大庆地区拉玛泽分娩法应用及相关因素评价分析

目的探讨拉马泽分娩法对产妇及新生儿的影响。方法随机抽取参加拉马泽分娩法训练的初产妇200例作为观察组;同时设立相同例数未参加此训练的初产妇作为对照组,观察两组产妇产时疼痛程度、产程时间、剖宫产率、产后出血、新生儿窒息发生率。结果两组产妇产后出血的发生率无统计学意义;观察组产时疼痛程度、产程时间、剖宫产率、新生儿窒息均低于对照组(P<0.05)。结论拉马泽分娩法能减轻产时疼痛、缩短第1、2产程,降低剖宫产率及新生儿窒息。     

风湿性心脏病发病规律的探讨(附1,093例住院病例分析)

为探讨银川地区近20年来风湿性心脏病(简称风心病)发病情况的变化,现将我院内科1966年1月～1985年12月20年中所收住的风心病1,093例进行回顾分析。资料和方法本文收集1966年1月～1975年12月(以下称前十年和1976年1月～1985年12月(以下称近十年)的住院风心病病例进行分析,并将两个十年的临床资料加以对比。本组均系13岁以上的病例,临床诊断主要根据病史及心脏听诊等检查所见,结合X光和心电图检     

上海市区居民1973-2005年结直肠癌发病趋势分析

Objective To explore the time trends of colorectal cancer incidence rates in urban Shanghai from 1973 to 2005. Methods Data on the incidence rates of colorectal cancer were obtained from a population-based cancer registry in Shanghai. A total of 32 962 colon cancer patients and 24 662 rectal cancer patients were registered. Population estimation were based on periodic censuses, with age-and sex-specific annual estimates derived for the remaining years. The rates were adjusted to the world standard population by using the direct method. Annul percent changes (APCs) in rates were estimated by means of a linear regression of the logarithm of the respective rates on calendar, weighted by the number of incidence cases. Results The incidence rates of colorectal cancer increased steadily during 1973 to 2005, the age-adjusted incidence rates of colon cancer increased from 6.09 and 5. 70 to 14.70 and 14. 35 per 100 000 in male and female respectively. The APCs were 3. 03 % (t=14. 77, P < 0. 01) and 3.21% (t=22. 15, P < 0. 01). The rates of rectal cancer increased from 7.68 and 6. 51 to 11.45 and 8. 28 per 100 000 in male and female respectively. The APCs were 1.34% (t=7. 28,P <0. 01) and 0. 93% (t=7. 34,P <0. 01). The top APCs for colon and rectal cancer in female were 5. 86% and 2. 79% at age above 85 and in male those were 4. 64% and 2. 38% at age of 80-. The APCs of colon cancer were greater than those of rectal cancer at the groups above 45 years old. The average ages when diagnosed were delayed from 57-60 to 66-70 during these 33 yearn The average diagnosed ages of colon cancer were later than those of rectal cancer slightly(from 2003 to 2005,the onset age of male colon cancer: 68. 61±12.17,male rectal cancer: 66.81±12. 62, t=4. 90, P < 0.01; female colon cancer:69. 20±12. 13, female rectal cancer:67. 75±12. 54,t=3. 81,P < 0. 01). Conclusion The incidence rates of colorectal cancer increased steadily during 1973 to 2005, especially for colon cancer. Further research is needed to identify the causes resulting in these changes.     

肥厚型心肌病伴异常Q波和ST段上升的临床表现及意义

众所周知,异常Q波是特发性肥厚型心肌病(HCM)的心电图重要表现之一,但一般不伴有ST段上升。最近散见有伴ST段上升的HCM的报告。作者调查了就诊于川崎医科大学心血管科的HCM53例的心电图,其中6例(11％)伴有异常Q波和ST段上升,并把这6例按其ST段上升的类型分为凸型——A组(病例1、2、3)和凹型-B组(病例4、5、6)进行了研究。结果:6例均为男性,其年龄在12-58岁之间,除B组例4(12岁)无症状外,其余     

临床护理老师的角色

临床护理课程分为内、外、妇、儿科护理等与医学专业相对应的学科,是介绍维护人类身心健康的临床护理理论、知识和技能,运用护理程序实施整体护理,以减轻病人痛苦、促进康复、保持健康的应用性专业护理课程,是护理专业的必修课,主要任务是:使学生树立"以人的健康为中心"的护理理念,理解整体护理的科学内涵,能运用相应临床护理知识和技能,以护理程序的方法为病人提供身心健康服务和具体向个体、家庭、社区开展健康教育的能力.     

妊娠合并急腹症196例临床分析

目的:探讨妊娠合并急腹症的发生率、病因、诊断及治疗。方法:回顾性分析1991~2005年收治的妊娠合并急腹症196例。结果:妊娠合并急腹症的发生率为6.50‰(196/30 126)。急性阑尾炎63例,卵巢肿瘤蒂扭转54例,急性胆囊炎26例,急性胰腺炎19例,泌尿系结石17例,子宫肌瘤红色变性12例,急性胃炎出血5例。手术治疗129例,保守治疗67例。结论:应加强对妊娠合并急腹症病人临床表现、实验室检查的认识,早期准确诊断。合理的手术治疗不会增加流产、早产率及胎儿与孕妇的死亡率。     

心肌梗塞后综合征(附2例报告)

心肌梗塞后综合征(PMIS)或称Dre-ssler氏综合征。其发生率为0～4.6％不等。由于此征易延误诊治,甚有使用抗凝剂,导致心包内出血,引起心脏填塞而致死的危险,故认识该综合征甚为重要。现将我们诊治的2例报告如下。病例报告例1:李××,男,55岁,住院号160709。因四天前突发胸痛二小时于1985年12月22日入院。ECG:急性广泛前壁心梗。予常规处理。2月7     

合并水痘肺炎的成人水痘症一例

水痘是小儿的主要病毒感染症,症状一般轻微、预后良好。然而成人若患水痘,也有引起严重的合并症以至于死亡。作者报告了一例合并最严重的合并症水痘肺炎的成人水痘症。病例:32岁,男性,因全身广泛出现水疱,发热,进而咳嗽,咯痰,呼吸困难4天而于1983年6月7日入院。查体:意识清     

爱宝疗液治疗宫颈糜烂268例疗效分析

宫颈糜烂是慢性宫颈炎的一种形式,是一种炎症的病灶,有诱发宫颈癌的可能。治疗宫颈糜烂已成为妇科医生的当务之急。我们采用德国百克顿药厂研制的爱宝疗浓缩液治疗宫颈糜烂268例,取得了比较满意的疗效,现总结如下:1 资料与方法1.1 治疗对象 门诊或普查病人,经专业医生临床诊断为宫颈糜烂患者。在治疗前均作宫颈刮片检查以排除恶性病变。1.2 药物选择 选用德国百克顿药厂研制的爱宝疗浓缩液。爱宝疗液的活性成份为聚甲酚磺醛,每克浓缩液含聚甲酚磺