目的比较以问题为基础学习教学方法（problem-based learning，PBL）结合循证医学（evidence-based medicine，EBM）方法（PBL+EBM）与传统教学方法在神经疾病临床康复治疗学教学中的效果。
方法选择天津医科大学2009级和2010级四年制运动康复专业40名学生为研究对象。采用分层随机分组的方法，将这些学生分为实验组和对照组，每组各20名学生。两组学生在神经疾病临床康复治疗学教学期间分别接受PBL+EBM教学方法与传统教学方法，教学结束后对两种教学方法的教学效果分别进行主客观评估。
结果实验组学生在病案分析及技能操作、临床理论知识、运动训练（physical therapy，PT）、职业功能训练（occupational therapy，OT）、言语训练（speech therapy，ST）和物理治疗各项测试成绩均高于对照组学生， P<0.05，差异具有统计学意义。问卷调查结果显示，实验组学生对PBL+EBM教学方法满意度与对照组学生对传统教学方法的满意度相比， P<0.05，差异具有统计学意义。
结论神经疾病临床康复治疗学教学中运用PBL+EBM教学方法有助于学生掌握知识及提高临床操作能力；PBL+EBM教学方法在提高学生分析解决问题能力、信息获取利用能力等方面具有显著优势。
ObjectiveTo compare the effectiveness of problem-based learning combined with evidence-based medicine (PBL+ EBM) and conventional model on clinical teaching of the clinical rehabilitation therapeutics of nerve disease.
MethodsStudents were selected by sampling in conventional model group ( n=20) and PBL+ EBM group ( n=20) , and the two groups received clinical teaching of the clinical rehabilitation therapeutics of nerve disease by conventional model and PBL+ EBM model respectively.At the end of the study, each student received objective and subjective evaluation.
ResultsThere was significant difference in results. The score of medical cases analyzing ability and operating skill, clinical knowledge, exercise therapy, occupational therapy, speech therapy and physical therapy in the PBL+ EBM group was significantly higher than that in conventional model group ( P<0.05) .The questionnaire showed that more students in PBL+ EBM group felt satisfied with this teaching model ( P<0.05) .
ConclusionsThe model of problem-based learning combined with evidence-based medicine is feasible and effective in clinical teaching of the clinical rehabilitation therapeutics of nerve disease. The applying of this method can change the traditional teaching thought of the teachers and improve the students’ mastery of knowledge level, clinical skills, problem solving ability, and information acquisition ability, etc.
牛亚利,于涛,万春晓,等. 以问题为基础学习教学方法结合循证医学在神经疾病临床康复治疗学教学中的应用[J]. 中华医学教育杂志,2015,35(03)：392-395.
DOI:10.3760/cma.j.issn.1673-677X.2015.03.024版权归中华医学会所有。
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除非特别声明，本刊刊出的所有文章不代表中华医学会和本刊编委会的观点。
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