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1.
目的探讨3D打印技术联合PBL与EBL教学在骨科临床教学中的应用效果。方法将50名骨科实习生随机分为试验组(PBL与EBL教学联合3D打印技术组25人)和对照组(传统LBL模式组25人)进行对照研究,通过出科考核的数据和问卷调查评价教学效果。结果试验组的出科考核(理论知识、临床技能、临床思维)总分为(86.24+3.21)分,明显高于对照组的(74.20+3.72)分,差异具有统计学意义(P<0.05)。问卷调查结果表明,相比于对照组,试验组在提升骨科理论知识、提升骨科基本技能、提升临床思维、提升骨科实习兴趣和积极性以及对教学满意度5个方面有明显优势,差异具有统计学意义(P<0.05);而在提高自学及沟通能力方面差异没有统计学意义(P>0.05)。两组问卷调查显示试验组总体效果评价高于对照组(P<0.05)。结论 3D打印技术联合PBL与EBL教学能够提升整体教学质量,在学生的临床实践能力和学习兴趣方面有显著提高。 相似文献
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目的探究创伤骨科护理管理中疼痛管理的应用价值。方法 82例患者选取于2017年6月-2018年6月,所有患者均来源于本院骨科收治的住院患者,数字表为患者分组原则,常规组41例,疼痛组41例,分别予以常规护理、常规护理+疼痛管理,比较满意度、疼痛评分及平均住院时间。结果疼痛组满意度92.68%比常规组73.17%高,差异具有统计学意义(χ^2=5.513,P <0.05),患者干预后的疼痛评分低于常规组,平均住院时间短于常规组,差异存在统计学意义(P<0.05)。结论疼痛管理用于创伤骨科护理管理中,患者疼痛明显减轻,患者满意度高,缩短了患者的平均住院时间。 相似文献
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《Surgery (Oxford)》2020,38(3):139-142
Tourniquets have been around for many years, providing surgeons with a bloodless operative field and saving lives in the pre-hospital care of major limb trauma. However, their use does come with risk. It is therefore extremely important that we, as surgeons, fully understand the physiological influence they impose on patients, the complications associated with their use and, moreover, how to minimize the incidence of these complications. Most tourniquets are now electronically controlled pneumatic devices with built-in pressure sensors and timers. Classically, inflation to 250 mmHg in the upper limb and 300 mmHg in the lower limb is used, but a move towards patient-specific limb occlusion pressures is suggested, although it is more difficult due to the requirement of more time-consuming set-up. Complications from tourniquets can occur, such as nerve injury, pain, venous thromboembolism or even cardiac overload and reperfusion injury. Limiting use to key parts of an operation or using alternatives such as adrenaline infiltration and tranexamic acid can be of benefit. As such, any use of a tourniquet during an operation must be treated with caution and be deployed taking into account the specific characteristics of that particular patient. 相似文献
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《Surgery (Oxford)》2020,38(2):65-69
This article describes examination of the hip joint, which is a common topic for the clinical component of the MRCS examination and should be practised and understood by junior doctors preparing for this exam. While the common orthopaedic doctrine of look, feel, move, and then special tests is employed, there is an art to performing this examination which enables the candidate to not only pass exams, but also identify pathology in real clinical situations. 相似文献
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Hand infection patients presenting to an orthopaedic unit: An audit of incidence and demographics at a rural hospital 下载免费PDF全文
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《Orthopaedics and Trauma》2021,35(6):384-387
Spinal surgery is an interface subspeciality that has developed from two independent specialities: orthopaedics and neurosurgery. As the subspeciality has developed, so has the need for dedicated post-certification training. In this review we discuss the history of UK training, explain the current routes to become a spinal surgeon, including fellowships and the qualifications required for a consultant spine surgeon post. We also discuss how we expect fellowships to change and become accredited, as spinal training evolves and continues to employ contemporary educational evidence. 相似文献
9.
目的探讨标准化病人(standard patient,SP)结合案例式教学(case-based learning,CBL)在骨外科临床实践教学中的应用效果。方法选取2018—2019学年于我院骨科实习的南京医科大学2014级临床医学专业学生50人作为研究对象。随机将其均分为试验组和对照组两组,每组各25人。试验组采用SP+CBL相结合教学方法;对照组采用传统CBL授课方法。在教学结束后,请所有参与试验的学生对课程进行评价,并从理论和操作两方面对学生进行考核。结果两组学生的理论考试成绩无明显差异,不具统计学意义(P>0.05)。但试验组学生的临床技能操作考核成绩高于对照组(P<0.01)。试验组学生对SP+CBL教学在激发学习兴趣、增强解决实际问题能力及提高骨外科实践教学质量等方面的满意度显著高于对照组(P<0.01)。结论SP+CBL教学优于传统CBL教学,可以显著提高学习的积极性,有助于提高骨外科临床实践教学的效果。 相似文献
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《Orthopaedics and Trauma》2021,35(5):260-266
Improvements in health-related quality of life (HRQoL) are key in orthopaedic surgery, however appropriate, timely and meaningful measurement of HRQoL can be challenging. This paper provides an overview of the different types of commonly used outcome measures along with their characteristics and key properties used in trauma and orthopaedics. Orthopaedic surgeons are provided a basis to select the most appropriate measure to evaluate their clinical practice. 相似文献