拉玛泽呼吸法对分娩结局的影响

Objective To probe into the influence of Lamaze breathing method on the result of labor.Method Atotal of 100 cases mature primiparae in experimental group,who were innormalpregnancy,were carriedouttheLamaze breathing method.After 7-month's pregnancy,the pregnant women would be trained with Lamaze method under the guide of the professional medical personnel.During this period,thepregnant women shall be familiar with the clearance breathing,chest breathing,shallow-and-slow acceleration breathing,shallow breathing,movement with breathing stopped and blowing the candle.During the stage of labor,their attention would be focused on the control of breathing.A total of 100 casespregnant women in control group were carried out theregular nursing before labor and the indexes of appraisal were the same in two groups.Results The Lamaze breathing method could disperse the attention,relax the muscle,keep the physical strength,transfer the pain,relieve the labor pain,shorten the stage of labor,decrease the perineal laceration and the rate of caesarean operation,in which the differences in two groups were obvious,P＜0.01.Conclusions The Lamaze breathing method could relieve the labor pain,shorten the stage of labor,decrease the perineal laceration and cut down the rate of caesarean operation,then facilitating the natural parturition.     

先天性心脏病及其环境因素的病例对照研究

Objective A case-control study was carried out to explore the relationship between environmental pollution and congenital heart disease. Methods Selected 54 cases with congenital heart disease from the inpatients in our hospital as a study group, during January 2006 to October 2009;and randomly select 66 cases normal infants as a normal control group. Used Unconditional Logistic model to control confounding and estimate the relative risk. Results The monthers work in the shoes factory during pregnant and the mothers have virus infected disease during pregnant, have high possibility to born a baby with congenital heart disease( x2=14.906, P＜ 0.01; x2=5.136, P ＜ 0.05).Conclusions it suggested that environmental pollution caused by the works of shoes factory and infection with virus during pregnant are risk facters for congenital heart disease.     

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.     

个体化心理干预在胃镜检查中的应用

Objective To investigate the role of individualized psychological intervention in gastroscopy.Methods 286 patients first underwent gastroscopy were randomly divided into the intervention and control groups,143 patients in each group. Individualized psychological intervention were provided for intervention group,and the patients of control group were just given routine nursing care. All the patients were measured by self rating anxiety scale (SAS) ,which were as measuring standards before and after intervention. At the same time,the blood pressure and heart rate were compared before and after intervention. Visual analogue scale (VAS) was observed to investigate the satisfaction of patients after operation. Results Compared with control group,anxiety rate and degree,blood pressure and heart rate in intervention group were lower( P ＜ 0. 05 ). The test of VAS revealed that the satisfaction of patients in intervention group was significantly higher than that in control group ( P ＜ 0. 05). Conclusion Individualized psychological intervention could improve negative emotion and relieve anxiety and affliction of patients underwent gastroscopy, and the satisfaction degree for gastroscopy was improved.     

康妇特栓联合波姆治疗宫颈柱状上皮异位的临床效果观察

Objective To 0bserve the clinical efficacy of KFTS in combination with POME infra-red in the treatment of columnar ectopy.Methods A case control prospective clinical Observe was carried out to explore the effect of KFTS in combination with POME infra-red 75 cases with columnar ectopy as 0bserve group, and interferon in combination with POME infra-red on 75 as control group. Then 0bserve the join of columnar ectopy, the lasting time of the vagina liquor drainage, the percentage of bleeding and adverse reactions after exposure of POME infra-red. Results The heal of the columnar ectopy of the two groups Two months after the operation, the cure rate of the KFTS and POME infra-red group and the control group were respectively 90% (68) and 77.3% (58) while the efficiency were 100% and 90.7%. Obvious significant differences in treat efficiency between agents were observable (P＜0.05). The result after three months: the cure rate of the KFIS and POME infra-red group and the control group were respectively 96% (72) and 84% (63) while the efficiency were 100% and 93.3%. Also there are obvious significant differences in treat efficiency (P＜0.05). The duration of vagina letting of the KFTS and POME infra-red group is shorter than that of the control group and obvious significant differences in treat efficiency between agents were observable (P＜0.05). Also the frequency of bleeding after the operation of the KFTS and POME infra-red group is lower than the control group and obvious significant differences in treat efficiency between agents were observable (P＜0.05).Neither group showed any ill reaction while experiments.Conclusion As the pretreatment medicine in the POME infra-red treatment of columnar ectopy, KRTS can accelerate the heal of the erosion, shorten the duration of vagina letting and debase the frequency of bleeding. Its efficiency shows it is worth promoting.     

Clinical Observation on Treatment of Status Asthmaticus

Status asthmaticus is a form of bronchial asthma attack. The severe one can cause failure of respiratory function. To alleviate the symptoms quickly, routine therapy could combined with compound salvia miltrorrhiza injection and vitamin K3. Compared the 36 patients in two groups and found the effects were obvious. Intravenous drip with compound salvia miltiorrhiza injection can dilate the vessel, improve the microcirculation and pulmonary circulation, correct oxygen deficit and quickely dispel sputum, thus it‘s conductive to the elimination of convulsion of airway. Vitamin K3 can promote the synthesis and conversion of cyclic AMP and alleviate the inflammatory exudation, thus improve and strengthen the function of ventiliation.     

足月胎膜早破先露衔接对剖宫产指征的影响

Objective To explore the cesarean section indications of fetal presentation unengagement in primipara with full-term premature rupture of membrane. Methods Five hundreds and ten primipara with premature rupture of membrane at term were divided into 2 groups: the fetal head was not engaged in the birthing process ( study group 218 cases) and engaged in the birthing process( control group 292 cases). The delivery course and the incidence of complication of the mother and infant were compared between 2 groups. The main outcome measure was the rate of caesarean section, indications of cesarean section, the cervical maturity(by Bishop scoring), the rate of fetal distress and newborn asphyxia, et al. Results The rate of cesarean section was higher in study group (64.7%) than that in control group( 17.5% ) ( P ＜0.01 ), so were the rate of fetal distress, stagnant labor and of failure of induction( P ＜0.05 ). In the cases of study group, the cervical condition of easy delivery ones was better than that of caesarean section ones. Average neonatal weight of easy delivery ones is lighter than caesarean section ones. Conclusions When the fetal head is not engaged in the birthing process in primipara with premature rupture of membrane at term, the labor induction is difficult. The labor complications are common, and the rate of caesarean section is high because of the loss of amniotic fluid and the poor cervical condition. Primipara at term whose presentation is not engaged in the birthing process should try to avoid premature rupture of membrane. Cervical ripening and induction should be done as soon as possible after membrane rupture.     

足月胎膜早破先露衔接对剖宫产指征的影响

Objective To explore the cesarean section indications of fetal presentation unengagement in primipara with full-term premature rupture of membrane. Methods Five hundreds and ten primipara with premature rupture of membrane at term were divided into 2 groups: the fetal head was not engaged in the birthing process ( study group 218 cases) and engaged in the birthing process( control group 292 cases). The delivery course and the incidence of complication of the mother and infant were compared between 2 groups. The main outcome measure was the rate of caesarean section, indications of cesarean section, the cervical maturity(by Bishop scoring), the rate of fetal distress and newborn asphyxia, et al. Results The rate of cesarean section was higher in study group (64.7%) than that in control group( 17.5% ) ( P ＜0.01 ), so were the rate of fetal distress, stagnant labor and of failure of induction( P ＜0.05 ). In the cases of study group, the cervical condition of easy delivery ones was better than that of caesarean section ones. Average neonatal weight of easy delivery ones is lighter than caesarean section ones. Conclusions When the fetal head is not engaged in the birthing process in primipara with premature rupture of membrane at term, the labor induction is difficult. The labor complications are common, and the rate of caesarean section is high because of the loss of amniotic fluid and the poor cervical condition. Primipara at term whose presentation is not engaged in the birthing process should try to avoid premature rupture of membrane. Cervical ripening and induction should be done as soon as possible after membrane rupture.     

教学医院培训护生防范护理纠纷教学模式的探讨

Objective To get the message of nursing student' knowledge degree about guarding against nursing dispute and evaluate the training effect on nursing student.Method 196 nursing students were trained on the knowledge of guarding against nursing dispute during practice by stages.Then the knowledge degree of the student's was evaluated by questionnaire,self-evaluation and investigation about teaching mode.Result Before and after training.the five items of the total eight items index which were used to evaluate the cognition ability of guarding against nursing dispute were obvious different(P＜0.05),and eight items of the total twelve self-evaluation items were different (P＜0.05).Conclusion With the training on correlated knowledge about guarding against nursing dispute,the knowledge structure of nurse students were efficiently consummated.     

3种药物治疗妊娠中期外阴阴道假丝酵母菌病的疗效比较

Objective To observe the clinical therapeutic effect of the treatment on vulvovaginal candidiasis (VVC) in the mid trimester of pregnancy with three species of drug (Clotrimazole,Macmirorcomplex, Baofukang Shuan). Methods 83 women diagnosed with VVC in the mid trimester of pregnancy were divided into three groups: Group A with 30 cases, treated with Clotrimazole for twice; Group B with 28 cases, treated with Macmirorcomplex for 6 days; Group C with 25 cases, treated with Baofukang Shuan for 8 days. Observed the clinical effect, the microbes therapeutic effect and the adverse effect of the treatment with three species of drug. Results (1)The clinical cure rate of Group A was 86.67% and the fungal negative rate was 93.33%. The clinical cure rate of Group B was 57.14% and the fungal negative rate was 75%. The clinical cure rate of Group C was 60% and the fungal negative rate was 40%. There were no adverse effect to be found in the three groups. (2) The clinical cure rate and curative rate of Group A were significantly higher than those of Group B and Group C( P＜0,05 ),but there were no difference in Group B and Group C ( P＞ 0.05 ). The V VC scores of the three groups were significantly descended compared with those of pretherapy ( P＜ 0.01 ), but there were no difference of the curative rate about microbes therapeutic effect in the three groups ( P＞ 0.05 ).Conclusion The three drugs for VVC in pregnancy are all effective and no serious adverse effect. Clotrimazole has better clinical therapeutic effect than Macmirorcomplex and Baofukang Shuan.