临床路径在老年骨科临床教学中的应用

目的：分析临床路径在老年骨科临床教学中的应用效果。方法将2010年3月至2011年12月进入重庆医科大学附属第二医院骨科实习的80名临床医学本科生随机平均分为2组，分别采用传统教学和临床路径教学进行以骨质疏松性椎体压缩骨折经皮穿刺微创强化治疗为代表的老年骨科临床教学。运用标准化试题库在教学前后对2组学生实施理论考试和操作考试。数据使用SPSS 17.0软件进行统计分析，前后测与组间考试成绩比较采用配对t检验。结果2组学生在教学前测试成绩相比差异无统计学意义（理论成绩：P=0.81，操作成绩：P=0.65）。教学实施后，2组学生理论及操作测试成绩均提高（P＜0.05），其中临床路径教学组成绩优于传统教学组（理论考试：P=0.02，操作考试：P=0.01）。结论在老年骨科临床教学中应用临床路径取得良好效果，值得推广。

Application of clinical pathway in geriatric orthopaedics clinical teaching

Objective To investigate the efficacy of the clinical pathway in geriatric orthope-dics clinical teaching. Methods From March 2010 to December 2011, 80 clinical undergraduates, who practiced in the Department of Orthopedics in the Second Affiliated Hospital of Chongqing Medi-cal University, were equally randomized divided into two groups. One group was taught by the con-ventional methods and the other group was taught by the clinical pathway teaching. After the teaching, the theoretical exam and operational skill test were performed among students in both groups. SPSS 17.0 software was employed and the scores before and after the teaching and scores between two groups was analyzed by paired t-test（inspection level α=0.05）. Results There was no significant difference in average scores between two groups before teaching（theoretical exam： P=0.81, operating skill test：P=0.65） while significant increases were observed in scores of theoretical exam and operational skill test after teaching （theoretical exam and operating skill test： P〈0.05） and clinical pathway teaching group had higher scores than conventional teaching group （theoretical exam and operating skill test：P=0.02 and P=0.01）. Conclusions Better effects can be achieved by clinical pathway approach re-garding geriatric orthopedics teaching.