3D打印联合PBL教学法在泌尿外科教学效果的Meta分析

3D Printing Combined with PBL Teaching Method in Urology Teaching Effect: A Meta-Analysis

摘要: 目的：系统评价3D打印联合PBL教学法在泌尿外科的教学效果。方法：通过检索万方、维普、知网、中国生物医学文献数据库、PubMed、EMbase、Web of Science和The Cochrane Library中来查找关于3D打印联合PBL教学法在泌尿外科教学效果的RCT研究，检索时间范围均从建库至2023年11月5日，两位研究员根据设定的纳入和排除标准，进行文献筛选、数据提取以及质量评价，并采用RevMan 5.4软件进行Meta分析。结果：总计纳入4篇文献，共涵盖了237名学生。Meta分析结果表明，3D打印联合PBL教学法在泌尿外科可以有效提高理论考试成绩[MD = 4.14, 95%CI (3.30, 4.98), Z = 9.63, P < 0.05]、技能考试成绩[MD = 3.37, 95%CI (0.32, 7.14), Z = 2.15, P < 0.05]、教学满意度[RR = 1.26, 95%CI (1.08, 1.48), Z = 3.04, P < 0.05]。并未提高病历书写成绩[MD = 0.01, 95%CI (−1.78, 1.80), Z = 0.01, P > 0.05]。结论：综合当前研究结果，与单独PBL教学方式相比，3D打印联合PBL教学法在泌尿外科教学中可以提高学生理论知识成绩、技能操作考试成绩以及教学满意度，为了进一步验证本次研究结果，未来还需要更多样本、高质量的随机对照研究。

Abstract: Objective: To systematic evaluation of 3D printing combined with PBL teaching method in urology Teaching Effectiveness. Methods: We searched Wanfang Database, VIP database, CNKI, CBM Data-base, PubMed, EMbase, Web of Science and The Cochrane RCT studies on the effect of 3D printing combined with PBL teaching in urology teaching were searched in the Library. The search time range was from the establishment of the database to November 5, 2023. Meta-analysis was per-formed using RevMan 5.4 software. Results: A total of 4 articles were included, covering 237 stu-dents. The results of meta-analysis showed that 3D printing combined with PBL teaching method could effectively improve the score of theoretical examination [MD = 4.14, 95%CI (3.30, 4.98), Z = 9.63, P < 0.05], skill examination [MD = 3.37, 95%CI (0.32, 7.14), Z = 2.15, P < 0.05] and teaching satisfaction in urology [RR=1. 26, 95%CI (1.08, 1.48), Z=3.04, P < 0.05]. Did not improve medical record writing test scores [MD = 0.01, 95%CI (−1.78, 1.80), Z = 0.01, P > 0.05]. Conclusions: We synthesized the results of the current study that 3D printing combined with PBL teaching method in urology can improve students’ theoretical knowledge scores, skill manipulation exam scores, and teaching satisfaction compared with PBL teaching method alone, and more multi-sample, high- quality randomized controlled studies are needed to further validate this result.