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Application Research On Simulation Operation System Of Rotary

Posted on:2016-08-18Degree:MasterType:Thesis
Country:ChinaCandidate:M ChenFull Text:PDF
GTID:2134330461495123Subject:Chinese medicine
Abstract/Summary:PDF Full Text Request
Research Background:With the develepment of era, cervical spondylosis has become a common discase. frcquently- occurring disease discase disorders Bad living habits and ,wav of working in today’s socicty to make its incidence on the rise. serioisly affecting people work anf life quality. At present, the disease is mainly treated with conservative methods. includingf screw lift technique treatmem has the charactics of somble operation. quick cffeet. is an inportant ,cans of traditional Chinesc medicine teeatmem of the disease, by domestic and forcign medicinc attaches great importance to increasingly. And the technique have been national 11th five-year fifteen-year research project and mational naturat tired project research, proved the effectiveness and safely, is listed as the state administration of traditional Chinese medicine the TCM clinical practical technology promotion projects in the popularization and application.However.the tradition of rotary lift technique is used more KouCanXinShou approach to teaching, such as the YiZong Jin Jian "slated:" once the clinical, touch machine at outside. was bom in opperanely. hand do lure. law out of the hand ".Need begioners have higher undcrstanding, and in the clinical work of learning into a lot of energy to fumble,learning efficiency is low,therefore, difficult to promote, less chalice operational. these problems become influence lifi technique main factor for the treatment of cervical spondvlosis clinical promotion. The conception of this study is to be the training beghinners can lift technique hy simulation operation svstem of examination and found own shortcomings, and thus for the targeted practice, and can be conducted on the evaleation system for many times the acual operation, better comprehension of the quintessence of spn of the technique. to actively promote rotary technique have greater help.Application research on:Objective:1 objective evaluation of spinning technique simulation operation assessment system in the practical application of stability;2 by comparing the spinning tcchnque auxiliary tactics training simulation opcration assessment system and the traditional techniqur training, the difference between evabaation screw lift echnique simulation operation effect and advantage of the assessment system as a teaching tool.Methods:Test one:By spinning technique sirmulation operation assessment system for clinical application of spin technique over tive years of ten dictors foe data acquisition, cach physician in normal body mass index (bm) simulation condition, in turn. for five spin manipulation, were recorded as G1 G2 and G3. G4 and G5. core mdexes in the proses of operating records (pre traction, pull foree and maximum force and the time. rotating,pitch range), Comparative analysis of five times per physician. operaling the difference of cach index in thr index, to evaluata screw lift technique simalarion operation asscssment sxstem as the stability of teaching assessment tools in praetical applieation.TEST two:By recruiting poster, recruitment learning technique of 60 male graduate student, will this 60 beginners according to random number table is divided into A, B two groups at random, each group 30.A group received traditional training, conducted by the instructors in patients with cervical spondylosis of nerve root type rotary manipulation, and to explain in delail.Teaching time for three weeks, a total of 6 classes, each class hour 45 minutes, training before class registration. Specific scheduling:2 hours before the instructors operate demo, for beginners to learn basic, intermediate between 2 class beginners, movement exercise instructors give technical guidance, the last 2 hours beginners problems raised questions in the operation process, the instructors to answer.Group B under the video and PPT teaching understanding spin technique operation method, then the simulation operation assessment system on training, the training is divided into three times, once a week, every time 2 hours and 45 minutes per period, training before class registration. The two groups after the training, establish a beginner examination register and register, and by spinning lechniquc simulation operation of the system to operate.Examination before and give the group A beginner practical exercises,20 minutes to get familiar with the evaluation system, avoid the error to the operation of the system is rusty and produce. The assessment process, to spin manipulation of core indicators for recording (pre traction, pull pull force and maximum force and the time, relaxing, pitch range), each inspection three times, finally A, B two group were average examination pass rate three times.Differences of assessment index, and comparative analysis of two groups of beginners to evaluate spin technique simulation operation assessment system in teaching effect and advantages of assessment tools.Results;Test one:Ten doctors for five times per rotation technique after after operation, lift technique by simulation operation assessment system to record the data.By the single factor analysis of variance, a skilled master the technique of the operator, the third time in a simulated operation assessment system on manipulation, can with the operating system to achieve better grinding-in degrees. not caused by the operating system for the first time contact operation mistakes.Fourth operation, machine into the stable phase. Starting from the percent of pass of operation, among them, the G1 operation process, the pull force of the percent of pass is 30%, the biggest force percent of pass is 70%, the amplitude of the rotating percent of pass is 80%;G2 operation process, the pull force of the percent of pass is 70%, the biggest force percent of pass is 90%, rotating percent of pass is 90%.Ten doctcrs in May at first contact spin tactics simulation operation assessment system, the operation does not adapt.The operation of reason in the G1 and G2) exist in the process of pull force and maximum force, rotaring. such as index of operation error, but since the third operation. 10 doctors not to appear error, the indicators are qualified.In ten data of five operators pull force and maximum force, rotation rate comparing single factor variance analysis.To pull force, G4 and G5 compared with G1, P values were 0.015,0.006. arc less than 0.05, the difference is statistically significant;The biggest force. G4 and G5 compared with G1, P values were 0.021,0.012, are less than 0.05, the difference is statistically significant:The remaining two compare the indicators, P values were greater than 0.05. there was no statistically significant difference. Can be concluded from this. skilled technique of the operator in the operation for the first time, because of the screw lift technique simulation operation assessment system are not familiar with the operation error, but after three operations, familiar with the basic operation of the system. After the fourth operation, to avoid the error to the operation of the system is rusty and produce, so as to achieve stable state.Test two:After two groups of different ways of training, analyzes the results of the appraisal conclusion, group B beginners the mechanics indexes are obviously increase the qualified rate of the group A, including preliminary miction, pull force and maximum force, time. rotating and pitch range.In A set of training methods, three different body mass index (bmi) simulation condition, pull, pull force and maximum force in the pass rate is lower than 40%. to pull time, rotating, the amplitude of the pitch were greater than 70%pass rale,In group B training methods, three different body mass index (bmi) simulation condition, the three core mechanics index in the majority of more than 50%, there are still individual indicators qualified rate of not more than 40%, to pull time, rotating and pitch of the qualified rate of not less than 90%, or even close to 100%.A, B two groups of training, the traction of the lower pass rate along with the increase of body mass index.After group B training beginners in the key mechanical indexes in group A were significantly improved.Normal body mass index (hmi) simulation condition of P values are in the process of the traction and pull the time less than 0.05, the difference is statistically significam;Pull force and maximum force, rotation and the pitch range of P values were greater than 0.05, there was no statistically significant difference.Overweight bmi simulation condition, traction, pull pull force and the time of the P values are less than 0.05, the difference is statistically signiticant;The amplitude of the maximum force, rotating and pitch P values were greater than 0.05, there was no statistically significant difference.Fat body mass index (bmi) simulation condition, the trachon and pull lime, rotating P values are less than 0.05. the difference is statistically significant;Pull force and maximum force and the pitch range of P values were greater than 0.05, there was no statistically significant difference.Conclusion:Through the above data analysis:1 Spinning technique simulation operation assessmem system as stable assessment tool can effectively evaluate the performer of spin manipulation of advantages and disadvantages:2 After spinning technique to simulate operation assessment system after training beginners can better grasp the spin of the technique of operating skills, improve the quality of the techmque training, training effect is superior to traditional training methods.3 Spinning technique simulation operation assessment system for beginners can duplicate an operation provides a platform for the training.Through this experiment, confirmed the rotation technique simulation operation assessment system of scientific value, verity the spin manipulation simulation operation assessment system of clinical utility.Provided a objective basis for teaching and evaluation technique. and laying a foundation for further promotion of the technique.
Keywords/Search Tags:Spinning technique, Quantitative, Mechanical simulation operation, Evaluation, Training
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