感染性疾病麻醉教学中的循证实践能力培养模式

随着抗病毒治疗率的提高,HIV感染者带病存活时间得到延长,随之发生更多的医疗需求,麻醉科实习学生常面临着对正在接受抗病毒治疗的HIV感染者如何选择最佳麻醉方案的问题。循证医学是基于当年可获得的研究证据进行临床决策的一门学科,采用循证医学的实践模式开展临床教学是培养麻醉科医生的循证实践思维的重要手段。本文就针对HIV感染者在麻醉过程中需要解决的问题开展基于循证医学模式的教学,对其核心内容进行总结以供同行探讨。

The training model based on evidence-based medical practice in anesthesia teaching on patients with infectious diseases

With the increase of the rate of antiviral treatment, the survival time of patients with human immunodeficiency virus（HIV） infection was prolonged, and subsequently more medical care was required. Internship students of anesthesia often face the problem how to select the best anesthesia plan on patients with HIV infection undergoing antiviral treatment. Evidence-based medicine（EBM） is a discipline based on the available research evidence for making clinical decision, and applying the practice model of EBM in clinical teaching is an important measure for training the thinking ability on EBM practice of anesthesiologists. In this paper, we conducted the clinical teaching based on the model of EBM practice, focusing on issues related HIV infection needed to be solved in anesthesia, and summarized the core content for peer discussion.