PBL结合图形勾画在进修医师颅底卵圆孔定位教学的应用效果研究

doi:10.3969/j.issn.2096-045X.2024.01.013

医学教育管理 ›› 2024, Vol. 10 ›› Issue (1): 74-79.doi: 10.3969/j.issn.2096-045X.2024.01.013

PBL结合图形勾画在进修医师颅底卵圆孔定位教学的应用效果研究

何亮亮，赵文星，王宏岩，窦智，刘京杰，杨立强^*

首都医科大学宣武医院疼痛科，北京 100053

收稿日期:2023-05-16 出版日期:2024-02-20 发布日期:2024-03-15
通讯作者: 杨立强 E-mail:yangliqiangxwpain@outlook.com
基金资助:
1.首都医科大学2022年教育教学改革研究课题（2022JYY137）；2.首都医科大学2023年教育教学改革研究课题（2023JYY128）

Efficacy of PBL teaching method combined with graphic outline in searching foramen ovale of skull base among further training doctors

He Liangliang, Zhao Wenxing, Wang Hongyan, Dou Zhi, Liu Jingjie, Yang Liqiang^*

Department of Pain Management, Xuanwu Hospital, Capital Medical University, Beijing 100053, China

Received:2023-05-16 Online:2024-02-20 Published:2024-03-15

摘要/Abstract

摘要： 目的　探讨基于问题的教学法（problem-based learning，PBL）结合图形勾画在进修医师颅底卵圆孔定位教学的应用效果。方法　选择2022年1-12月，在首都医科大学宣武医院疼痛科进修的医生共60名作为研究对象，采用随机数字表法分为试验组（n=30）和对照组（n=30）。在三叉神经半月节球囊压迫术中实施X射线影像定位颅底卵圆孔教学，试验组采用PBL结合图形勾画教学方式，对照组采用传统教学方式。通过理论考试和问卷调查评价教学效果。结果　与对照组相比，试验组的理论考试总成绩、影像成绩和操作成绩均高于对照组（85.8±8.5 vs. 69.3±13.7，P<0.001；24.7±3.9 vs. 21.8±5.2，P=0.020； 35.8±3.7 vs. 23.7±6.1，P<0.001）。问卷调查检查结果显示，在提高学习兴趣、提升学习能力、解决困惑迷茫、理解重点难点和满意度评分方面，试验组分别优于对照组（96.7±3.1 vs. 80.1±6.9， P<0.001； 95.2±4.5 vs. 76.7±6.2，P<0.001； 96.0±4.1 vs. 72.7±7.9， P<0.001； 93.8±5.3 vs. 69.7±7.4，P<0.001； 97.2±3.7 vs. 75.0±7.3，P<0.001）。结论　在X射线影像定位颅底卵圆孔教学的应用中，PBL结合图形勾画取得良好的教学效果，提高学生学习兴趣和学习能力。

关键词: PBL教学法, 图形勾画, 三叉神经半月节球囊压迫术, 卵圆孔

Abstract: Objective　To explore the efficacy of problem-based learning (PBL) teaching method combined with graphic outline in searching foramen ovale of skull base for further training doctors.Methods　From January 2022 to December 2022, 60 of further training doctors were randomly divided into two groups: experiment group (n=30) and control group (n=30). The experiment group received the PBL combined with graphic sketching teaching method and control group received the traditional teaching method to search the foramen ovale in the procedure of balloon compression for trigeminal ganglion under X-ray guidance. The teaching efficacy were evaluated through theory tests and questionnaires.Results　Compared with control group, the total score of theory test, radiology scope and operation scores were higher in experimental group, respectively (85.8±8.5 vs. 69.3±13.7, P<0.001; 24.7±3.9 vs. 21.8±5.2, P=0.018; 35.8±3.7 vs. 23.7±6.1, P<0.001). Questionnaires showed that better results in improving learning interest, improving learning ability, solving confusion, understanding key and difficult points and satisfaction were acquired in experimental group compared with control group (96.7±3.1 vs. 80.1±6.9, P<0.001; 95.2±4.5 vs. 76.7±6.2, P<0.0001; 96.0±4.1 vs. 72.7±7.9, P<0.001; 93.8±5.3 vs. 69.7±7.4, P<0.001; 97.2±3.7 vs. 75.0±7.3, P<0.001).Conclusion　The PBL combined with graphic sketching teaching method acquired better efficacy in improving learning interesting and ability to search the foramen ovale of skull base under X-ray guidance.

Key words: problem-based learning, graphic outline, balloon compression for trigeminal ganglion, foramen ovale

中图分类号:

何亮亮, 赵文星, 王宏岩, 窦智, 刘京杰, 杨立强. PBL结合图形勾画在进修医师颅底卵圆孔定位教学的应用效果研究[J]. 医学教育管理, 2024, 10(1): 74-79.

He Liangliang, Zhao Wenxing, Wang Hongyan, Dou Zhi, Liu Jingjie, Yang Liqiang. Efficacy of PBL teaching method combined with graphic outline in searching foramen ovale of skull base among further training doctors[J]. Medical Education Management, 2024, 10(1): 74-79.

参考文献

［1］吴玥，沈秉正，谈弋，等. 基于问题学习联合基于案例学习教学方法在药事管理学教学中的应用［J］. 中华医学教育杂志， 2023， 43（4）： 272-275.
［2］王定雪，黄雯琪，陈慧彬，等. 基于问题为导向的教学方法的运用研究［J］. 中国继续医学教育， 2021， 13（7）： 31-35.
［3］马红梅，谷文文，王湘琼. PBL联合医学模型教学在妇产科实践教学中的应用效果分析［J］. 中国继续医学教育， 2023， 15（3）： 60-63.
［4］蒋孝翠，刘臻，陆飞，等. 基于问题学习联合案例式立体教学方法在康复治疗学专业学生实习教学中的应用［J］. 中华医学教育杂志， 2022， 42（1）： 42-45.
［5］ Kaur A， Singla R K， Sharma R K. An anatomical evaluation of normal and aberrant foramen ovale in skull base with its clinical significance［J］. Maedica （Bucur）， 2022， 17（2）： 357-362.
［6］ Zdilla M J， Hatfield S A， McLean K A， et al. Circularity， solidity， axes of a best fit ellipse， aspect ratio， and roundness of the foramen ovale： a morphometric analysis with neurosurgical considerations［J］. J Craniofac Surg， 2016， 27（1）： 222-228.
［7］ Guo Z G， Wu B S， Du C， et al. Stereotactic approach combined with 3D CT reconstruction for difficult-to-access foramen ovale on radiofrequency thermocoagulation of the gasserian ganglion for trigeminal neuralgia［J］. Pain Med， 2016， 17（9）： 1704-1716.
［8］ He Y Q， He S， Shen Y X. Application of a new method of revealing foramen ovale under X-ray in radiofrequency ablation in the treatment of trigeminal neuralgia［J］. Br J Neurosurg， 2011， 25（6）： 674-676.
［9］顾红梅. 谈图形教学［J］. 生物学教学， 2005， 30（7）： 52-53.
［10］ He L L， Zhao W X， Paul Su P Y， et al. Identification of foramen ovale with H-Figure fluoroscopic landmark improves treatment outcomes in idiopathic trigeminal neuralgia［J］. Anesth Analg， 2022， 135（4）： 837-844.
［11］ He L L， Zhao W X， Su P Y P， et al. Novel fluoroscopic landmark to significantly facilitate the visualization of foramen ovale in treating idiopathic trigeminal neuralgia［J］. Reg Anesth Pain Med， 2021， 46（4）： 350-353.
［12］ He L L， Guan Z H. Novel method of locating the foramen ovale： a stable chair with solid legs［J］. Reg Anesth Pain Med， 2022， 47（1）： 70.
［13］ Whisler W W， Hill B J. A simplified technique for injection of the gasserian ganglion， using the fluoroscope for localization［J］. Neurochirurgia （Stuttg）， 1972， 15（5）： 167-172.

PBL结合图形勾画在进修医师颅底卵圆孔定位教学的应用效果研究

Efficacy of PBL teaching method combined with graphic outline in searching foramen ovale of skull base among further training doctors

PDF

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 1

编辑推荐

Metrics

本文评价