GasMan@软件结合病案分析教学在麻醉专业示教中的应用

Application of case analysis teaching method with GasMan@ software in anesthesia practice course for clinical undergraduates

目的比较GasMan@软件与课堂讲授、病案分析有机结合的教学与传统讲授式教学在吸入麻醉（inhalation anesthesia，IA）示教课中应用的教学效果。方法选择新疆医科大学麻醉学专业学生78名，随机分为实验组（G组，n=39）和对照组（C组，n=39），根据教学大纲中对临床麻醉学示教课的要求，实验组采用课堂讲授、病案分析和GasMan@软件结合的教学方法。对照组采用传统教学方法，两组教学时数均为100min。示教结束后，采用教学效果评价表，随堂不记名测试。应用SPSS19．0软件对组间考试成绩行t检验或r检验，评价教学效果。结果与对照组相比，实验组在客观题中的选择题、判断题、病例分析及平均成绩方面均高于对照组（P=0．000），而名词解释成绩组间没有统计学差异（P=0．087）；实验组在主观题中的学习兴趣、学习效率、记忆、逻辑思维、分析能力、解决问题能力及协作能力的满意度方面均高于对照组（P〈0．05）。结论与传统讲授式教学相比，在示教课中应用GasMan@软件病案分析教学能够使学生身临其境，培养其临床思维能力，提高IA示教课的教学效果。

Objective To compared the effect of combined teaching method of lecture, case analysis and GasMan@ software （LAG） and traditional teaching method （LBL） in inhalation anesthesia practice course. Method 78 anesthesiological undergraduates were randomly assigned to G group （n= 39） or Control group （n=39）. According to the requirements of clinical anesthesiology in the syllabus, G group used classroom lectures, case analysis and GasMan@ software （LAG） teaching method, while Control group used lecture based learning （LBL） teaching method. The students took anonymous quiz and filled teaching effect evaluation form after practice course. Then the exam results were compared between groups to evaluate the teaching effect. SPSS 19.0 was applied to do statistical analysis and t test and X2 test were used. Results Compared to the Control group, G group got better results in objective questions like choosing, judgment, case analysis and average ranks （P=0.O00）, and there was no significant difference in the identification section （P=0.087）, while G group also got better results in subjective questions like learning interests, study efficiency, memorize, logical thoughts, ability of analysis, solving problems and cooperation （P〈0.05）. Conclusion Compared to traditional teaching method, the combined use of lecture, case analysis and GasMan@ software make students immersive, develop their clinical thinking ability, and improve the teaching effect of inhalation anesthesia practice course significantly.