Kappa指数在急性阑尾炎腹部体征教学中的应用

Exploration of the significance of using Kappa index in clinical teaching of acute appendicitis abdominal signs

目的探讨应用一致性检验在评价外科学临床教学效果中的意义。方法以普外科见习和实习的医学生为研究对象，随机分组进行有针对性教学（n：15）和常规教学（n=21），统计两组间体检的Kappa指数。结果对于Morris点压痛知识点，接受有针对性教学的学生掌握情况较接受传统教学的学生更优。结论运用Kappa指数，选择某些体检项目在传统教学的基础上加强针对性教学，能达到更好的教学效果。

Objectives To study the significance of using kappa value in surgical clinical teach- ing. Methods The interns in Department of General Surgery were included, and were divided into rou- tine teaching group and targeted teaching group randomly. Kappa statistic was used to compare the consis- tency of physical examination. Results The results showed that Morris＇s point tenderness was grasped more efficiently in targeted teaching than routine teaching group. Conclusion With the help of kappa value teachers can find the teaching items more correlated with training and give students targeted teaching so as to improve the teaching effect.