四川大学华西临床医学院妇产科学教学大纲Teaching-Learning Outline of Obstetric and Gynecology （适用专业：5年制专业使用）妇产科学教研室修订日期：2017年8月妇产科学课程介绍一、课程基本信息课程名称：妇产科学英文名：Obstetric and Gynecology课程号（代码）：课程类别：专业必修课学时：80（大科讲授32，习48）学分：4二、课程教学目的及要求认知教学目标：熟悉和掌握妇女在妊娠、分娩、产褥期的生理和病理，女性生殖系统疾病、女性生殖内分泌疾病等妇产科常见疾病的诊断和治疗；通过学习掌握妇产科学的基础理论、基本技能和基本知识；并适当了解相关领域的前沿研究方向，吸引有志青年进一步致力于妇产科学的深入研究。
技能教学目标：加强理论联系实际，巩固和加深学生对课堂教学内容的理解并拓展学生的临床思维，培养学生严谨、灵活的临床工作能力，提高分析问题和解决问题的能力，为将来成为合格的医师打下良好的基础。
执业素养教学目标：针对妇产科病人的特殊性，在课堂及临床见习教学中，培养学生尊重患者权利、保护病员隐私的基本职业道德素养及全心全意为病人服务的敬业精神；培养学生相关的交流沟通技巧，促进独立思考和团队协作的能力。
Cognitive Instructive Object: The course aims to make students get familiar with and gain the physiology and pathology of women in pregnancy, delivery and puerperium, and the diagnosis and treatment of common disease such as female reproductive and endocrine diseases; gain the basic theories, skills and knowledge of obstetrics and gynecology by learning the course; understand the frontier research direction in related fields, and are attracted to further engage in the in-depth research on obstetrics and gynecology.Skill Teaching Objective: The course emphasizes the integration of theory and practice, consolidates and deepens students’ understanding class teaching contents, and expands students’clinical thinking, and develops students’ rigorous and flexible clinical service abilities and the abilities analyzing and solving problems, in order to lay a good foundation for them to become qualified doctors in the future.Professional Accomplishment Teaching Objective: According to the particularity of obstetric and gynecological patients, the course, in lectures and clinic probation teaching, develops students’ basic professional ethics and accomplishment including respecting the rights of patents and protecting the privacy of patients, and the spirit of dedicating to medical work and serving the patients whole-heartedly; the course also develops students’ related communication skills andimproves students’ abilities of independent thinking and teamwo rk.三、教学内容四、教材/参考资料教材名称：妇产科学（八年制及七年制（“5+3”一体化）临床医学专业用）第三版主编：沈铿、马丁出版社：人民卫生出版社出版时间：2015年8月主要参考资料1．曹泽毅《中华妇产科学》人民卫生出版社2014年第三版2. Berek and Novak's Gynecology,Wolters Kluwer Lippincott Will,2012年,第15版3．WILLIAMS OBSTETRICS,McGraw-Hill Medical,2014年,第24版4．《妇产科学》研究生教材，人民卫生出版社,2014年,第2版5．Clinical Gynecologic Endocrinology and Infertility,Wolters Kluwer Lippincott Will,2011年,第8版6..Fundamental and Advanced Fetal Imaging Ultrasound and MRI，Beth M. Kline-Fath Dorothy I. Bulas，Wolters Kluwer，2015年五、成绩评定办法妇产科学教学大纲(供5年制专业使用)前言妇产科是一门关于妇女保健和女性生殖系统疾病的临床学科。
主要研究妇女在妊娠、分娩和产褥期的生理和病理及胎儿生理和病理，女性生殖系统疾病的诊断和防治。
学生通过学习要求掌握妇产科学的基础理论、基本技能和基本知识，为保证妇女儿童健康服务以及医学科学研究打下基础。
妇产科学教学过程包括课堂讲授及临床见习两大部分。
课堂讲授通过各种教学手段阐明妇产科基础理论知识及各种疾病的病因、发病机理及临床诊断、治疗。
适当介绍国外新成就，反映现代科学水平并说明某些课题研究方向，使学生逐步熟悉社会-心理-生物的医学模式。
通过临床见习加强理论联系实际，结合临床病例、模型、录像、示教、PBL等方法达到巩固和加深学生对课堂教学内容的理解并拓展学生的临床思维，为将来的临床实习打下良好的基础。
在整个教学过程中采用启发式教学方法，充分发挥同学主动性和创造性，培养学生分析问题和解决问题的能力。
为了实现医学生英文教学的要求，教学及考试中英文内容所占比例应不低于20%。
The obstetrics and gynecology is a clinical subject about women’s health care and female reproductive system diseases. The course mainly researches the physiology and pathology of pregnancy, delivery and puerperium, and the diagnosis, prevention and cure of female reproductive system disease. Learning the course, students are required to gain the basic theories, skills and knowledge of obstetrics and gynecology, thus laying a foundation for health care service of womenand children and medical science research.The teaching process of obstetrics and gynecology includes two parts: the lecture and the clinical probation. The lecture expounds the basic theoretical knowledge of gynecology and obstetrics and the causes, pathogenic mechanism and clinical diagnosis & treatment of various obstetrical and gynecological diseases. The course introduces the latest achievements abroad, reflects modern science level and explains some subject research directions to make students get familiar with the society-psychology-biology medical model gradually. The course enhances the integration of theory and practice through clinical probation, and uses clinical cases, models, videos, demonstrative teaching, PBL and other methods to consolidate and deepen students’understanding on lectures and expand students’ clinical thinking, in order to lay a good foundation for the clinical practice in the future. In the whole teaching process, the course adopts the heuristic teaching method, bring students’ initiative and creativity into full play and develop students’abilities to analyze and solve problems.To meet the requirements of English teaching of medical students, the English content in teaching and exams should be no lower than 20%.目录一、教学内容第一章女性生殖系统解剖第二章女性生殖器损伤第三章女性生殖系统生理第四章绝经期综合征第五章妊娠生理、妊娠诊断第六章正常分娩第七章异常分娩第八章产前出血第九章产后出血第十章妊娠期高血压疾病第十一章早产第十二章高危妊娠（妊娠合并心脏病）第十三章妊娠期糖尿病第十四章妊娠肝内胆汁淤积症（ICP）第十五章盆腔炎性疾病第十六章流产第十七章异位妊娠第十八章子宫肌瘤第十九章子宫内膜异位症和子宫腺肌病第二十章卵巢肿瘤第二十一章子宫颈癌第二十二章子宫内膜癌第二十三章妊娠滋养细胞疾病第二十四章功能失调性子宫出血第二十五章闭经第二十六章不孕症第二十七章多囊卵巢综合征（PCOS）第二十八章计划生育第二十九章妇女保健二、临床见习内容1. 妊娠诊断、孕期监护与保健、产前筛查、产前诊断2. 高危妊娠3. 正常分娩、异常分娩4. 正常产褥、异常产褥5. 胎儿监护、产程图、产科特殊检查（四步触诊、骨盆外测量）6. 妇科检查及生殖道细胞学检查7. 常见女性生殖系统炎症8. 流产、异位妊娠、性传播疾病9. 妇科常见肿瘤10. 计划生育技术11. 功血、闭经12. 不孕症13. 常用女性生殖内分泌功能检查三、自学内容1. 过期妊娠2. 双胎妊娠3. 妊娠合并急性病毒性肝炎4. 羊水栓塞5. 脐带先露与脐带脱垂6. 妊娠剧吐7. 羊水过多8. 羊水过少9. 胎儿生长受限10. 死胎11. 胎膜早破12. 胎儿窘迫13. 遗传咨询14. 外阴上皮非瘤样病变15. 外阴癌教学内容和要求第一章女性生殖系统解剖一、知识点与教学要求1、熟悉内容：(1) 复习并熟悉女性盆骨的形态结构, 熟悉与分娩有关的解剖特点(2) 熟悉女性外、内生殖器的解剖及邻近器官的关系Be familiar with:(1) Anatomical structure and shape of female pelvis, and its anatomical properties concerning labor(2) Anatomy of female internal and external genitalia and their relationship to adjacent organs2、了解内容：(1) 了解盆腔血管、淋巴及神经的分布，及女性骨盆底的解剖Know about:(1) Distribution of pelvic vessels, lymph and nerves, and the anatomy of female pelvis二、教学时数讲授：1学时三、教学内容1.授课内容(1) 女性骨盆的组成，骨盆的分界及各个平面，及与分娩有关的解剖结构。