目的 探讨案例教学结合真实性评价在妇产科护理实验教学中的应用及效果。 方法 选取2011级护理本科生556名作为研究对象，采用小班分组教学，在妇产科护理学实验教学中采用案例教学结合真实性评价（改进教学方法），与2010级护理本科生各项指标进行比较，并调查学生对改进教学方法的态度。 结果 两组学生期末理论考试成绩比较，差异无统计学意义（P>0.05）。 2011级学生平时成绩优于对照组，差异有统计学意义（P＜0.05），且对改进的教学方法持肯定态度。 结论 妇产科护理实验教学中应用案例教学结合真实性评价有利于学生综合能力培养，有利于教师教学能力和教学质量提高，促进了教、学、评的结合和共赢，值得在临床教学中推广。

Objective To explore the application method and effect of case-based learning in combination with authentic assessment in the experimental course of gynecology and obstetrical nursing. Methods Nursing undergraduates enrolling in 2011 were selected as objects in this study. A new teaching method，case-based learning in combination with authentic assessment，was taken in the course of gynecology and obstetrical nursing teaching. The teaching effect was compared with that of undergraduates enrolling in 2010 who got conventional teaching. And the attitude to new teaching methods was investigated. Results The final theory test scores of two groups show no statistical significance（P>0.05）. Performance in the class of undergraduates enrolling in 2011 was better with statistical significance（P＜0.05）.Their attitude towards the new teaching method was satisfied. Conclusion Application of case based learning in combination with authentic assessment to course of gynecology and obstetrical nursing teaching of nursing students can promote the development of the comprehensive abilities of the nurse students，the teaching ability and the quality of teaching of teachers.