目的 探讨北京协和医学院临床医学8年制学生组织学学习成绩与压力的关系。 方法 对91名学生的组织学成绩进行教育测量学计算，采用半结构式问卷调查其心理压力和躯体症状，对三者的关系进行统计学分析。 结果 担心不及格的学生成绩中位数显著低于其余学生（P<0.001），感到很焦虑的学生成绩中位数显著低于其余学生（P<0.01）。担心不及格的学生易于出现考前多次失眠症状（P<0.05）；感到很焦虑的学生既更易于考前多次失眠（P<0.001），也更易于考后发烧感冒（P<0.01）。考前1周多次失眠的学生成绩中位数显著低于其余学生（P<0.05）。 结论 有较大压力感的学生成绩相对不够理想，且更容易出现感冒、发烧等躯体症状。老师应对学生的学习成绩、心理压力和躯体症状3个方面进行全方位和具体化的指导和关心，引导学生正确面对学习压力，帮助学生实现专业知识和生理心理的健康成长。

Objective To explore the relationship between histological examination scores and learning stress of eight-year students majoring in clinical medicine in Peking Union Medical College. Methods Educational measurements were used to evaluate the histological examination scores. The psychological stress and somatic symptoms were investigated by semi-structured questionnaires. The relationship among the three was analyzed by using of mathematical and statistical method. Results Median scores of students worried about failing the exam were significantly lower than those of the other students (P<0.001); Median scores of students with a high level of anxiety were significantly lower than those of the other students (P<0.01). Students worried about failing the exam are more likely to have frequent insomnia before the examination (P<0.05). Students with a high level of anxiety are more likely to have frequent insomnia before the examination (P<0.001) and are more likely to catch a cold or have a fever after the examination (P<0.01). Median scores of students with frequent insomnia before the examination were significantly lower than those of the other students (P<0.05). Conclusion Students with greater pressure are more likely to score worse in histological examination, and more likely to catch a cold or have a fever. Teachers should care about students in the aspects of academic performance, psychological stress and physical symptoms and provide guidance to students to face the pressure in order to help students with medical learning and physical and mental health.