以临床案例为载体的中医临床思维模拟训练平台的构建与实施  

Simulated training platform for TCM clinical thinking taking clinical cases as carriers

作　　者：王立娟 佘崇佳 李福凤 张红凯 张伟妃 李雪 张瑞义 顾晔斌[2] 苏励[2] 余小萍[3] Wang Lijuan;She Chongjia;Li Fufeng;Zhang Hongkai;Zhang Weifei;Li Xue;Zhang Ruiyi;Gu Yebin;Su Li;Yu Xiaoping(Teaching Laboratory Center,Shanghai University of Traditional Chinese Medicine,Shanghai 201203;Longhua Hospital,Shanghai University of Traditional Chinese Medicine,Shanghai 200030;Shuguang Hospital,Shanghai University of Traditional Chinese Medicine,Shanghai 201203)

机构地区：[1]上海中医药大学教学实验中心,上海201203 [2]上海中医药大学附属龙华医院,上海200030 [3]上海中医药大学附属曙光医院,上海201203

出　　处：《中医教育》2018年第4期59-61,64,共4页Education of Chinese Medicine

基　　金：上海中医药大学杏林青年学者培养资助计划;上海中医药大学第十六期重点课程建设项目(No.60102068);国家基础科学人才培养基金项目(No.J1103607);国家基础科学人才培养基金条件支撑项目(No.J1210037);2017年上海市高水平大学建设项目;2016年中央财政支持地方高校发展专项

摘　　要：以100余例真实临床典型案例为基础,运用现代信息技术与互联网技术等,建立中医临床思维模拟训练平台,通过人机对话与病例进行互动交流,采集望闻问切四诊资料,然后辨析、论治。针对不同层次的使用者,选择难易程度不同的病案进行训练,来达到培养和训练学生以及住院医师采集病史能力、临床诊断能力、辨证分析能力及选方用药能力,以期使用者形成规范的中医临床思维,全面提高其临证综合处理能力,从而全面掌握中医诊治疾病规律。On the base of more than 100 clinical cases and modern information and internet technology, the simulated training platform for TCM clinical thinking is established. The data of four examinations of inspection,listening and smelling examination, inquiry and palpation are collected from the cases through man-machineconversation, and then pattern differentiation and treatment are determined. The users at different levels are trainedwith different cases, and the purpose is to cultivate and training the abilities of collecting medical history, clinicaldiagnosis, pattern differentiation and selecting formulas and administrating medicinal in students. The students willhave normalized TCM clinical thinking, and their comprehensive problem-resolving capacity will be improved for mastering TCM laws in diagnosis and treatment diseases.

关 键 词：高等中医药教育 中医临床思维 模拟训练 软件平台 

分 类 号：G645[文化科学—高等教育学]