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当前位置：国际临床研究杂志 > 2026年 10卷 (8)期

Open Access Article

International Journal of Clinical Research. 2026; 10: (8) ; 51-56 ; DOI: 10.12208/j.ijcr.20260382.

Comparison of two novel cardiopulmonary resuscitation training methods in residency training: medical virtual reality simulation versus flipped learning
两种新型心肺复苏（CPR）培训方法在住培生心肺复苏培训中效果比较：医学虚拟现实模拟与翻转学习

作者： 李玉红, 邹文杰, 黄则勇 *

浙江树人学院树兰国际医学院树兰（杭州）医院麻醉科浙江杭州;

*通讯作者：黄则勇,单位：浙江树人学院树兰国际医学院树兰（杭州）医院麻醉科浙江杭州；

浙江省高等教育学会智能教育分会项目（项目编号：ZNJY2409）杭州市医药卫生科技项目（项目编号：B20231598，B20231958）浙江省中医药科技计划项目（项目编号：2023ZL593）

发布时间: 2026-08-07 总浏览量: 47

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摘要

目的比较医学虚拟现实模拟与翻转学习在住院医师规范化培训（住培生）心肺复苏（CPR）教学中的效果差异，探索优化培训策略的可行路径。方法采用随机对照试验设计，纳入130名住培生，随机分为VR组（n=65）与翻转学习组（n=65）。VR组通过Meta Quest 2设备进行多场景沉浸式训练，翻转学习组采用“课前自主学习+课堂病例讨论”模式。主要结局指标包括操作规范性（按压深度、频率、完全释放比例）和知识保留率（培训后1个月理论考核），次要指标涵盖临床决策能力与学员满意度。数据通过智能模拟人系统、标准化考试及质性访谈收集，采用SPSS 26.0与NVivo 12进行定量与质性分析。结果 VR组在操作规范性上显著优于翻转学习组（按压深度达标率：89.9% vs. 71.4%，p<0.01；频率达标率：91.0% vs. 78.3%，p<0.01）。翻转学习组知识保留率更高（理论考核85.8 vs. 73.3，p<0.01），且临床决策时间更短（43.1秒vs. 57.2秒，p<0.01）。结论 VR-CPR适用于操作技能标准化训练，而翻转学习更利于知识深度内化与决策能力提升。未来应结合二者优势，设计分阶段混合教学模式，以实现CPR培训的全面能力提升。

关键词： 心肺复苏培训；虚拟现实模拟；翻转学习；随机对照试验；操作规范性；知识保留率

Abstract

Objective To compare the effectiveness of medical virtual reality simulation (VR-CPR) and flipped learning in cardiopulmonary resuscitation (CPR) training for resident trainees, and to explore optimized training strategies.
Methods A randomized controlled trial (RCT) was conducted with 130 resident trainees, randomly assigned to VR group (n=65) or flipped learning group (n=65). The VR group underwent immersive multiscenario training using Meta Quest 2 devices, while the flipped learning group adopted a “preclass selfstudy + inclass case discussion” model. Primary outcomes included operational compliance (compression depth, rate, and full recoil ratio) and knowledge retention (theoretical exam 1 month posttraining). Secondary outcomes covered clinical decisionmaking ability and learner satisfaction. Data were collected via smart manikins, standardized exams, and semistructured interviews, analyzed using SPSS 26.0 and NVivo 12.
Results The VR group outperformed the flipped learning group in operational compliance (attainment ratio in depth: 89.9% vs. 71.4%, p<0.01; attainment ratio in rate: 91.0% vs. 78.3%, p<0.01). The flipped learning group showed higher knowledge retention (exam score 85.8 vs. 73.3, p<0.01) and shorter decisionmaking time (43.1s vs. 57.2s, p<0.05).
Conclusion VR-CPR is ideal for standardizing operational skills, while flipped learning enhances knowledge integration and decisionmaking. A hybrid model combining both approaches is recommended for comprehensive CPR competency development.

Key words： CPR training; Virtual reality simulation; Flipped learning; Randomized controlled trial; Operational compliance; Knowledge retention

参考文献 References

[1] SCHIPPER AE, SLOANE CSM, SHIMELIS LB, et al. Technological innovations in layperson CPR education - A scoping review[J]. Resusc Plus, 2025,23:100924.

[2] 李福军,由艳秋,程磊,等. 互联网+人工智能专家系统在麻醉科临床带教中的应用效果分析[J]. 中国医院管理,2023, 43(7):75-77.

[3] 王鸿雁,冯利,曾素纯. 虚拟现实结合翻转课堂教学模式在心肺复苏教学中的应用[J]. 卫生职业教育,2023,41(17): 43-46.

[4] 杨薛康,毕卫云,李朗,等.利用虚拟模型创建临床技能培训课程[J].医学教育研究与实践,2019,27(01):147-150.

[5] 孔祥勇,冯克福,马礼坤.情景模拟法在住培学员CPR教学中的效果研究[J].中国继续医学教育,2021,13(20):5-9.

[6] 许信杰,霍兆昌,赵紫静,等.虚拟现实在心肺复苏培训中的应用进展[J].中国医学教育技术,2021,35(04):443-448.

[7] 解楠,张晓震,张勇,等.BLS课程培训住培医师CPR技能的效果与分析[J].继续医学教育,2021,35(12):56-58.

[8] Kim EA, Cho KJ. Comparing the Effectiveness of Two New CPR Training Methods in Korea: Medical Virtual Reality Simulation and Flipped Learning[J]. Iran J Public Health, 2023,52(7):1428-1438.

[9] 马丽娟,李发鹏,袁建明.新疆某三级甲等医院住院医师心肺复苏培训方法及效果分析[J].中国高等医学教育,2015, (05):9-10

[10] SUN R, WANG Y, WU Q, WANG S, et al. Effectiveness of virtual and augmented reality for cardiopulmonary resuscitation training: a systematic review and meta-analysis[J]. BMC Med Educ. 2024 Jul 5;24(1):730.

[11] 彭华,陈建军,胡明,等.心内科急症情景模拟教学在中医住院医师规培的应用[J].中国中医药现代远程教育,2025, 23(02):14-17.

[12] KUYT K, PARK SH, CHANG TP, et al. The use of virtual reality and augmented reality to enhance cardio-pulmonary resuscitation: a scoping review. Adv Simul (Lond). 2021 Apr 12;6(1):11.

[13] 吴晓玲.虚拟现实技术在全科医生CPR培训中的应用研究[D].重庆医科大学,2020.

[14] Sun R, Wang Y, Wu Q, Wang S, et al. Effectiveness of virtual and augmented reality for cardiopulmonary resuscitation training: a systematic review and meta-analysis. BMC Med Educ. 2024,24(1):730.

[15] 程鹏飞,陈洪娇,骆丁,等. 虚拟现实技术在心肺复苏培训教学中应用效果的Meta分析[J]. 中华急诊医学杂志, 2022,31(9):1298-1302.

[16] NAS J, THANNHAUSER J, KONIJNENBERG LSF, et al. Long-term Effect of Face-to-Face vs Virtual Reality Cardiopulmonary Resuscitation (CPR) Training on Willingness to Perform CPR, Retention of Knowledge, and Dissemination of CPR Awareness: A Secondary Analysis of a Randomized Clinical Trial[J]. JAMA Netw Open, 2022,5(5):e2212964.

[17] LEE DK, IM CW, JO YH, et al. Comparison of extended reality and conventional methods of basic life support training: protocol for a multinational, pragmatic, noninferiority, randomised clinical trial (XR BLS trial)[J]. Trials, 2021, 20,22(1):946.

[18] 王磊,曹秋梅,王大为,等. 基于问题的教学法结合情景教学法在住院医师规范化培训心肺复苏中的应用与评价[J]. 中国临床医生杂志,2024,52(4):498-501.

[19] 商薇薇,王曼,严丽,等. 基于翻转课堂模式的公众急救技能培训试点研究[J]. 中华急诊医学杂志,2023,32(12): 1729-1732.

[20] SAHIN KARADUMAN G, BASAK T. Is Virtual Patient Simulation Superior to Human Patient Simulation: A Randomized Controlled Study[J]. Comput Inform Nurs, 2023,41(6):467-476.

[21] Huang, H, Hwang GJ, Chang SC. Facilitating Decision Making in Authentic Contexts: An SVVR-Based Experiential Flipped Learning Approach for Professional Training[J]. Interactive Learning Environments, 2021, 31 (8): 5219–5235.

引用本文

李玉红, 邹文杰, 黄则勇, 两种新型心肺复苏（CPR）培训方法在住培生心肺复苏培训中效果比较：医学虚拟现实模拟与翻转学习[J]. 国际临床研究杂志, 2026; 10: (8) : 51-56.

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