手足口病两种不同口腔护理方法的效果比较

目的：探讨碘伏加温联合思密达在手足口病口腔护理中的应用效果。方法将72例手足口病口腔溃疡患儿随机分为试验组和对照组各36例,对照组采用生理盐水溶液清洗口腔溃疡面,再局部涂擦西瓜霜喷剂;试验组采用0.5%碘伏溶液加温后清洗口腔溃疡面,再局部涂擦思密达。观察2组患儿的口腔溃疡愈合情况及愈合时间。结果试验组治疗效果优于对照组,溃疡愈合时间短于对照组,差异均有统计学意义（P<0.05）。结论碘伏加温联合思密达进行手足口病患儿的口腔护理,可提高治疗效果,促进溃疡愈合。     

0.25%碘伏用于手术人员手消毒的效果观察

目的 为了观察0.25％碘伏对手术人员手的消毒效果。方法 对50名手术人员进行了调查,将其随机分为两组,第1组15名,在肥皂流水洗手后,用浸有0.25％碘伏的纱布涂擦双手、手臂,时间为5min;第2组 35名,依照上法,同样涂擦双手,手臂,但时间3min。两组分别在消毒前后和手术结束后采样进行细菌培养。结果 消毒前50名手术人员的手均含有细菌,消毒后仅1名消毒时间为3min的手术人员的手含有2.0cfu/cm2,术后采样均无细菌生长。结论 用浸有0.25％碘伏的纱布涂擦手术人员的手3～5min,其消毒效果和持续效果均符合要求,方法简单、经济、省时。     

人工破膜及剥膜对分娩的影响

目的 :研究产程干预手段 -人工破膜及剥膜对产程的影响。方法 :回顾性分析人工破膜及剥膜对分娩的影响。随机选取 3 68名产妇 ,将其分为人工破膜组及剥膜组即观察组 ,未采用人工破膜及剥膜组即对照组 ,观察两组产妇分娩方式、产程时间、新生儿窒息率、产后出血率。结果 :人工破膜组即观察组难产率较对照组高 ,差异有显著性 (P<0 .0 0 1) ,且两组产妇剖宫产指征明显不同 ,人工破膜组总产程、第一产程、第二产程明显短于对照组 ,且差异有显著性 (P <0 .0 0 1)。人工破膜组新生儿窒息率低于对照组 ,差异有显著性 (P <0 .0 5 )。产后出血率差异无显著性 (P >0 0 5 )。结论 :人工破膜及剥膜可明显缩短产程 ,虽难产率高但新生儿窒息率低 ,是值得推广的产程干预手段     

经阴道宫颈缝合并塞纱治疗难治性产后出血的临床价值分析

目的 探讨经阴道宫颈缝合并塞纱治疗难治性产后出血的效果.方法 80例难治性产后出血患者,随机分为观察组与对照组,每组40例.对照组采用常规治疗,观察组采用经阴道宫颈缝合并塞纱治疗.对比两组治疗效果、出血量、并发症发生情况.结果 观察组治疗总有效率为97.50％,高于对照组的82.50％,差异具有统计学意义(P<0.05...     

The Association Between the Serum Level of IGF-1 and IGFBP-3 and the Risk of Breast Cancer among Women in the Gaza Strip

Objective: The purpose of this research was to look at the relationship between insulin-like growth factor-1 (IGF-1) and insulin-like growth factor binding protein-3 (IGFBP-3) levels and the risk for breast cancer (BC) among women in the Gaza Strip. Methods: This case-control study, which included 334 participants (112 women with BC as cases, and 222 women without BC as control), was conducted between January 2021 and August 2022. Research data for the cases were gathered at the Oncology Departments of the Gaza Strip’s two hospitals, “Al- Shifa Hospital and Turkish Palestinian Friendship Hospital,” as well as from the electronic records of the Screening Mammogram Unit at Al- Remal Clinic for controls. The information about the participants was gathered using a standardized questionnaire. The key variables related to BC were identified using multivariate logistic regression. Results: According to multivariate logistic regression, participants’ age was associated with an increase in the risk of BC (OR= 1.03; 95%CI, 1.007-1.060). There was an association between serum concentrations of fasting blood glucose (FBG) (OR= 1.027; 95% CI, 1.013–1.042), IGF-1 (OR= 1.010; 95% CI, 1.006–1.015), and the risk of BC, while there was no link between IGFBP-3 and the risk of BC. In an analysis of the risk according to menopausal status, premenopausal women were associated with an approximate 0.5 time decrease in risk of BC compared to women in post-menopause (OR= 0.428, 95% CI, 0.258, 0.710). Dairy product was also related to a decreased risk of BC. Conclusion: The results suggest that age, lower physical activity, increased levels of FBG, and IGF- 1 increase the BC risk among females in the Gaza Strip. Meanwhile, premenopausal women and dairy products are linked to a reduction in the risk of BC. Furthermore, no link was found between IGFBP-3 and BC risk. Improving early BC detection rates in the Gaza Strip necessitates preventative interventions and screening for BC in the public and healthcare sectors.