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中华消化病与影像杂志(电子版) ›› 2023, Vol. 13 ›› Issue (02) : 116 -118. doi: 10.3877/cma.j.issn.2095-2015.2023.02.011

临床教学

五步疑问法在肝硬化门静脉高压症临床教学中的应用
朱风尚1, 舍玲2, 丁永年2, 杨长青3,()   
  1. 1. 200065 上海,同济大学附属同济医院消化科;830063 乌鲁木齐,新疆医科大学第二附属医院消化科,省部共建中亚高发病成因与防治国家重点实验室
    2. 830063 乌鲁木齐,新疆医科大学第二附属医院消化科,省部共建中亚高发病成因与防治国家重点实验室
    3. 200065 上海,同济大学附属同济医院消化科
  • 收稿日期:2022-12-17 出版日期:2023-04-01
  • 通信作者: 杨长青
  • 基金资助:
    新疆维吾尔自治区科技厅科技援疆项目(2021E02075); 省部共建中亚高发病成因与防治国家重点实验室项目(SKL-HIDCA-2021-DX9)

Application of the five-step questioning method in clinical teaching of cirrhotic portal hypertension

Fengshang Zhu1, Ling She2, Yongnian Ding2, Changqing Yang3,()   

  1. 1. Department of Gastroenterology, Tongji Hospital of Tongji University, Shanghai 200065, China,; Department of Gastroenterology, Second Affiliated Hospital of Xinjiang Medical University, State Key Laboratory of Pathogenesis, Prevention and Treatment of High Incidence Diseases in Central Asia, Urumqi 830063, China
    2. Department of Gastroenterology, Second Affiliated Hospital of Xinjiang Medical University, State Key Laboratory of Pathogenesis, Prevention and Treatment of High Incidence Diseases in Central Asia, Urumqi 830063, China
    3. Department of Gastroenterology, Tongji Hospital of Tongji University, Shanghai 200065, China,
  • Received:2022-12-17 Published:2023-04-01
  • Corresponding author: Changqing Yang
引用本文:

朱风尚, 舍玲, 丁永年, 杨长青. 五步疑问法在肝硬化门静脉高压症临床教学中的应用[J/OL]. 中华消化病与影像杂志(电子版), 2023, 13(02): 116-118.

Fengshang Zhu, Ling She, Yongnian Ding, Changqing Yang. Application of the five-step questioning method in clinical teaching of cirrhotic portal hypertension[J/OL]. Chinese Journal of Digestion and Medical Imageology(Electronic Edition), 2023, 13(02): 116-118.

肝硬化门静脉高压症是消化科的常见和危重疾病。对相关患者规范化地分层处理和慢病管理是消化科教学最基本的要求。在临床教学实践基础上,本文综合采用多种教学法和理念,总结出五步疑问法,用于肝硬化门静脉高压症临床教学。该教学法临床教学效果显著,特行相关总结。

Cirrhotic portal hypertension(CPH)is a common and critical disease in digestive department.Standardized stratified diagnosis and treatment and chronic disease management of related patients are the most basic requirements in digestive teaching.Based on clinical teaching practice, this paper integrates various teaching methods and concepts, and summarizes the five-step questioning method for clinical teaching of CPH.The clinical teaching effect of this teaching method is remarkable, and the relevant summary is specially performed for the benefit of our colleagues.

1
Li ABilgic EKeuhl A,et al.Does your group matter? How group function impacts educational outcomes in problem-based learning:a scoping review[J].BMC Med Educ202222(1):900.
2
Yeung MMYuen JWChen JM,et al.The efficacy of team-based learning in developing the generic capability of problem-solving ability and critical thinking skills in nursing education:A systematic review[J].Nurse Educ Today2023122:105704.
3
Aboregela AMSonpol HMAMetwally AS,et al.Medical students′ perception and academic performance after team-based and seminar-based learning in human anatomy[J].J Taibah Univ Med Sci202218(1):65-73.
4
朱风尚,杨文卓,杨长青,等.价值医学理念在消化系统疾病教学中的应用[J].中华医学教育探索杂志201312(9):950-952.
5
Baffy GBosch J.Overlooked subclinical portal hypertension in non-cirrhotic NAFLD:Is it real and how to measure it? [J].J Hepatol202276(2):458-463.
6
Gioia SRiggio ONardelli S,et al.Identifying Patients at High Risk of Developing Non-Cirrhotic Portal Hypertension[J].Hepat Med202113:105-111.
7
朱风尚,杨长青.门静脉系统栓塞的发病机制及多学科诊治[J].临床肝胆病杂志201834(10):2043-2046.
8
Gioia SNardelli SRiggio O,et al.Cognitive Impairement in Non-Cirrhotic Portal Hypertension:Highlights on Physiopathology,Diagnosis and Management [J].J Clin Med202111(1):101.
9
Naseri MHouri HYadegar A,et al.Investigation of etiology-specific alterations in the gut microbiota in liver cirrhosis[J].Expert Rev Gastroenterol Hepatol202115(12):1435-1441.
10
Nalbantoglu IJain D.Cryptogenic cirrhosis:Old and new perspectives in the era of molecular and genomic medicine [J].Semin Diagn Pathol201936(6):389-394.
11
Rashed ESoldera J.CLIF-SOFA and CLIF-C scores for the prognostication of acute-on-chronic liver failure and acute decompensation of cirrhosis:A systematic review[J].World J Hepatol202214(12):2025-2043.
12
Rogal SSHansen LPatel A,et al.AASLD Practice Guidance:Palliative care and symptom-based management in decompensated cirrhosis [J].Hepatology202276(3):819-853.
13
中华医学会肝病学分会.肝硬化诊治指南[J].中华肝脏病杂志201927(11):846-865.
14
Yoshiji HNagoshi SAkahane T,et al.Evidence-based clinical practice guidelines for Liver Cirrhosis 2020[J].J Gastroenterol202156(7):593-619.
15
Garcia-Pagan JCFrancoz CMontagnese S,et al.Management of the major complications of cirrhosis:Beyond guidelines[J].J Hepatol202175 Suppl 1:S135-S146.
16
Tawfik HECascio MAGomaa N.Recommendations for implementing value-based practice in medicine[J].Clin Teach202219(3):192-196.
17
王宇,王民,张冠华,等.肝硬化的诊断、分期及治疗原则[J].临床肝胆病杂志202137(1):17-21.
18
章益民,陈俊春,马金笛,等.高校附属医院临床医师在加快医学教育创新发展中的定位与思考[J].中国高等医学教育2022(4):1-2.
19
Joshi TBudhathoki PAdhikari A,et al.Team-Based Learning Among Health Care Professionals:A Systematic Review[J].Cureus202214(1):e21252.
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