外科医生在腹腔镜手术基础练习期间的生物应激反应:一项描述性研究
Dr Aaron K Budden1, Prof Amanda Henry2, Prof Claire E Wakefield3
1School of Clinical Medicine, Health and Medicine, Division of Obstetrics and Gynaecology, UNSW, Sydney, Australia; Gynaecological Research and Clinical Evaluation (GRACE), UNSW, Sydney, Australia.
Journal of minimally invasive gynecology
|March 16, 2026
概括
在腹腔镜练习期间外科医生的压力显示出广泛的生物变异. 目前的压力指标,如皮质醇和心率变化,在聚合数据中检测压力的区分能力较差.
科学领域:
- 外科教育和培训外科教育和培训
- 生理学 生理学 生理学
- 职业健康 职业健康 职业健康
背景情况:
- 不良的外科医生压力会对非技术技能产生负面影响,导致倦怠并影响患者的治疗结果.
- 确定外科手术压力因素对于提高外科医生和患者福祉至关重要.
- 需要客观的生物测量来量化外科医生在手术任务中的压力.
研究的目的:
- 描述模拟腹腔镜练习期间外科医生压力的生物测量.
- 研究外科医生对不同压力状况的生理反应的变化.
主要方法:
- 一项前性队列研究,涉及26名志愿外科医生.
- 在中性和压力条件下 (人体工程学,时间压力,噪音) 进行了模拟的腹腔镜练习 (钉子转移,图案切割,结结).
- 测量包括皮质醇水平,心率 (HR),心率变化 (HRV) 和NASA任务负载指数 (TLX).
主要成果:
- 观察到腹腔镜运动对生物反应的显著个体变异.
- 皮质醇水平平均下降,而平均和最大HR增加. 人力资源价值观测量显示出混合变化.
- 虽然平均HR在中性条件下更高,但在"压力"条件下,更大比例的HRV测量表明压力.
结论:
- 目前对外科医生压力的生物测量表现出高度的个体间变化.
- 这些指标的汇总平均数据表明压力检测和跟踪的差异化能力较差.
- 需要进一步的研究来完善手术环境中的压力评估.
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