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子宫腺肌症是由于子宫内膜的腺体和基质异位生长于子宫肌层使子宫体积弥漫性增大的疾病。临床表现为痛经、月经过多、子宫增大和不孕。它是一种妇科常见病,其发病率呈上升趋势,国内报道为16.7%,国外为8.8%~31.0%。该病的治疗一直较为困难,传统多以子宫切除为主,药物治疗为辅。但药物治疗疗效欠佳,易反复且不良反应大;而生育年龄的年轻患者切除子宫,不但丧失生育能力,导致内分泌失调,亦在心理上产生不良影响, 相似文献
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目的探讨实时光电探测系统(Truscreen Cervical Cancer Screening system,TS)与人乳头瘤病毒检测(Human papilloma virus,HPV)在液基薄层细胞学检测(Thinprep-liquid-based cytological test,TCT)提示意义不明的不典型鳞状上皮细胞(Atypical squamous cells of undetermined significance,ASCUS)中的诊断效果对比。方法对于243例TCT提示ASCUS的病例,以阴道镜下病理学结果为金标准,比较TS及HPV的灵敏度、特异度及ROC(Receiver operator characteristic curve,ROC)曲线下面积。结果 243例病例中,TS、HPV的灵敏度分别为74.2%、47.6%,特异度分别为77.6%、84.9%;比较ROC曲线下面积,TS与HPV差异有统计学意义(P〈0.05)。结论本研究中,对于TCT提示ASCUS的病例,TS的诊断效果优于HPV,临床上可考虑用TS作为对细胞学提示ASCUS病例的确认检测方法之一。 相似文献
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目的了解2型糖尿病患者相关防治知识水平及其影响因素,为糖尿病健康教育提供对策和依据。方法采用糖尿病知识量表(ADKnowl)对广州地区某医院确诊的195例2型糖尿病患者进行问卷调查。结果195例2型糖尿病患者相关防治知识得分为(67.87±18.90)分,总得分率为67.87%;各维度得分率最高为吸烟与饮酒的影响(78.72%),最低为锻炼身体的影响(42.31%)。不同性别、文化程度、病程的患者对糖尿病知识的知晓率差异均有统计学意义(P〈0.05)。男性、文化程度较高、病程较长的患者的糖尿病知识水平较高。文化程度、收入状况、接受健康教育状况与知识得分呈正相关(P〈0.05)。结论2型糖尿病患者糖尿病知识水平总体偏低且存在个体差异,因此开展2型糖尿病患者健康教育应更加注重针对性,选取适应不同对象的健康教育对策。 相似文献
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新生儿呼吸机相关性肺炎发病状况研究 总被引:3,自引:0,他引:3
目的描述新生儿呼吸机相关性肺炎发生的流行病学分布特征。方法资料来源于"新生儿发生呼吸机相关性肺炎危险因素研究"课题。结果在151例新生儿呼吸机插管通气治疗的患儿中,发生呼吸机相关性肺炎56例,发病率为37.1%。其中,男性的发病率为43.6%,女性为19.5%,发病率男性高于女性(χ2=7.0046,P<0.05),轻度窒息儿高于重度窒息儿(χ2=4.0322,P<0.05)。早产儿高于足月儿(χ2=6.3884,P<0.05);呼吸机相关性肺炎病例在肺炎、早产儿,低体重儿、窒息和肺透明病中的发病率分别为56.4%、46.6%、44.4%、42.7%和42.1%。结论新生儿呼吸机相关性肺炎的发病率很高,对于进行呼吸机通气治疗的男性患者以及相关的原发疾病,应积极采取相应的措施以预防呼吸机相关性肺炎发生。 相似文献
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2001~2005年广东省5岁以下儿童死亡监测结果分析 总被引:6,自引:1,他引:6
目的了解广东省5岁以下儿童死亡情况及制订相应的妇幼卫生政策.方法收集2001~2005年广东省5岁以下儿童死亡监测资料,用统计软件SPSS11.0进行统计分析.结果 2001~2005年广东省5年平均5岁以下儿童死亡率为8.59‰,婴儿死亡率为7.15‰,新生儿死亡率为5.44‰,各年死亡率呈逐年下降趋势;对比农村和城区,农村5岁以下儿童死亡率、婴儿死亡率均高于同期城区水平,农村儿童获得的医疗保健服务情况也明显低于城区儿童.结论 2001~2005年5岁以下儿童死亡率、婴儿死亡率均呈逐年下降趋势,要进一步降低婴儿死亡率,应加强农村地区的卫生保健服务. 相似文献
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电子传染病报告卡医院内计算机网络报告效果评价 总被引:1,自引:0,他引:1
根据《传染病监测信息网络直报工作与技术指南》中对传染病报告的时限以及报告卡填写的要求,采用传统手工报告方法,即由各科医生发现需要报告的传染病后,再填写传染病报告卡,还要在本科室的传染病报告登记本上进行登记,然后人工传送到医院感染管理科, 相似文献
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Objective To explore, the effect of different dosage of pulmonary surfactant (PS) on the inci-dence of bronchopulmanary dysplasia. Method Four hundred and three premature infants with hyaline membrane disease were divided into 3 groups according to the dose of PS: low-dose group (L-PS group, ≤ 100 mg/kg, n =188) ,high-dose group(H-PS group, > 100 mg/kg, n = 94) and no-PS group (N-PS group, n = 121). The frac-tional inspired oxygen(FiO2) and ptlmonary oxygenating function before and after 6 hours treatment were observed and the durations of oxygen therapy and mechanical ventilation, frequency of repeated intubafion, length of hospi-talization and the incidence of BPD were compared among the three groups. Results After 6 hours PS administra-tion, the FiO2,oxygen index and duration of oxygen therapy and mechanical ventilation were significantly decreased (P <0.05), while PO2 and the arterio-alveolar partial pressure of oxygen were significantly increased (P <0.05)in the H-PS and L-PS groups, compared with the N-PS group. Compared with the L-PS and N-PS groups,the H-PS group showed a decreased incidence of BPD. Conclusions PS administration could improve the pul-monary oxygenation and prevent the development of BPD, especially in high-dose. 相似文献
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Objective To explore, the effect of different dosage of pulmonary surfactant (PS) on the inci-dence of bronchopulmanary dysplasia. Method Four hundred and three premature infants with hyaline membrane disease were divided into 3 groups according to the dose of PS: low-dose group (L-PS group, ≤ 100 mg/kg, n =188) ,high-dose group(H-PS group, > 100 mg/kg, n = 94) and no-PS group (N-PS group, n = 121). The frac-tional inspired oxygen(FiO2) and ptlmonary oxygenating function before and after 6 hours treatment were observed and the durations of oxygen therapy and mechanical ventilation, frequency of repeated intubafion, length of hospi-talization and the incidence of BPD were compared among the three groups. Results After 6 hours PS administra-tion, the FiO2,oxygen index and duration of oxygen therapy and mechanical ventilation were significantly decreased (P <0.05), while PO2 and the arterio-alveolar partial pressure of oxygen were significantly increased (P <0.05)in the H-PS and L-PS groups, compared with the N-PS group. Compared with the L-PS and N-PS groups,the H-PS group showed a decreased incidence of BPD. Conclusions PS administration could improve the pul-monary oxygenation and prevent the development of BPD, especially in high-dose. 相似文献
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