白内障临床教学中应用综合教学的探讨

Application of comprehensive teaching mode in cataract clinical teaching

目的探讨PBL结合CBL的综合教学在眼科白内障临床教学中的应用及教学效果。方法选取2008级临床医学专业1班学生（80人）为实验组，在白内障教学中实施综合教学；2班学生（83人）作为对照组，采用传统LBL教学；比较两组教学效果。应用SPSS11．5软件对数据进行统计分析，两组满意度调查比较用，检验，理论成绩比较用t检验，检验水准为d=0．05。结果实验组在提高综合素质和培养临床思维方面的满意度均高于对照组。比较两组学生理论成绩中理解性知识、病例分析及总分方面的差异，均有统计学意义（P〈0．05）。结论综合教学可以提高白内障临床教学效果，但还需要在实践中完善。

Objective To explore teaching effect of comprehensive teaching mode of PBL combined with CBL in ophthalmologic cataract clinical teaching. Methods 2008 grade clinical majors （ n = 80） in class 1 as experimental group were taught by comprehensive teaching mode of PBL com- bined with CBL while those （ n = 83 ） in class 2 as control group were taught by traditional LBL teaching mode. After the courses, the teaching effects of two methods were compared. SPSS 11.5 software was used for statistical analysis, X2 test for satisfaction survey and t-test for theoretical examination scores. The test level is a = 0.05. Results There were significant differences between experimental group and control group in improving comprehensive quality and developing clinical thinking. Scores of under- standing knowledge, case analysis and total scores of experimental group were higher than those of con- trol group （ all P 〈 0.05 ）. Conclusions Comprehensive teaching mode may improve the teaching effect of cataract clinical teaching, but it need to be explored and improved continually in practice.