急性失代偿性心力衰竭治疗中的临床用药指导教学体会

Experience of Clinical medication instruction in the Treatment of Acute Decompensated Heart Failure

目的以左西孟旦用于急性失代偿性心力衰竭(ADHF)的治疗,探讨临床用药指导实习教学的体会。方法以2018年1-12月在该院实习的学生24名作为研究对象,随机分成对照组和观察组,每组12名。对照组选用传统带教方式完成临床教学,观察组采用以左西孟旦治疗ADHF的临床用药指导教学模式,比较两组患者的临床治疗效果、两组实习生的考试成绩及对不同教学模式的满意度。结果观察组学生出科考试成绩明显高于对照组,观察组学生对新教学方式满意度更高,观察组患者心衰症状缓解情况、心功能提高程度明显高于对照组,差异有统计学意义(P<0.05)。结论左西孟旦治疗ADHF的教学中,以临床用药指导教学,既可提高实习生对ADHF相关疾病知识、治疗方法、常用药物及禁忌的掌握程度,还可增强学生交流、沟通的能力,启发探索理论学习与临床实践融合的能力,使学生在新型教学方式下获益更多,教学效果理想。

Objective To explore the experience of clinical drug-guided practice teaching in the treatment of acute decompensated heart failure(ADHF)with levosimendan.Methods 24 students who were interned in the college from January to December 2018 were used as the research objects,and they were randomly divided into a control group and an observation group,with 12 cases in each group.The control group used traditional teaching methods to complete the clinical teaching,and the observation group used the teaching model of levosimendan to treat ADHF,and compared the clinical treatment effect of the two groups of patients,the test scores of the two interns and their satisfaction with different teaching modes.Results The students in the observation group were significantly better than those in the control group.The students in the observation group were more satisfied with the new teaching method.The patients in the observation group had significantly better heart failure symptoms and improved heart function than the control group.The differences were statistically significant(P<0.05).Conclusion In the teaching of Levosimendan for the treatment of ADHF,clinical teaching is used to guide the teaching,which can not only improve the interns knowledge of ADHF-related diseases,treatment methods,commonly used drugs and contraindications,but also enhance students'ability to communicate.The ability to explore the integration of theoretical learning and clinical practice will enable students to benefit more from the new teaching method and achieve ideal teaching results.