目的 探讨混合式教学在护理高职生神经内科临床教学中的应用效果。方法 按入科时间顺序将神经内科的护理高职实习生分对照组和试验组,对照组采用线下教学,试验组采用“线上+线下”混合式教学。线下教学包括一对一临床带教和集中授课,线上教学通过在线教学平台实现教学任务发布、学习、考核一体化管理,学生通过平台学习线上课程,带教教师在临床实践中检验学生线上学习情况,并给予针对性指导。评价两组学生的出科考核成绩和教学满意度。结果 试验组的出科考核成绩（88.23±2.60）高于常规教学组（83.96±4.58）（P<0.01）;试验组的学习效果和满意度均高于对照组（P<0.01）。 结论 混合式教学能有效提高护理高职生在神经内科的临床教学的质量和教学满意度。

Objective To explore the effects of a blended teaching in clinical teaching of Neurology for higher vocational nursing students. Methods The students in the Neurology Department were divided into the control group and the interventional group. Offline teaching was used in the control group while the “online + offline” blended teaching was used in the interventional group. Offline teaching covered one-to-one clinical teaching and class teaching. Online teaching was carried out through online teaching platform. The teaching assignments，learning，and assessment were all released through the platform. Students could learn the related knowledge through the platform. Instructors could check the learning results during clinical practice. The examination results and teaching satisfaction of the students in the two groups were compared and evaluated. Results The mean examination score of the interventional group was 88.23±2.60 which was significantly higher than that of the control group（83.96±4.58）（P<0.01）. The learning effects and satisfaction of students in the interventional group were significantly higher than those of the control group（P<0.01）. Conclusion The blended teaching can effectively improve the quality of clinical teaching and satisfaction of nursing students in the Neurology Department.