以案例为基础联合传统教学方法在高血压性脑出血临床教学中的应用  

Application of Method of Traditional Lectures Combined with Cases Analysis in Clinical Teaching of Intracerebral Hemorrhage

作　　者：王文娟[1,2] 陈胜云[1,3] 鞠奕 赵性泉[1,2] WANG Wen-Juan;CHEN Sheng-Yun;JU Yi;ZHAO Xing-Quan(Department of Neurology,Beijing Tiantan Hospital,Capital Medical University,Beijing 100050,China;Department of Vascular Neurology,Beijing Tiantan Hospital,Capital Medical University,Beijing 100050,China;China National Clinical Research Center for Neurological Diseases,Beijing 100050,China)

机构地区：[1]首都医科大学附属北京天坛医院神经病学中心,北京100050 [2]首都医科大学附属北京天坛医院血管神经病学科 [3]国家神经系统疾病临床研究中心

出　　处：《中国卒中杂志》2018年第9期995-997,共3页Chinese Journal of Stroke

基　　金：首都卫生发展科研专项项目(重点攻关)--北京地区以病因为基础的脑出血医疗质量评价与微创治疗技术的研究(首发2011-2004-03);"首都临床特色应用研究"专项-脑出血急性期一站式多模式CT应用规范的研究(Z131107002213009)

摘　　要：目的探讨以案例为基础教学方法(case based learning,CBL)联合以授课为基础传统教学方法(lecture based learning,LBL)在高血压性脑出血(intracerebral hemorrhage,ICH)临床教学中的作用。方法选择在首都医科大学附属北京天坛医院血管神经病学科轮转的7年制医学生40名,随机分为实验组和对照组。实验组采用CBL联合LBL,对照组采用LBL,对ICH进行教学。对两组进行学习后理论临床知识和满意调查度测试,比较测试成绩的差异。结果实验组与对照组比较,学习后考试成绩([92.3±5.7)分vs(86.8±6.3)分,P<0.001]和学生满意度调查成绩([27.0±3.5)分vs(21.0±4.7)分,P<0.001)]均显著提高。结论 CBL联合LBL有助于培养医学生在ICH学习中的临床思维和病例分析能力。Objective To explore the value of teaching method of lecture based learning（LBL） plus with case based learning（CBL） in clinical teaching of hypertensive intracerebral hemorrhage（ICH）.Methods A total of 40 medical students at department of vascular neurology in Beijing Tiantan hospital were randomized into test group and control group. In the teaching course of ICH, the CBL and LBL were applied in test group, and only LBL was applied in control group. ICH related knowledge examination and teaching satisfaction questionnaire survey were made for two groups after the completion of ICH learning course.Results The average examination score of test group was higher than that of control group [（92.3±5.7） vs（86.8±6.3）, P0.001], and it was the same with students＇ satisfaction scores for teaching effects in two groups [（27.0±3.5） vs（21.0±4.7）, P0.001）].Conclusion The teaching mode of LBL combined with CBL can help students improve and enhance the ability of clinical thinking and case analysis.

关 键 词：以病例为基础教学 以授课为基础教学 临床 教学 

分 类 号：R-4[医药卫生] G642[文化科学—高等教育学]