早期学校卫生工作主要体现在医疗保健服务,校医成了小伤小病和转诊的医务工作者,充分体现生物医学模式特征。随着生物、心理、社会医学模式出现,学校教学、生活和环境卫生监督以及医学监测,学生常见病防治任务逐步纳入学校卫生工作范畴。于是校医又多了一个帮手——保健教师。应当肯定,这一发展过程对促进学生健康体质起了极其重要的作用。但我们也开始注意到,学生体质形态、机能指标,健康监测指标,常见病发病指标在动态静止中的徘徊状况;忽视集体教育中 Early school health work mainly reflected in the health care services, school doctors became a minor injury and referral of medical workers, fully embodies the characteristics of the biomedical model. With the emergence of biological, psychological and social medical models, school teaching, living and environmental hygiene supervision and medical monitoring, students’ common disease prevention and control tasks are gradually incorporated into the scope of school health work. So the school doctor has another helper - health teacher. It should be affirmed that this process of development plays an extremely important role in promoting students’ healthy constitution. However, we also began to notice that students’ physique, performance indicators, health monitoring indicators and the index of common morbidity fluctuated in a dynamic standstill; ignoring collective education