目的:探究临床床旁案例学习模式在康复教学中的应用效果.方法:将选修《神经系统疾病物理治疗》的70例学生按照既往成绩绩点排序,进行配对设计,分为临床床旁案例学习组和课堂案例学习组各35例,比较分析2组学生案例操作成绩和小组案例汇报表现评分.采用《案例学习调查问卷》调研学生对临床床旁案例学习和课堂案例学习的反馈.结果:临床床旁案例学习组案例操作得分显著高于课堂案例学习组(P＜0.05);汇报内容,临床床旁案例学习组显著高于课堂案例组(P＜0.05).临床案例学习组问卷总分显著高于课堂案例学习组(P＜0.01);学生认为临床场旁案例学习模式对于增强专业知识的综合运用、批判性思维、自主学习、临床案例处理、医患沟通、团队合作等能力方面,显著高于课堂案例组(P＜0.05).问卷的一般频数统计结果提示超过90％的学生认为临床床旁案例教学有助于提高课程学习效果、自主学习能力、学生的人文关怀意识、临床思维能力、加强团队合作能力.结论:和课堂案例学习比较,临床床旁案例学习模式更有利于培养学生的专业知识的综合运用能力、临床思维能力、自主学习能力、团队合作能力.

Bobath技术是以神经发育规律为基础，以控制痉挛，诱发正常的运动模式为目的的康复训练技术。随着国内外对其研究的深入发展，本技术涉及的临床应用范围越来越广泛。本文检索国内外数据库以及参考国内外有关Bobath疗法的书籍，综述Bobath的应用和研究进展，初步探究Bobath的现代康复临床意义。

Objective To observe the clinical efficacy of three-step and nine-therapy in the treatment of cervical spondylotic radiculopathy.Methods 120 subjects were randomized into two groups:treatment group in which 60 cases were treated by three-step and nine-therapy and control group in which 60 cases were treated by traction and wave irradiation,with a course of 10 days.The clinical symptoms and their scores were observed.Results After treatment,the clinical symptoms were all improved in both groups(P 0.01),with better effects in treatment group than in control group in improving neck and shoulder pain and cervical movement(P 0.05).Conclusion This therapy is quite effective for cervical spondylotic radiculopathy.

目的:观察复元活血汤合圣愈汤治疗脊髓型颈椎病的临床疗效。方法:将60例脊髓型颈椎病患者随机分为治疗组、对照组各30例,治疗组采用复元活血汤合圣愈汤治疗,对照组采用西药莫比可、弥可保治疗。均以30d为1个疗程,共治疗3个疗程。结果:3个疗程后,治疗组、对照组总有效率分别为90.00%、63.33%,有显著性差异。随疗程增加,治疗组疗效递增趋势较对照组更加明显。治疗组中21例治愈患者随访至2007年4月,均未复发。结论:复元活血汤合圣愈汤对于脊髓型颈椎病无论在近期疗效还是在远期疗效均较为显著。

BACKGROUNDTo study and evaluate the meth od s and curative effects of tissue dilators for repairing the cicatricial calv itie s.CASE REPORTThe tissue dilators were implanted into normal scalp round the area of calvities, scalp was dilated more than two times area of calvities, all the scar was resected, and the skin flap was transplanted to rep air the area of calvities. Results showed that all of 35 cases were satisfied fo r once repairing effects.DISCUSSIONFor simple operation, sma ll surface wound and better effects, using tissue dilators is the best repairing method of calvities.