方证辨证下比较思维在中医住院医师规范化培训的运用  

The Application of Comparative Thinking under the Basis of Syndrome Differentiation of Prescriptions and Syndromes in the Standardized Training of Traditional Chinese Medicine Residents

作　　者：梁爱武[1] 杨坤梅 陈治江 牛娅楠 赵新伟 何慧丽 刘君航 蔡宇轩 姜俊玲[1] 陈晓锋[1] 朱永苹[1] LIANG Aiwu;YANG Kunmei;CHEN Zhijiang;NIU Ya’nan;ZHAO Xinwei;HE Huili;LIU Junhang;CAI Yuxuan;JIANG Junling;CHEN Xiaofeng;ZHU Yongping(Department of Respiratory Medicine,Ruikang Hospital Affiliated to Guangxi University of Chinese Medicine,Guangxi,Nanning 530001,China)

机构地区：[1]广西中医药大学附属瑞康医院呼吸内科,广西南宁530001

出　　处：《中国中医药现代远程教育》2024年第1期36-39,共4页Chinese Medicine Modern Distance Education of China

基　　金：广西中医药大学教育教学改革与研究项目【No.2020B050】;广西中医药大学附属瑞康医院中医名医工程建设项目【No.院字〔2019〕18号】。

摘　　要：目的探讨方证辨证下运用比较思维新型教学模式,培养学生掌握方证的概念和建立以方证为核心的临床辨治思维。方法选取广西中医药大学附属瑞康医院2019级住院医师规范化培训(以下简称“住培”)医师及专硕并轨住培医师50人,分为5组,每组10人,均采用方证辨证下比较思维的教学方法教学。经过1年的学习后,对5组学生进行考核,每个学生需选取1例患者并独立完成整个诊治过程;考核涉及问诊能力及体格检查技能,要求写出处方,并阐述病证、方证及比较思维过程;最后进行评分并且跟踪观察疗效1个周期。结果在方证辨证教学模式下,运用比较思维教学方法培训后,学生的方证辨证能力明显优于培训前(P<0.05)。结论新型方证辨证教学模式下,运用比较思维教学方法培养学生掌握方证的概念和建立以方证为核心的临床辨治思维,能提高其临床诊疗效果,符合当代医学教育改革趋势和目标要求。Objective To discuss the use of the new teaching mode of comparative thinking under the prescription and syndrome differentiation,then to cultivate students to establish the concept of syndromes and the clinical differentiation and treatment thinking based on syndromes.Methods A total of 50 doctors in Grade 2019 of standardized training for residents and professional master resident physician were selected.They were divided into 5 groups with 10 doctors in each group.All groups adopts the new teaching mode of comparative thinking under the prescription and syndrome differentiation for one year.After one year of study,5 groups of students were assessed.Each student was required to select one patient and complete the whole diagnosis and treatment process independently.The examination involved the ability to consult and physical examination skills,required the writing of prescriptions,and described the disease,prescription and comparative thinking process.Finally,the efficacy was evaluated and followed up for one period.Results In the teaching mode of prescription syndrome differentiation,students’ability of prescription syndrome differentiation was significantly better than that before the training after using comparative thinking teaching method(P<0.05).Conclusion Under the new teaching mode of prescription syndrome differentiation,the use of comparative thinking teaching method to train students to master the concept of prescription syndrome and establish clinical differentiation thinking with prescription syndrome as the core can improve their clinical diagnosis and treatment effect,which is in line with the trend and target requirements of contemporary medical education reform.

关 键 词：方证辨证 住院医师规范化培训 师承教育 临床教学 比较思维 

分 类 号：R-4[医药卫生] C975[经济管理—劳动经济]