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71.
《Taiwanese journal of obstetrics & gynecology》2020,59(1):34-38
ObjectiveTo determine the effect of obesity on the onset of spontaneous labor, scheduled delivery rates and perinatal outcomes in term pregnancies.Material and methods242 obese and 244 non-obese pregnant women ≥37 gestational weeks were compared in terms of the onset of spontaneous labor, scheduled delivery rates and perinatal outcomes.ResultsObese pregnant women had statistically significantly lower onset of spontaneous labor and higher rates of scheduled delivery. No difference was determined in respect of the type of delivery, 1st and 5th minutes APGAR scores and the need for intensive care. Higher values of birth weight, large for gestational age, macrosomia, gestational diabetes mellitus and preeclampsia were determined in obese women.ConclusionThe onset of spontaneous labor rates in term obese pregnancies were lower and scheduled delivery rates were higher than in the non-obese pregnancies. However, more extensive studies are needed to better understand this relationship. 相似文献
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目的对深圳市宝安区梅毒血清固定的妊娠期孕妇的状况进行筛查及了解规范性治疗对妊娠结局和新生儿的影响。方法选取2015年1月至2017年12月深圳市宝安区医疗单位进行免费梅毒保健筛查的妊娠期孕妇作为观察对象。对妊娠期梅毒患者的数量及梅毒血清固定的人数比例进行分析。梅毒血清固定孕妇,根据第一疗程、第二疗程同时驱梅用药患者作为治疗组,而两疗程没有同时进行药物治疗或两疗程均没有驱梅用药的患者作为未治疗组,选取同期正常孕妇作为对照组,观察规范性治疗对妊娠结局和新生儿影响。结果 2015年1月至2017年12月深圳市宝安区梅毒筛查中,3年的梅毒确诊分别为204例、154例和195例;血清固定孕妇占比分别为5.39%、9.74%和3.07%;在血清固定组患者中不良结局妊娠上三组之间差异无统计学意义(P>0.05);梅毒血清固定患者中治疗组新生儿血清梅毒阳性率和不良事件发生率均显著低于未治疗组,差异具有统计学意义(均P<0.05)。结论本次研究结果显示,在梅毒血清固定患者中采取药物治疗对于提高新生儿的存活率、降低新生儿血清感染率和不良疾病发生率上均具有较好帮助,值得在梅毒血清型固定妊娠妇女中推荐应用。 相似文献
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目的 观察妊娠对大鼠吸人性全麻药血,气分配系数及组织,气分配系数的影响。方法 健康成年(3月龄)雌性妊娠(妊娠18—22d)和非妊娠SD大鼠各10只,分别为妊娠组和非妊娠组。腹腔注射戊巴比妥钠40mg/kg麻醉,经腹主动脉抽血用于测血,气分配系数,放血处死后,分别取心、肝、肾及脑组织并制成匀浆,采用注射器顶空二次平衡法经气相色谱仪测定七氟醚、异氟醚和氟烷的血,气分配系数及组织,气分配系数。结果与非妊娠组相比,妊娠组氟烷的血,气分配系数和脑,气分配系数降低(P〈0.05),七氟醚、异氟醚的血,气分配系数、肝,气分配系数、肾,气分配系数、心,气分配系数差异无统计学意义(P〉0.05)。结论 妊娠降低大鼠氟烷的血,气配系数和脑,气分配系数,但不影响七氟醚和异氟醚的血,气分配系数和组织,气分配系数。 相似文献
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J. F. Trotter J. Campsen T. Bak M. Wachs L. Forman G. Everson I. Kam 《American journal of transplantation》2006,6(8):1882-1889
The purpose of this study is to determine the role of liver biopsy and outcome of patients undergoing donor evaluation for adult-to-adult right hepatic lobe living donor liver transplantation (LDLT). Records of patients presenting for a comprehensive donor evaluation between 1997 and February 2005 were reviewed. Liver biopsy was performed only in patients with risk factors for abnormal histology. Two hundred and sixty patients underwent a comprehensive donor evaluation and 116 of 260 (45%) were suitable for donation, 14 of 260 (5.4%) did not complete evaluation and 130 of 260 (50%) were rejected. Four patients underwent unsuccessful hepatectomy surgery due to discovery of intraoperative abnormalities. Between 1997 and 2001, the acceptance rate of donor candidates (63%) was higher than 2002-2005 (36%), p < 0.0001. Sixty-six of the 150 eligible patients (44%) fulfilled criteria for liver biopsy and 28 of 66 (42%) had an abnormal finding. Less than half of the patients undergoing donor evaluation were suitable donors and the donor acceptance rate has declined over time. A large proportion of the patients undergoing liver biopsy have abnormal findings. Our evaluation process failed to identify 4 of 103 who had aborted donor surgeries. 相似文献
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L. Matsuoka T. Shah S. Aswad S. Bunnapradist Y. Cho R. G. Mendez R. Mendez R. Selby 《American journal of transplantation》2006,6(6):1473-1478
The use of expanded criteria donors (ECD) has been proposed to help combat the discrepancy between organ availability and need. ECD kidneys are associated with delayed graft function (DGF) and worse long-term survival. The aim of this study is to evaluate the impact of pulsatile perfusion (PP) on DGF and graft survival in transplanted ECD kidneys. From January 2000 to December 2003, 4618 ECD kidney-alone transplants were reported to the United Network for Organ Sharing. PP was performed on 912 renal allografts. The prognostic factors of DGF were analyzed using multivariate logistic regression analysis. Risk factors for reduced allograft viability were greater in donors and recipients of PP kidneys. Three-year graft survival of ECD kidneys preserved with PP was similar to cold storage (CS) kidneys. The incidence of DGF in PP kidneys was significantly lower than CS kidneys (26% vs. 36%, p < 0.001). Despite having a greater number of risk factors for reduced graft viability, the ECD-PP kidneys had similar graft survival compared to ECD-CS kidneys. The use of PP, by decreasing the incidence of DGF, may possibly lead to lower overall costs and increased utilization of donor kidneys. 相似文献
80.