冠心病患者介入治疗前后焦虑抑郁障碍的心理干预与评价

Objective To discuss the effect of psychological intervention of depression in coronary heart disease after percutaneous coronary intervention (PCI). Methods The depression of 105 cases of coronary heart disease after PCI treatment was investigated. One hundred and five patients were randomly divided into intervention group and control group. The patientsin intervention group were treated with psychological intervention before and after PCI. The patients in control group were treated with normal treatment. Results There was not significant difference of incidence of depression an self-rating depression scale score between two groups. The depression in intervention group was less severe than that in control group ( P ＜ 0.01 ). Multivariate analysis showed: education level, the recent negative life events, household income, length of stay and sequelae of catheter intervention had significantly correlated with depression in coronary heart disease. Conclusion Psychological intervention can reduce the ratio of depression in coronary heart disease after PCI.     

冠心病患者介入治疗前后焦虑抑郁障碍的心理干预与评价

Objective To discuss the effect of psychological intervention of depression in coronary heart disease after percutaneous coronary intervention (PCI). Methods The depression of 105 cases of coronary heart disease after PCI treatment was investigated. One hundred and five patients were randomly divided into intervention group and control group. The patientsin intervention group were treated with psychological intervention before and after PCI. The patients in control group were treated with normal treatment. Results There was not significant difference of incidence of depression an self-rating depression scale score between two groups. The depression in intervention group was less severe than that in control group ( P ＜ 0.01 ). Multivariate analysis showed: education level, the recent negative life events, household income, length of stay and sequelae of catheter intervention had significantly correlated with depression in coronary heart disease. Conclusion Psychological intervention can reduce the ratio of depression in coronary heart disease after PCI.     

妊娠高血压综合征的相关因素分析

Objective To investigate the cause of hypertensive disorders of pregnancy-related factors.Methods A retrospective survey investigated 3120 cases of maternal clinical data and 90 pregnant women with hypertensive disorder were the observation group. Non-pregnant women 3030 cases of hypertension were a control group. Two groups were compared with age, occupation, body mass index before pregnancy, pregnancy induced hypertension, family history, regular antenatal care, emotional status during pregnancy, differences in serum calcium concentration. Results The average age of the two groups observed a large group [ ( 28.89 ± 3.22 ) years ], a high proportion of farmers (47 cases) , BMI higher [ (27.93 ± 1.16 ) kg/m2 ], there were more family history of PIH ( 23 cases) regular prenatal care less (44 cases), negative mood, low serum calcium concentration (27 cases) , as risk factors for hypertensive disorders in pregnancy, compared with the control group, the difference was statistically significant (P ＜ 0.05 ). Conclusion Hypertensive disorder of pregnancy is due to multiple factors. These factors should be used for the appropriate measures to reduce the incidence of hypertensive disorders of pregnancy.     

妊娠高血压综合征的相关因素分析

Objective To investigate the cause of hypertensive disorders of pregnancy-related factors.Methods A retrospective survey investigated 3120 cases of maternal clinical data and 90 pregnant women with hypertensive disorder were the observation group. Non-pregnant women 3030 cases of hypertension were a control group. Two groups were compared with age, occupation, body mass index before pregnancy, pregnancy induced hypertension, family history, regular antenatal care, emotional status during pregnancy, differences in serum calcium concentration. Results The average age of the two groups observed a large group [ ( 28.89 ± 3.22 ) years ], a high proportion of farmers (47 cases) , BMI higher [ (27.93 ± 1.16 ) kg/m2 ], there were more family history of PIH ( 23 cases) regular prenatal care less (44 cases), negative mood, low serum calcium concentration (27 cases) , as risk factors for hypertensive disorders in pregnancy, compared with the control group, the difference was statistically significant (P ＜ 0.05 ). Conclusion Hypertensive disorder of pregnancy is due to multiple factors. These factors should be used for the appropriate measures to reduce the incidence of hypertensive disorders of pregnancy.     

瘢痕子宫产妇剖宫产术出血量分析

Objective To explore the clinic value of blood loss during and after cesarean section in women with scarred uterus. Methods From July 2007 to December 2008, thirty-six women with scarred uterus received weighing methods to evaluate the actual blood loss during and after cesarean section in Yuhuangding hospital, while 98 cases without pregnant complications were chosen as control. Results In women with scarred uterus, the blood loss during operation Was (372.4 ± 180.0) ml, and the total amount after 2 hours and 24 hours were (444.7± 228.2) ml and (527.4 ±251.6) ml respectively, which were higher than corresponding values in control group (P < 0. 05). The incidence of postpartum hemorrhage in scarred uterus was 47.2%, higher than that in control group (P < 0. 05). There were no significant differences between two groups in the tests of hemoglobin and coagulation functions (P > 0. 05). Conclusions Scarred uterus may be one of the important reasons which lead to postpartum hemorrhage. The clinical treatment of pregnant women with scarred uterus should focus on the prevention of blood loss during the cesarean section.     

老年肺心病患者并发心律失常相关危险因素分析

Objective To investigate the risk factors influencing the occurrence of cardiac arrhythmia following pulmonary heart disease in elderly patients. Methods Totally 80 cardiac arrhythmia and 28 non-cardiac arrhythmia in elderly patients with pulmonary heart disease cases were analyzed. Results Eighty cases were complicated with cardiac arrhythmias with the incidence of 74.1%. The logistic regression analysis indicated that concomitant disease, hypoxemia, heart failure, lung infection, Acid-base inbalance, electrolyte disturbance were significant risk factors (P ＜ 0.05 ). Conclusions Cardiac arrhythmia in elderly patients with pulmonary heart disease should be strengthened. Early diagnosis and treatment must be addressed according to the risk factors.     

老年肺心病患者并发心律失常相关危险因素分析

Objective To investigate the risk factors influencing the occurrence of cardiac arrhythmia following pulmonary heart disease in elderly patients. Methods Totally 80 cardiac arrhythmia and 28 non-cardiac arrhythmia in elderly patients with pulmonary heart disease cases were analyzed. Results Eighty cases were complicated with cardiac arrhythmias with the incidence of 74.1%. The logistic regression analysis indicated that concomitant disease, hypoxemia, heart failure, lung infection, Acid-base inbalance, electrolyte disturbance were significant risk factors (P ＜ 0.05 ). Conclusions Cardiac arrhythmia in elderly patients with pulmonary heart disease should be strengthened. Early diagnosis and treatment must be addressed according to the risk factors.     

卡贝缩宫素预防剖宫产术后出血的临床研究

Objective To observe the effects of Duratocin on reduction of postpartum bleading in Cesareansection.Method Select a cesarean and hypodynamic risk factots of 150cases of pregnant women, preclude the use of Duratocin and misoprostol contraindications, divided into research group (Duratocin group) and control 1 Group (oxytocin group), controlled 2 Group (misoprostol group),accutate collection of postpartum hemorrhage,24-hour comparison group for hemoglobin concentration (Hb) changes, and 24-hour blood loss, the incidence of postpartum hemorrhage, adverse events occurred, comprehensive evaluation Duratocin Cesarean treatment efficacy and safety.Results Duratocin group Hb concentration of before and after surgery and post-operative blood loss 24 hours,the incidence of postpartum hemorrhage, adverse events occur, and so on, are significantly lower than reference 1,2,P＜0.001, significant difference, statistically significance,Conchusion Duratocin, known as the Caesarian role in postpamm hemorrhage, the effect is better than other Palace admixture, and have a safe, efficient, fast, easy delivery.Just one intravenously to achieve continuous infusion oxytocin 16 hours to the same effect.     

免疫比浊法检测高脂血症患者血清Apo-E的临床意义

Objective To discuss the clinical significance of the detection of serum Apo-E level of patients with hyperlipidemia (HLP).Methods The serum Apo-E,TC,HDL-C,LDL-C,TG,Apo-Al and Apo-B in 120 patients with HLP and 130 health adults were detected by immunoturbidimetry.Results The serum Apo-E level in patients with HLP was significantly higher than that in normal group (55.2 ± 14.3mg/L,40.4 ± 12.5mg /L;P ＜0.01 ),and was significant positive correlated with the TG and Apo-B (r=0.538,0.432;P＜0.05).The Apo-E level was a risk factor of coronary heart disease and atherosclerosis.Conclusions The serum Apo-E levels in patients with HLP were significant increased.The detection of serum Apo-E level can be used as a diagnosis index of cardio-cerebral vascular disease.     

Effects of long-term, low-dose sex hormone replacement therapy on hippocampus and cognition of postmenopausal women of different apoE genotypes

Aim： To study the effects of long-term, low-dose sex hormone replacement therapy （HRT） on the volume and biochemical changes of the hippocampus in postmenopausal women carrying apolipoprotein E （apoE） gene ε3 or ε4. Methods： Eightythree postmenopausal women who had used a low dose of HRT for over 4 years were selected as the HRT group, and 99 postmenopausal women with matched age and education were enrolled as the control group. ApoE alleles were analyzed by PCR. Magnetic resonance imaging was performed to determine the volume of the brain hippocampus. Proton magnetic resonance spectroscopy was used to detect the biochemical changes in the anterior cingulate cortex and hippocampus in apoE ε4 and ε3 carriers. Six common cognitive tests were used to make an overall evaluation of cognitive function. Results： Analysis with the apoE ε4 carriers showed that the volume of the hippocampus of the control group were significantly lower than those of the HRT group, The biochemical analysis showed that there was an increase of N-acetylaspartate （NAA）/total creatine （tCr） and a decrease of myoinositol （mI）/tCr in the hippocampus of apoE ε4 carriers in the HRT group, compared with the control group. For the apoE ε3 carders, the least squares means （LSMEAN） of the HRT group was higher than that of the control group. Conclusion： This study showed that long-term, low dose HRT might be beneficial for reducing the risk of AD development in vulnerable postmenopausal women. Meanwhile, HRT could increase the LSMEAN of apoE ε3 carriers.