新生儿疾病临床教学的探讨  

A Study on the Clinical Teaching of Neonatal Diseases

作　　者：麦智广[1] 梁少霞[1] 仇永[1] 

机构地区：[1]佛山市第一人民医院,广东佛山528000

出　　处：《医学教育探索》2005年第2期97-99,共3页Researches in Medical Education

摘　　要：为了提高新生儿疾病的教学质量,分析了连续1年新生儿科住院患儿760例的疾病谱、新旧两版的《儿科学》和教学大纲以及8次儿科实习考试试卷。结果发现出院第一诊断的疾病中包括大纲要求的17种疾病内的15种,共673例,占总数的88.5 5 % ;但前10位常见病669例中,有5种10 5例(15 .70 % )是大纲未要求的;新生儿肺炎作为第2位常见病,占总数的1/ 4,但大纲仅要求“熟悉”而不是“掌握”;大纲要求而试卷未命题的疾病多达10种,占5 8.82 %。提出:1)新生儿疾病的教学应突出重点:包括大纲要求的黄疸、早产儿和肺炎以及临床常见的疱疹性咽峡炎、呕吐和湿肺。2 )建议调整教材和大纲:教材编撰新生儿呕吐、大纲把新生儿肺炎定为重点。3 )完善考试命题:选择题中新生儿疾病占2 0 .0 0 % ;其中大纲要求的疾病占85 .0 0 % ,重点与一般的疾病命题比例1.80∶1。To improve the teaching quality of neonatal diseases,we analyzed the diseases register of 760 neonates hospitalized in one year,two editions of textbook of pediatrics and the teaching outline,8 times of examination after the students had finished the exercitation.Accounted for 88.55%,673 cases of the neonates suffered from 15 diseases,which were included in the 17 diseases required by the teaching outline.Among the 669 cases of the neonates suffering from 10 common diseases,105 cases suffered from 5 diseases,which were not required by the teaching outline.As the second common disease,neonatal pneumonia was asked to be familiar with instead of mastering by the students.Accounted for 58.82%,10 diseases were required by the teaching outline without having them in the exams.Therefore it is important:1.to stand out the keystone on the clinic teaching of neonatal diseases such as neonatal jaundice,premature,and pneumonia which were required by the teaching outline as well as herpangina,vomit,humid lung-which were common diseases.2.to put neonatal vomit into the textbook and ask the students to master neonatal pneumonia.3.to perfect the setting of test paper:in the test paper neonatal diseases accounting for 20.00%,the diseases required by the teaching outline accounting for 85.00%.The proportion of important diseases to common diseases is 1.80∶1.

关 键 词：新生儿疾病 临床教学 新生儿肺炎 儿科住院患儿 疱疹性咽峡炎 《儿科学》 新生儿呕吐 教学质量 考试试卷 教学大纲 第一诊断 突出重点 临床常见 考试命题 常见病 纲要 疾病谱 早产儿 选择题 总数 教材 

分 类 号：R722[医药卫生—儿科] R4-4[医药卫生—临床医学]