The dilemmas and the strategy in the clinical teaching of Brugada syndrome
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摘要: 目的 探讨进一步提高Brugada综合征(brugada syndrome,BrS)临床教学效果的相关方法。 方法 Brugada综合征是现代临床医学中重要的疾病范畴,是心脏病学中重要的疾病之一,其病死率和病残率均极高,虽然Brugada综合征常以极其严重的临床危害而令人恐惧,但在临床教学中,学员却对该病危害性与严重性的认识存在严重不足,警惕性也明显不高,因此在诊疗过程中对该病的医疗风险防范意识相对不足,再加上多数教学人员对该病的相关基础知识也比较薄弱,所以在临床教学过程中对Brugada综合征相应临床内容的讲解变得十分困难,导致学生也难以深入理解,以至于学习的积极性与兴趣较低。 结果 针对上述临床教学上存在的一系列问题和现实情况及相关难点,在重视理论的基础上,密切结合临床实际,制定详细的教学计划,根据Brugada综合征的临床特点,将其发病机制、病因等列为教学的主要内容,将临床心电图作为教学重点和难点,教学时间上予以侧重。采用理论讲解与案例教学相结合、针对不同层次的学员采用逐一分层化的教学和管理模式、重视基础理论及充分调动学生参与的积极性。在传统临床教学模式的基础上,充分利用现代网络等多媒体教学工具的强大图形处理能力,动静互变能力和强大的模拟能力,直观形象地再现了Brugada综合征发病过程,大大地提高了Brugada综合征的临床教学效率与效果。 结论 通过以上措施的实施,我们发现在对不同来源的学员教学工作中取得了较好的实际效果,提高了BrS的临床教学效率,同时也提高了BrS的临床诊断准确率。
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关键词:
- Brugada综合征 /
- 临床教学 /
- 教学难点
Abstract: Objective to study the further improve the effect of Brugada syndrome clinical teaching method. Methods Brugada syndrome is an important disease in modern clinical medicine category, is one of the important disease in cardiology, the mortality and disabled rate are high, although Brugada syndrome often with severe clinical harm and frightening.But in clinical teaching, the students have to acknowledge the severity of the disease harmfulness and serious deficiencies, vigilance and clearly is not high, so in the diagnosis and treatment of the disease in the process of medical risk prevention awareness is relatively insufficient, plus most of the students the relevant basic knowledge of the disease is relatively weak. So in the process of clinical teaching of Brugada syndrome corresponding clinical very difficult, the interpretation of the content to students are hard to understand, so learning the enthusiasm and interest is low. Results according to the above a series of problems existing in clinical teaching and the reality and the related difficulty. Based on value theory, combined with clinical practice, the detailed teaching plan, according to the clinical characteristics of Brugada syndrome, its pathogenesis, etiology, etc. As a main content of teaching, and the clinical electrocardiogram (ecg) as the teaching emphasis and difficulties, to focus on the teaching time. The theoretical interpretation of the combined with case teaching, aiming at different levels of students using one by one, the layering teaching and management mode, attach importance to the basic theory and fully arouse the enthusiasm of students. On the basis of the traditional clinical teaching mode, make full use of modern network multimedia teaching tools such as a powerful graphics processing power, noise, the ability of simulating the mutual change ability and strong intuitive vividly recreates the Brugada syndrome pathogenesis process, greatly improve the clinical teaching efficiency and effect of Brugada syndrome. Conclusion through the implementation of these measures, we found that in the different sources of students have achieved good effect in the teaching work, and improved the Br S clinical teaching efficiency, but also improve the accuracy of clinical diagnosis of BrS.-
Key words:
- Brugada syndrome /
- Clinical teaching /
- Teaching difficult points
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