关键词: 股静脉穿刺置管, 临床带教, 案例教学

Abstract: Objective　To explore the application of the clinical teaching method of femoral venipuncture catheterization in oncology department and improve the mastery of femoral venipuncture catheterization for clinical rotation training beginners. Methods　Twenty-eight interns for training in rotation in Oncology Center, The First Affiliated Hospital of Guangzhou University of Chinese Medicine from February 2020 to February 2022 were selected. The clinical teaching of femoral venipuncture catheterization was carried out. The success rate of femoral venipuncture catheterization in the teaching process was counted, and the experience and lessons of femoral venipuncture catheterization were shared and summarized. χ² tests and ANOVA were applied. Results　The first, second, and third year graduates did the puncture during the teaching process (3.62±0.92) times, (3.83±1.19) time, and (4.25±1.49) times, respectively, with no statistical difference (F=0.55, P=0.582). The first, second, and third year graduates spent (5.75±2.77) min, (6.17±3.21) min, and (3.88±1.64) min on successful catheterization, respectively, with no statistical difference (F=1.79, P=0.188). The success rates of catheterization of the first, second, and third year graduates when they left the center were 50%(4/8),75.0%(9/12),and 62.5%(5/8), respectively, with no statistical difference (χ²=1.32, P=0.516). The proportions of mastering puncture site localization of the first, second, and third year graduates were 87.5%(7/8),91.7%(11/12),and 100.0%(8/8), respectively, with no statistical difference (χ²=0.99, P=0.61). Conclusions　Femoral venipuncture catheterization is widely used in patients with tumors. Because of its difficulty and risk, it requires higher proficiency of the operators. According to the results of teaching and training for medical students of different grades, the overall effect of the clinical teaching method of puncture technique is basically the same, which is helpful to guide beginners to master femoral venipuncture catheterization, and is welcomed by medical students.

Key words: Femoral venipuncture catheterization, Clinical teaching, Case teaching