通讯作者: 李超, z20700lichao@126.com

DOI：10.12201/bmr.202608.00026

Application Effect of Surface Navigation Method Combined with Peyton’s Four-Step Teaching Method in Wrist Joint Musculoskeletal Ultrasound Teaching

• 摘要：【摘要】目的 探讨体表导航法融合Peyton四步教学法在腕肌骨超声教学中的应用价值，为提升超声教学质量提供参考。方法 选取2024年9月至2025年12月在我院超声科轮转的本科规培医师38名，采用随机数字表法分为观察组和对照组各19名。对照组实施传统讲解示教模仿教学模式，观察组在此基础上融入体表导航法与Peyton四步法。培训周期均为4周。评价指标包括理论知识考核成绩、实践操作技能考核成绩、操作耗时与图像质量、综合教学满意度量表评分。结果 培训后，观察组理论成绩分和实践操作总分均显著高于对照组；单部位扫查时间短于对照组；图像质量评分高于对照组；教学满意度总分显著高于对照组（均 P＜0.001），效应量分析显示，各维度Cohen''s d值为0.772-1.681，均达大效应水平。结论 体表导航法联合Peyton四步法教学模式能显著提高学员手腕肌骨超声的理论与操作水平，缩短操作时间，提升图像质量和教学满意度，具有较高的临床推广价值。

  关键词： 体表导航法；Peyton四步教学法；肌骨超声；腕关节；教学效果; ; ; ; ; ; 

   

  Abstract: Objective To explore the application effect of surface navigation method combined with Peyton’s four-step teaching method in wrist musculoskeletal ultrasound teaching, so as to provide a reference for improving the quality of ultrasound teaching.Methods A total of 38 undergraduate standardized training physicians rotating in the Department of Ultrasound of our hospital from September 2024 to December 2025 were enrolled and randomly divided into the observation group and the control group by the random number table method, with 19 physicians in each group. The control group adopted the traditional teaching mode of explanation, demonstration and imitation. On the basis of traditional teaching, the observation group was taught with the combination of surface navigation method and Peyton’s four-step teaching method. The training cycle of both groups was 4 weeks. The evaluation indicators included theoretical assessment scores, practical operation scores, scanning time, image quality, and comprehensive teaching satisfaction scores.Results After training, the theoretical scores and total practical operation scores of the observation group were significantly higher than those of the control group. The single-site scanning time of the observation group was significantly shorter, and the image quality score was significantly higher than those of the control group . The total teaching satisfaction score of the observation group was significantly higher than that of the control group (all P < 0.001). Effect size analysis showed that the Cohen’s d values of all evaluation dimensions ranged from 0.772 to 1.681, all reaching the large effect level.Conclusion The combined teaching mode of surface navigation method and Peyton’s four-step teaching method can significantly improve the theoretical knowledge and clinical operation ability of standardized training physicians in wrist musculoskeletal ultrasound, shorten ultrasound scanning time, optimize image quality, and improve teaching satisfaction, which has favorable application and promotion value in clinical teaching.

  Key words: surface; navigation method, Peyton’s; four-step; teaching method, musculoskeletal; ultrasound, wrist; joint, teaching; effect

  提交时间：2026-08-12

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• 序号	提交日期	编号	操作
  1	2026-07-22	10.12201/bmr.202608.00026V1	下载

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