Objective To explore the practical value of formative assessment in emergency medicine teaching. Methods 96 clinical medical undergraduates who interned in the First Affiliated Hospital of Nanhua University from July 2021 to June 2022 were selected as the research objects. They were randomly divided into two groups by digital table method, 48 cases in each group. The control group applied summative evaluation method, and the research group applied formative evaluation method. The test scores, emergency accuracy, teaching satisfaction and interns'' enthusiasm of the two groups were compared. Results the theoretical scores, skill examination scores and total scores of the study group were higher than those of the control group (p＜0.05); The accuracy of emergency treatment in the study group was higher than that in the control group( p＜0.05); The teaching satisfaction of the research group was higher than that of the control group( p＜0.05); The enthusiasm of the study group was higher than that of the control group (p＜0.05). Conclusion the application of formative assessment in emergency medicine teaching is ideal. It can not only improve the examination results and emergency accuracy of practitioners, but also mobilize the enthusiasm of students. The teaching quality is significant, the satisfaction is high, and the clinical application prospect is good.

目的:探讨微课在PBL翻转教学模式中对急诊医学科临床实习教学的成果分析.方法:选取2021年1月-2022年12月进入急诊医学科轮转的实习学生80名作为研究对象,每人轮转4周,利用随机表法将其分成对照组和观察组,各40例,对照组为传统模式带教法带教,观察组采用微课在PBL翻转教学模式进行带教,比较两组临床实习学生出科考核成绩(40％临床技能+60％临床理论)、临床综合处理能力评分、教学满意度等.结果:带教前,两组医学实习生考核成绩比较,差异无统计学意义(P＞0.05),带教15d时候、带教结束时,观察组医

目的 探讨痰热清注射液对急性脑卒中并发肺部感染患者运动功能及神经生长因子(NGF)影响.方法 选取医院收治的73例急性脑卒中伴肺部感染患者随机分为实验组36例和对照组37例.对照组予控制血压、脱水、预防应激性溃疡、改善脑循环、营养脑细胞等对症支持治疗,常规抗生素治疗,实验组加用痰热清注射液治疗.均持续治疗14d.检测C反应蛋白(CRP)、降钙素原(PCT)、神经生长因子(NGF)、神经营养素-3(NT-3)、脑源性神经营养因子(BDNF)水平,评估运动功能、神经缺损功能程度,记录临床体征(发热、咳嗽、咳痰、湿罗音)消失时间,比较临床疗效.结果 与治疗前比较,两组WBC、CRP、PCT降低(P＜0.01),NGF、NT-3、BDNF升高(P＜0.01),FM评分升高(P＜0.01),NIHSS评分降低(P＜0.01);与对照组比较,实验组WBC、CRP、PCT较低(P＜0.01),NGF、NT-3、BDNF较高(P＜0.01),FM评分较高(P＜0.01),NIHSS评分较低(P＜0.01),发热、咳嗽、咳痰、湿罗音临床体征消失时间较优(P＜0.01),总有效率较高(P＜0.05).结论 痰热清注射液治疗急性脑卒中并发肺部感染疗效确切,显著改善临床体征,对预后具有重要意义,值得临床推广.

目的 探究血液灌流(HP)联合血液滤过(HF)治疗百草枯中毒的可行性及安全性.方法 将50例百草枯中毒患者随机分为两组,各25例.对照组入院后行常规治疗,观察组在对照组基础上实施HP联合HF治疗.比较两组患者的百草枯血药浓度、血肌酐水平、临床疗效、病死率以及多器官功能障碍综合征(MODS)、急性呼吸窘迫综合征(ARDS)和急性肾功能衰竭(ARF)发生率.结果 治疗后,观察组患者百草枯血药浓度和血肌酐均低于对照组(P<0.01);观察组患者MODS、ARDS和ARF的发生率均低于对照组(P<0.05);观察组治疗效果高于对照组,病死率低于对照组,差异均具有统计学意义(P<0.05).结论 HP联合HF治疗百草枯中毒,能有效降低百草枯血药浓度和血肌酐水平,提高治疗有效率,降低并发症发生率和病死率.