Abstract: Objective To compare the learning effects of high-fidelity and low-fidelity simulatorson perioperative anaphylaxis simulation training. Methods Thirty anesthesiology residents who had never experienced the simulation exercise before were divided into two groups： high-fidelity group （Group HN） and low-fidelity group （Group LN） with 15 persons in each group. The participants acted as the chief anesthesiologist and team leader in the case, the rest of the roles were played by the staff.The instructor was the same one. Two weeks before the training, participants need to complete the video theoretical study of “perioperative allergic reaction” and “elements of teamwork” and score 70 points before they can be enrolled in the group. All the training cases were allergic reactions, and the scenario was completely consistent, with a total of 3 drills, and debriefing immediately after the end of each case. The instructor used the allergic reaction case drill score table to score the performance of the third case exercise. Results there was no significant difference in the score of allergic reaction rehearsal scale between Group HN and Group LN （P>0.05）. Conclusion the training of perioperative allergic reaction simulation in high-fidelity simulator and low-fidelity simulator can achieve similar learning effect of diagnosis and treatment measures, and the application of low-fidelity simulator can reduce the cost of simulation training. It is helpful to popularize the situational simulation training of crisis events in operating room.

Key words: simulator, emergency manuals, simulation, anaphylaxis

摘要： 目的 比较高仿真和低仿真模拟人在围术期过敏反应模拟培训中诊疗措施的学习效果。方法 30名培训前从未亲历模拟演练的麻醉科住院医师参与研究,分为2组：高仿真模拟人组（HN组）和低仿真模拟人组（LN组）,每组15人。研究对象在病例演练中扮演主麻医师并作为团队的领导者,其余角色由工作人员扮演,培训导师为同一名。参与培训2周前研究对象需完成《围术期过敏反应》和《团队合作要素》视频理论学习并考核达到70分方可入组。培训病例均为过敏反应,病例剧本设置完全一致,共演练3次,每次病例结束后即时Debriefing。导师应用过敏反应病例演练评分表对研究对象第3次病例演练的表现评分。结果 HN组和LN组的过敏反应病例演练评分表得分差异无统计学意义（P>0.05）。结论 在高仿真模拟人和低仿真模拟人进行围术期过敏反应模拟培训达到类似的诊疗措施学习效果,应用低仿真模拟人能降低模拟医学培训成本,有利于在基层医院普及手术室危机事件的情景模拟教学。

关键词: 模拟人, 应急手册, 模拟培训, 过敏反应