Abstract:

Objective To explore the value of teaching method of lecture based learning (LBL) plus with case based learning (CBL) in clinical teaching of hypertensive intracerebral hemorrhage (ICH). Methods A total of 40 medical students at department of vascular neurology in Beijing Tiantan hospital were randomized into test group and control group. In the teaching course of ICH, the CBL and LBL were applied in test group, and only LBL was applied in control group. ICH related knowledge examination and teaching satisfaction questionnaire survey were made for two groups after the completion of ICH learning course. Results The average examination score of test group was higher than that of control group [(92.3±5.7) vs (86.8±6.3), P <0.001], and it was the same with students' satisfaction scores for teaching effects in two groups [(27.0±3.5) vs (21.0±4.7), P <0.001)]. Conclusion The teaching mode of LBL combined with CBL can help students improve and enhance the ability of clinical thinking and case analysis.

Key words: Case based learning; Lecture based learning; Clinic; Teaching

摘要：

目的 探讨以案例为基础教学方法（case based learning，CBL）联合以授课为基础传统教学方法 （lecture based learning，LBL）在高血压性脑出血（intracerebral hemorrhage，ICH）临床教学中的作用。 

方法 选择在首都医科大学附属北京天坛医院血管神经病学科轮转的7年制医学生40名，随机分为 实验组和对照组。实验组采用CBL联合LBL，对照组采用LBL，对ICH进行教学。对两组进行学习后理 论临床知识和满意调查度测试，比较测试成绩的差异。 

结果 实验组与对照组比较，学习后考试成绩（[ 92.3±5.7）分 vs（86.8±6.3）分，P＜0.001]和学生 满意度调查成绩[（27.0±3.5）分 vs（21.0±4.7）分，P＜0.001)]均显著提高。 

结论 CBL联合LBL有助于培养医学生在ICH学习中的临床思维和病例分析能力。

关键词: 以病例为基础教学; 以授课为基础教学; 临床; 教学