middle-level training course is provided, performing a bronchus soft-lens control middle-level training model test to obtain a score of the bronchus soft-lens control middle-level training model test, and judging whether the score of the bronchus soft-lens control middle-level training model test reaches a third preset value or not, wherein when the score of the bronchus soft-lens control middle-level training model test does not reach the third preset value, the bronchus soft-lens control middle-level training course is provided, and when the score of the bronchus soft-lens control middle-level training model test reaches the third preset value, the bronchus soft-lens control high-level training course is provided;
after the bronchus soft lens control advanced training course is provided, performing a bronchus soft lens control advanced training model test to obtain the score of the bronchus soft lens control advanced training model test, and judging whether the score of the bronchus soft lens control advanced training model test reaches a fourth preset value or not, wherein when the score of the bronchus soft lens control advanced training model test does not reach the fourth preset value, the bronchus soft lens control advanced training course is provided, and when the score of the bronchus soft lens control advanced training model test reaches the fourth preset value, a theoretical course of a patient with normal airway anatomy and general anesthesia bronchus soft lens guide intubation is provided;
after the theoretical course of the whole-anesthesia bronchoscope guiding intubation tube of the patient with normal airway anatomy is provided, performing a live-action primary training model test to obtain the score of the live-action primary training model test, and judging whether the score of the live-action primary training model test reaches a fifth preset value or not, wherein when the score of the live-action primary training model test does not reach the fifth preset value, the theoretical course of the whole-anesthesia bronchoscope guiding intubation tube of the patient with normal airway anatomy is provided, and when the score of the live-action primary training model test reaches the fifth preset value, the theoretical course of the waking bronchoscope guiding intubation tube of the patient with abnormal airway anatomy is provided;
after the theoretical course of the abnormal airway anatomical patient clear-headed bronchoscope guide intubation is provided, a live-action advanced training model test is carried out to obtain the score of the live-action advanced training model test, whether the score of the live-action advanced training model test reaches a sixth preset value or not is judged, when the score of the live-action advanced training model test does not reach the sixth preset value, the theoretical course of the abnormal airway anatomical patient clear-headed bronchoscope guide intubation is provided, and when the score of the live-action advanced training model test reaches the sixth preset value, the training and examination are carried out through the bronchoscope.
3. The training method for soft bronchoscope according to claim 2, wherein the primary training model for soft bronchoscope manipulation is a training device for soft bronchoscope manipulation and reversing, the soft bronchoscope comprises a lens, a bendable part, a scope body, a holding handle, an operation trigger and a display screen, and the training device for soft bronchoscope manipulation and reversing comprises: the device comprises a shell, a first cover, a second cover and a positioning mechanism, wherein a hollow chamber is arranged in the shell, and an indicating component is arranged on the bottom surface of the hollow chamber; the insertion opening is arranged at the top of the shell and is communicated with the hollow cavity so that the lens body can enter the hollow cavity;
a partition board fixed on the shell is further arranged in the hollow cavity, and a small hole opposite to the insertion hole is formed in the partition board, so that the endoscope body is kept vertical after penetrating through the partition board;
the diameter of the insertion opening and/or the small hole is 1.2-2.5 times of the diameter of the section of the lens body;
the diameter of the insertion opening or the small hole is 8-10 mm;
the indicating part comprises first indicating parts which are arranged at intervals and are projected on the bottom surface around the insertion opening and/or the small hole;
the first indicating member is arranged in a timepiece orientation;
the indicating part comprises a second indicating part which is positioned at the inserting opening and/or the small hole and is projected on the bottom surface;
the bottom surface of the hollow cavity is also provided with a first indicator light, and the first indicator light is arranged corresponding to the first indicator component and/or the second indicator component and is used for indicating the direction of the first indicator component and/or the second indicator component;
the sensing assembly is arranged on the periphery of the hollow cavity, and when the sensing assembly senses that the mirror body is close to the first indicating part and/or the second indicating part, the first indicating lamp corresponding to the first indicating part and/or the second indicating part is turned off;
the shell is opaque, and the outer surface of the shell is also provided with a reminding device which can show the light and shade state of the first indicator light;
the reminding device is a second indicator light;
the casing still includes the base, the base set up in well plenum chamber lower part, the base outside is equipped with the button, be equipped with control module in the base, control module with the button, first pilot lamp, the second pilot lamp with response subassembly is connected, is used for according to the button starts or closes trainer, and according to the signal control of response subassembly first pilot lamp or the light and dark of second pilot lamp.
4. The bronchoscope training method according to claim 3, wherein the using method and the scoring objective of the bronchoscope steering and steering training device comprise:
the using method of the bronchoscope control reversing training device comprises the following steps: after the button is pressed, the bronchus soft lens is vertically placed into the hollow cavity chamber through the insertion opening, when the sensing component of the second indicating component senses the lens body, the first indicating lamp corresponding to the number on the bottom surface of the hollow cavity chamber is lightened, and when an operator sees that the second indicating lamp on the shell is lightened, the trainer should turn the lens to the corresponding direction of the number; when the lens turns to the correct direction, the sensing component corresponding to the number senses the lens body and extinguishes the first indicator light corresponding to the lens body, namely, an operator finishes one training; after one training is finished, the first indicator light of the second indicator part is turned on to prompt an operator to return the bronchus soft lens to an initial state, the operator needs to rotate the lens to the position of the second indicator part, the first indicator light corresponding to the second indicator part is turned off after a sensing assembly of the second indicator part senses the lens, the first indicator light corresponding to another number on the bottom surface of the hollow cavity is turned on, and the first indicator light and the second indicator light are turned on randomly in the training process;
the scoring target of the bronchus soft lens control and reversing training device comprises: repeating the above steps until completing the steering training in twelve directions;
and the score target of the bronchus soft lens control and reversing training device is the second preset value.
5. The bronchoscope training method according to claim 2, wherein the bronchoscope manipulation intermediate training model is a bronchoscope manipulation target hole non-moving training box, and the bronchoscope manipulation target hole non-moving training box comprises: device body and parallel arrangement in a plurality of baffles of device body inside, the preceding curb plate of device body is equipped with a through-hole, every all be provided with at least one on the baffle the through-hole, bronchus soft mirror intelligence trainer still includes:
the detection devices are respectively arranged at each through hole and used for sending out a detection signal when the bronchoscope passes through the through hole;
the control module is connected with the detection device and used for receiving the detection signal and judging whether the soft bronchoscope passes through each through hole according to the detection signal;
the training box with the bronchus soft lens control target hole not moving further comprises a timing module which is connected with the control module, when the control module judges that the bronchus soft lens passes through the through hole, a timing signal is sent to the timing module, and the timing module records the time when the bronchus soft lens passes through the through hole according to the timing signal;
the timing module is further used for transmitting the recorded time to the control module, and the control module calculates the time from the time when the bronchoscope passes through the through hole in the front side plate to the time when the bronchoscope passes through the through hole in the partition plate close to the rear side plate of the device body according to the time, and/or calculates the time consumed by the bronchoscope passing through the through holes of the two partition plates;
the training box with the bronchoscope control target hole not moving further comprises a mode setting module for setting an exercise mode and an examination mode, and the mode setting module is connected with the control module;
the training box with the bronchoscope control target hole not moving further comprises a display module, and the display module is connected with the mode setting module and used for displaying the exercise mode and the examination mode of the mode setting module for an operator to select;
the display module is connected with the control module and used for displaying whether the bronchus soft lens passes through each through hole.
6. The bronchoscope training method according to claim 5, wherein the using method of the bronchoscope manipulation target hole non-moving training box and the scoring target comprises:
the using method of the training box with the bronchus soft lens to control the target hole without moving comprises the following steps: the training box with the bronchoscope for controlling the target hole and without moving can be used for training and examination purposes; when the operator uses the bronchoscope to control the target hole without moving the training box, the practice mode and the examination mode are displayed on the screen of the display module for the operator to select; when the operator selects the practice mode, the operator firstly determines a target and determines which letter on the marking board is seen by the bronchus soft lens; after the determination is finished, the screen of the display module is divided into two parts, all through holes are displayed in parallel, and one part of the through holes displays the through holes, through which the bronchus soft lens needs to pass when reaching the designated letter, in different colors for the reference of an operator; the other part displays the through hole through which the bronchus soft lens passes in real time and displays the through hole in different colors, and when an operator operates the bronchus soft lens to pass through the appointed through hole, the real-time display part of the display module changes the color of the through hole to indicate that the through hole passes through; if the operator passes through the through hole, the through hole is displayed on the display module, and the operator finds an error and can operate again;
the timing module records the passing time, so that the control module can calculate the time from the first through hole passing through the front side plate to the through hole of the last partition plate, can also calculate the time for passing through the through holes on any two partition plates and can display the time on the display module;
in the practice mode, after the designated letter A is selected, the color of all the through holes is red, but the display position which is used by reference on the display module and corresponds to the through hole reaching the letter is changed into green; the display module is also used for displaying the real-time position of the bronchus soft lens in parallel, and when the detection device detects that the bronchus soft lens passes through the specified through hole, the display position corresponding to the through hole is changed into green; by comparing the two displayed pictures, the operator can observe whether the operation is correct and the position where the error occurs;
when an operator selects the examination mode, the order of randomly generated letters is displayed on a screen of the display module, and the operator needs to operate in order to enable the bronchoscope to reach the through hole corresponding to the designated letter; displaying all the through holes on the screen, and displaying the through holes through which the bronchus soft lens passes in real time;
the scoring target without moving the training box of the bronchus soft lens operation target hole comprises the following steps: displaying the order of randomly generated letters on a screen of the display module, operating the display module by an operator in the order, and enabling the bronchus soft lens to reach through holes corresponding to all the designated letters within the time designated by the timing module;
the scoring target of the training box with the bronchus soft lens manipulation target hole not moving is the third preset value.
7. The bronchoscope training method according to claim 2, wherein the bronchoscope manipulation advanced training model is a bronchoscope manipulation target hole moving intelligent training box, and the bronchoscope manipulation target hole moving intelligent training box comprises:
the side wall of the box body is provided with a through hole; the mounting plate assembly is arranged in the box body, and a target hole is formed in the mounting plate assembly; the driving mechanism is arranged on the box body and used for driving the target hole to move relative to the box body;
the mounting plate assembly includes: the mounting plate is arranged in the box body, and a abdicating groove is formed in the mounting plate; the sliding chute is arranged on the mounting plate; the moving plate is arranged in the sliding groove, the target hole is arranged on the moving plate, the position of the target hole corresponds to that of the abdicating groove, the driving mechanism is connected with the moving plate, and the driving mechanism is used for driving the moving plate to slide in a reciprocating mode along the sliding groove;
the drive mechanism includes: the magnet is arranged on the moving plate; the electromagnet is arranged on the inner wall of the box body, and the position of the electromagnet corresponds to that of the magnet;
an elastic piece is arranged between the moving plate and the box body, the elastic piece is used for buffering the movement of the moving plate, and the elastic piece is a spring;
the inner wall of the box body is provided with a plurality of plug block groups, each plug block group comprises two plug blocks arranged at intervals along a first direction, and the mounting plate is inserted into a gap between the two plug blocks of the plug block group;
the number of the mounting plate assemblies is multiple, and the mounting plate assemblies are sequentially arranged along a first direction;
the moving directions of the target holes on two adjacent mounting plate assemblies are opposite;
the number of the target holes formed in each mounting plate component is increased along the first direction in sequence;
the number of the target holes arranged on each mounting plate component is in an integral multiple increasing relationship along the first direction in sequence;
the number of the mounting plate assemblies is four, the first mounting plate assembly, the second mounting plate assembly, the third mounting plate assembly and the fourth mounting plate assembly are sequentially arranged along the first direction, the number of the target holes in the first mounting plate assembly is one, the number of the target holes in the second mounting plate assembly is two, the number of the target holes in the third mounting plate assembly is four, and the number of the target holes in the fourth mounting plate assembly is sixteen;
a first partition plate is arranged between the second mounting plate assembly and the third mounting plate assembly, a second partition plate is arranged between the third mounting plate assembly and the fourth mounting plate assembly, a third partition plate is arranged between the fourth mounting plate assembly and the side wall of the box body, the first partition plate evenly partitions the target holes on the second mounting plate assembly and the target holes on the third mounting plate assembly into two areas, the second partition plate evenly partitions the target holes on the third mounting plate assembly and the target holes on the fourth mounting plate assembly into four areas, and the third partition plate evenly partitions the target holes on the fourth mounting plate assembly into sixteen areas;
the bronchus soft-lens control target hole moving intelligent training box further comprises sixteen identification plates, the identification plates are arranged on the inner wall of the box body adjacent to and parallel to the fourth mounting plate assembly, and the positions of the identification plates correspond to the positions of the target holes in the fourth mounting plate assembly respectively.
8. The bronchoscope training method according to claim 7, wherein the using method of the bronchoscope manipulation target hole moving intelligent training box and the scoring target comprises:
the using method of the intelligent training box for controlling the movement of the target hole by the bronchoscope comprises the following steps: starting the driving mechanism to enable the driving mechanism to drive the moving plate to shake, and then enabling the trainer to penetrate the bronchus soft lens into the through hole and the target hole in the first mounting plate assembly in sequence;
after passing through the first mounting plate component, a trainer can observe two target holes arranged on the second mounting plate component under the endoscope, and the trainer selects one target hole according to a preset standard intubation path and inserts a bronchoscope into the target hole;
after passing through the second mounting plate assembly, a trainer can observe two target holes arranged on the third mounting plate assembly under a mirror (the third mounting plate assembly is provided with four target holes which are evenly divided into two regions by the first partition plate, so that only two target holes on the third mounting plate assembly can be seen after passing through one of the through holes on the second mounting plate assembly), the trainer selects one of the target holes according to a preset standard intubation path and inserts a bronchoscope into the target hole;
after passing through the third mounting plate assembly, a trainer can observe four target holes arranged on the fourth mounting plate assembly under a mirror (the fourth mounting plate assembly is provided with sixteen target holes which are averagely divided into four regions by the second partition plate, so that only four target holes on the fourth mounting plate assembly can be seen after passing through one of the through holes on the third mounting plate assembly), and the trainer selects one of the target holes according to a preset standard intubation path and inserts a bronchoscope into the target hole;
after the cannula passes through the fourth mounting plate assembly, a trainer can observe the identification plate corresponding to the target hole which passes through at last under a mirror (the identification plates are sixteen in total, and are evenly divided into sixteen areas by the third partition plate, namely, only one identification plate is arranged in each area, so that the trainer can only see the identification plate corresponding to the target hole after passing through a certain target hole in the fourth mounting plate assembly), and can know whether the cannula path completed by the trainer is correct or not by observing the mark on the identification plate;
the score target of the bronchus soft lens control target hole mobile intelligent training box comprises: the trainer operates the bronchus soft lens to sequentially pass through sixteen target holes to see the identification plates corresponding to the target holes;
and the score target of the bronchus soft lens control target hole moving intelligent training box is the fourth preset value.
9. The bronchoscope training method as claimed in claim 2, wherein the live-action primary training model is a bronchoscope live-action simulation human body non-tumor training device, and the bronchoscope live-action simulation human body non-tumor training device comprises:
a base; the replacing module is detachably arranged on the base, and a first human tissue model is arranged in the replacing module;
the base is further provided with a head model, an inner cavity is formed in the head model, a first cavity is formed in the first human tissue model, and when the replacement module is installed on the base, the inner cavity is communicated with the first cavity;
the base is provided with a mounting groove, and the replacement module can be inserted into the mounting groove;
the opening of the mounting groove is arranged on the side surface of the base;
the base is also provided with a fixed model, the fixed model is provided with a second human tissue model, and when the replacing module is arranged on the base, the replacing module is positioned between the head model and the fixed model;
the second human tissue model is internally provided with a second cavity, and when the replacement module is arranged on the base, the first cavity is communicated with the second cavity;
a fixing device is arranged between the replacement module and the base or between the head model or the fixing model, and the fixing device is used for fixing the replacement module;
a fixed groove is formed in the base, and the replacement module can be installed in the fixed groove;
the first human tissue model comprises a first simulated trachea and a first simulated esophagus, and the first cavity comprises a pipeline cavity of the first simulated trachea and a pipeline cavity of the first simulated esophagus;
the inner cavity comprises a nasal cavity, an oral cavity, a pharyngeal cavity and a laryngeal cavity;
the second human tissue model comprises a second simulated trachea, a second simulated esophagus and a simulated lung, the simulated lung is connected to the end part of the second simulated trachea, and the second cavity comprises a second simulated trachea and a pipeline cavity of the second simulated esophagus;
the training device for simulating the real scene of the bronchoscope to simulate the body without the tumor further comprises a control system, wherein a sensor is arranged at one end, extending into the body, of the tracheal intubation tool, and the sensor is electrically connected with the control system;
the sensor is a pressure sensor, the control system is further electrically connected with an alarm device, and when the pressure value detected by the pressure sensor is larger than a preset pressure value, the alarm device gives an alarm.
10. The bronchoscope training method as claimed in claim 9, wherein the bronchoscope real-scene simulation human body non-tumor training device using method and scoring target comprises:
the using method of the training device for simulating the human body without the tumor in the real scene through the bronchus soft lens comprises the following steps: firstly, a practicer selects a replacing module to be exercised and installs the replacing module on a base, then the practicer supports a bronchus soft lens to enter a first simulated trachea in a replacing model from a nasal cavity or an oral cavity, and the trachea cannula is finished after the first simulated trachea is seen; when the bronchoscope touches the inner cavity or the wall of the first cavity, the pressure value detected by the pressure sensor is increased; when the pressure value is larger than the preset pressure value, the alarm device gives an alarm, so that a trainer is prompted, and the trainer avoids contacting the trachea cannula tool with the wall of the airway cavity in the cannula inserting process;
the scoring target of the training device for simulating the human body without the tumor in the real scene of the bronchus soft lens comprises: a practicer supports the bronchus soft lens to enter a first simulation trachea in the replacement model from the nasal cavity or the oral cavity, and sees the first simulation trachea under the condition that the alarm device does not give an alarm;
the scoring target of the training device for simulating the human body without the tumor in the real scene of the bronchus soft lens is the fifth preset value.
11. The bronchoscope training method as claimed in claim 9, wherein the live-action advanced training model is a bronchoscope live-action body-simulated swollen and liquid-secretion training device, the bronchoscope live-action body-simulated swollen and liquid-secretion training device is improved on the bronchoscope live-action body-simulated non-swollen training device, and the bronchoscope live-action body-simulated swollen and liquid-secretion training device further comprises:
the inner wall of the first cavity is provided with a simulated tumor;
a liquid spraying cavity is further arranged on the inner wall of the first cavity, one end, far away from the first cavity, of the liquid spraying cavity is connected with a connecting pipe, the other end of the connecting pipe is connected with a liquid storage box, the liquid storage box is used for containing liquid, and a valve is arranged on the connecting pipe;
the liquid spraying cavity penetrates through the simulated tumor;
the replacing module is provided with a vibrating motor, an elastic piece is arranged between the replacing module and the base, and the vibrating motor is used for driving the replacing module to vibrate up and down;
the elastic piece is a spring;
an air bag is arranged on the inner wall of the pharyngeal cavity or the laryngeal cavity and connected with an air pipe, a abdicating hole is formed in the head model, the air pipe penetrates out of the abdicating hole to the outside of the head model, one end of the air pipe, which is positioned outside the head model, is connected with an air pump, and a reversing valve is arranged on the air pipe;
the base is also provided with a broadcaster, and the broadcaster is used for broadcasting interference sound;
the remote controller is used for controlling the switch of the broadcaster and adjusting the size of the interference sound;
the remote controller is provided with a timer, and the timer is used for timing a trainer.
12. The bronchoscope training method as claimed in claim 11, wherein the bronchoscope real-scene simulation of the use method of the training device for the presence of the tumor and the secretion and the scoring target comprises:
the using method of the training device for simulating the swelling and secretion of the human body by using the bronchoscope live-action comprises the following steps: firstly, a practicer selects a replacing module to be exercised and installs the replacing module on a base, then the practicer supports a bronchus soft lens to enter a first simulated trachea in a replacing model from a nasal cavity or an oral cavity, and the trachea cannula is finished after the first simulated trachea is seen; meanwhile, a bystander uses a remote controller to time a practicer or turn on interference sound, or starts a vibration motor to drive a replacement module to vibrate, or starts a valve to spray liquid into the first cavity, or starts an air pump and a reversing valve to inflate or exhaust an air bag, or monitors whether an alarm device gives an alarm when a bronchus soft lens touches the inner cavity or the first cavity, so as to enhance the training difficulty;
the scoring target of the bronchus soft lens live-action simulation human body swollen matter and secretion training device comprises: under the conditions of timing limitation, noise interference, replacement module vibration, simulated tumor on the inner wall of the first cavity and simulated secretion of the sprayed liquid in the first cavity, a practicer supports the bronchoscope to enter a first simulated trachea in the replacement model from the nasal cavity or the oral cavity, and sees the first simulated trachea under the condition that the alarm device does not give an alarm;
the scoring target of the bronchus soft lens live-action simulation human body swollen matter and secretion training device is the sixth preset value.
13. The bronchoscope training method according to claim 1, wherein before providing the bronchoscope theory training course, comprising:
inputting user confirmation information, and providing test questions for investigating and evaluating the maturity of the bronchus soft lens of the user;
and providing the bronchoscope theory training course after the user completes the survey evaluation.
14. An electronic device, comprising:
a memory to store instructions for execution by one or more processors of the electronic device;
a processor that, when executing the instructions in the memory, causes the electronic device to perform the bronchoscopy training method of any of claims 1-13.
15. A computer-readable storage medium having instructions stored thereon, which when executed on a computer, cause the computer to perform the bronchoscopy training method of any one of claims 1-13.
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| CN116013118A (en) * | 2022-11-29 | 2023-04-25 | 复旦大学 | Pediatric trachea cannula training system and method based on augmented reality |
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