胎膜早破与难产、母儿并发症的临床观察

目的 探讨胎膜早破与难产及母儿并发症的关糸.方法 对800例无妊娠合并症及并发症的产妇资料进行回顾性分型,其中胎膜早破100例与胎膜未破700例作对照组.结果 在一般处理方法相同的条件下,胎膜早破组的剖宫产率、早产率、母儿并发症均较对照组显著升高,感染程度与破膜时间有关,破膜距妊娠结束时间与母儿并发症如产褥病率、新生儿窒息、新生儿吸入性肺炎关系密切.结论 胎膜早破患者发生难产、母儿并发症增多,因此加强产时监护正确处理产程极为重要.     

早产并胎膜早破期待治疗对母婴的影响

目的 观察早产并胎盘早破(PPROM)延长胎龄对母婴的影响。方法 对84例妊娠28-36周胎盘膜早破的患者,分保胎现察组与对照组进行对比。结果 保胎组胎龄平均延长6.8天,其分娩方式,宫内感染情况,新生儿窒息情况与对照组无差异(P>0.05),围产儿合并症发生率及病死率显著低于对照组(P<0.005,P<0.05)。结论 对早产并胎膜早破患者进行综合治疗延长孕期,不增加母婴感染,有利于围产儿预后。     

胎膜早破对围产儿危害的临床208例分析

目的:探讨胎膜早破对围产儿的危害。方法:回顾分析208例头位胎膜早破与随机抽取同期头位分娩无胎膜早破300例进行对照。结果:胎膜早破难产率为30％、早产率为11％、新生儿窒息率为6.7％、产褥感染率7％,差异有显著性(P<0.05)。临产后产程进展与对照组相比,差异无显著性(P>0.05)。结论:胎膜早破是头位难产的信号,早产、新生儿窒息、产褥感染率增高,应预防并积极处理胎膜早破,一旦发生应住院治疗。     

母亲早产对婴儿的影响及预后

目的 分析研究早产有关的危险因素及早产儿发病及死亡的相关因素。方法 选取我院1995年—2000年12月间早产105例，将早产分为病理性早产(76例)，医源性早产(29例)，与同期足月产对照组110例比较。结果 孕期母亲未作产前检查、胎膜早破、妊高征、胎盘因素、多胎、胎位不正、内外科合并症等同早产有关。早产组产前检查明显低于足月妊娠组(P＜0．05)；早产儿发病率及死亡率明显高于足月儿，早产儿死亡的主要原因是呼吸系统疾患(RDS)、颅内出血、感染。结论 孕期多种因素同早产有关，早产是围产儿发病和死亡的主要原因，提高对早产的认识，倡导围生保健新模式，重视早产的临床相关因素，降低围生儿并发症及死亡率。     

未足月胎膜早破的羊膜腔感染及围产儿情况分析

目的探讨未足月胎膜早破的宫内感染情况及对围产儿的影响。方法回顾性分析76例未足月胎膜早破(PPROM)羊膜腔感染及围产儿情况,并对病原体阳性、病原体阴性二组作分析比较。结果PPROM羊水病原体培养阳性率达56.6%(43/76)。病原体阳性组均发生组织学绒毛膜羊膜炎,母血C-反应蛋白(CRP)、白细胞(WBC),围产儿窒息率、新生儿呼吸窘迫综合征(RDS)发生率明显升高。结论PPROM与感染密切相关,且直接影响围产儿的预后。母血CRP、WBC联合联合检测可提示早期宫内感染。PPROM的期待治疗重点应放在不伴感染的孕妇。     

生殖道感染与胎膜早破妊娠结局的相关性研究

目的:分析生殖道感染与胎膜早破及不良妊娠结局,三者之间相关性.方法:选取2020年 2 月至2022年 2月期间我院收治的 240 例产妇作为研究对象,所有患者按照是否胎膜早破分为研究组和对照组,各 120 例.分析两组生殖道感染和妊娠结局情况.结果:胎膜早破组感染支原体、衣原体、B 族链球菌、细菌及总阳性检出率均明显高于对照组(P＜0.05);其中未足月胎膜早破感染支原体、衣原体、B族链球菌、细菌及总阳性检出率均明显高于足月胎膜早破组(P＜0.05);研究组胎盘绒毛膜羊膜炎、产褥感染、新生儿窒息的发生率均明显高于对照组(P＜0.05);破膜时间＞24 h组的阳性率明显高于破膜时间≤24 h组(P＜0.05).结论:生殖道感染易引起胎膜早破,导致不良妊娠结局发生率增高.     

胎膜早破与解脲支原体感染的临床分析

胎膜早破是产科常见的病理现象,占分娩总数的2.7％-17％,发生在早产者为足月的2.5-3倍,使早产率升高,围产儿死亡率增加,宫内感染率及产褥感染率皆升高。导致胎膜早破的原因较多,目前认为主要与细菌、病毒及微生物感染有关,支原体感染者发生胎膜早破是正常妊娠者的8倍。为了解解脲支原体感染(ureaplasma urealyticum,UU)与胎膜早破、产褥病率及新生儿并发症之间的关系,对我院2001年1月至2002年1月入院分娩产妇随机选择180例行宫颈分泌物解脲支原体检查,对解脲支原体阳性与阴性产妇的早产率、产褥病率、及新生儿并发症等方面进行比较,现将结果报告如下。     

妊娠晚期胎膜早破对产妇分娩方式及分娩结局的影响

目的探讨妊娠晚期胎膜早破对产妇分娩方式及分娩结局的影响。方法将200例头位胎膜早破的产妇（观察组）与200例无胎膜早破的产妇（对照组）对比,观察两组早产、母亲产后感染、新生儿窒息、新生儿肺炎情况及分娩方式。结果观察组自然分娩率比对照组显著降低（P〈0.01）,而阴道手术产及剖宫产率则明显升高（P〈0.01）,两组结果比较差异有统计学差异（P〈0.01）。结论胎膜甲破与难产关系密切,胎位异常（尤其是头位的胎位异常）和阴道手术产及剖宫产率均显著增高。     

血清IL-6水平与胎膜早破合并宫内感染的关系

目的探讨血清IL-6水平与胎膜早破合并宫内感染的关系.方法选取胎膜早破孕妇46例(其中早产早破组22例,足月早破组24例),和产科门诊定期产检的正常孕妇50例为对照组(其中未足月对照组22例,足月对照组28例),用酶联免疫法测定血清IL-6含量,分娩时取部分胎盘胎膜组织送病检.结果胎膜早破孕妇组织学绒毛膜羊膜炎的发生率为52.4%(24/46).早产早破组与足月早破组血清IL-6水平相比无差异(P>0.05),但均高于对照组(P<0.05=),无论是早产早破组还是足月早破组,有组织学绒毛膜羊膜炎者血清IL-6水平均高于无组织学绒毛膜羊膜炎者及对照组(P<0.05=).结论血清IL-6水平升高可作为早期诊断胎膜早破合并宫内感染的指标.     

徐州地区334例早产儿临床分析

目的探讨我院2006年334例早产儿,分析发生的危险因素,以总结提高产科早产预防、医疗水平,并提供研究参考。方法早产组334例与同期分娩的足月对照组334例分析比较,早产的临床相关因素及对围产儿的影响。结果胎膜早破,妊娠高血压综合征,前置胎盘,臀位,多胎妊娠是早产的重要因素。早产使新生儿窒息,围生儿死亡,低体重儿增加。结论早产使围产儿窒息和死亡率增加。加强早产预测可望降低早产的发生,提高围生医学质量。     

Level of functioning of siblings and parents of probands of varying degrees of retardation

A further analysis of already published data supports the position that retardates of low ability level less frequently have retarded siblings, retarded parents, and parents low in occupational level than do retardates higher in ability level. The analysis supports the position that there are two types of retarded individuals, persons retarded as a result of gene or chromosomal anomalies, brain injury, etc., who more frequently occur in the lower-level retardate group, and persons whose retardation represents polygenic segregation, who more frequently occur in the higher-level group.     

局部注射辛伐他汀对骨质疏松大鼠股骨髁骨小梁的改建效应

背景：局部注射具有成骨作用的辛伐他汀,可显著增加骨质疏松大鼠股骨颈及股骨髁部的骨密度及力学强度,分析局部注射辛伐他汀对股骨髁骨小梁的影响。 目的：进一步研究骨质疏松大鼠股骨内局部注射辛伐他汀对股骨髁骨小梁的影响。为将辛伐他汀应用于临床骨质疏松局部治疗提供实验基础。 方法：18只雌性SD大鼠双侧卵巢切除后3个月,制备大鼠骨质疏松模型。实验大鼠随机数字表法均分为3组,分别在实验大鼠的右侧股骨髓腔内单次注射辛伐他汀溶液5 mg、10 mg,对照组单纯注射空白载体。分别在注射后1个月处死大鼠并取材。Micro-CT扫描并定量分析骨组织形态变化。 结果与结论：给药后1个月,Micro-CT扫描结果显示,辛伐他汀治疗组的骨微结构参数如骨皮质厚度、骨小梁密度及连接率明显优于对照组。说明疏松骨骼单次注射小剂量辛伐他汀可显著促进股骨髁部骨小梁改建,改善骨骼微结构,可为强化局部、防治骨质疏松骨折的新选择进一步提供实验基础。     

石斛属民族药用植物的分类及生药学研究

中药石斛早在《神农本草经》中就被列为上品,其应用历史悠久,具有养阴生津、补肾益气、润喉护嗓、活血明目、抗癌防老等功效。本文对国内外石斛属民族药用植物的分类及生药学研究进行了综述。     

膝关节骨性关节炎的关节镜治疗体会

目的我科自2001～2005年4月对59例67膝的骨性关节炎（0A），进行关节镜检查及镜下清理术。方法镜检：膝关节骨性关节炎伴不同程度滑膜炎，滑膜皱壁粘连纤维片，关节软骨不同程度破坏。镜下清除增生滑膜，松解粘连，去除剥脱软骨、修复关节面。结果随访2月～4年，平均1.5年，术后综合评估2月～1年，优良率94％；1～2年，优良率79.2％；2年以上优良率54.8％。结论关节镜对膝关节骨性关节炎诊断能提供了比较全面的资料，并对骨性关节炎早期有良好疗效，具有创伤小、恢复快、并发症少和重复治疗等优点。     

Anatomical study of distribution of valves of the cutaneous veins of adult''s limbs

Since the cutaneous veins of the four limbs have been used as autogenous grafts in the treatment of cardiovascular disorders, knowledge of distribution of the valves is increasingly required depending upon the use. In the gross anatomical study of distribution of valves of the trunci venae, there has been argument about locational relationships between the venous roots and the valves in the vicinity of the roots and the inter-valvular distance. However, there have been only few reports discussing detailed information about valves of the cutaneous veins of the four limbs. The authors observed patterns of distribution of the cutaneous venous valves of the four limbs of cadavers prepared for practice in anatomy. The following parts were excised from each cadaver: the cephalic, basilic, and the great saphenous veins, which originate from the acral venous network and flow into the proximal deep veins, and the venous roots communicating with these veins. An incision was made on each excised vein in the direction of the long axis under observation with a stereoscopic microscope, and the inter-valvular distance and the distance between the valve and the orifice of venous root in the vicinity of the valve were measured. The inter-valvular distance varied with type of the truncus venae, and it varied according to area even in the same truncus venae.     

Pathways of the realization of immunomodulating effects of neurotransmitters

Translated fromByulleten' Eksperimental'noi Biologii i Meditsiny, Vol. 115, N ^o 4, pp. 401–404, April, 1993     

Characterization of sterols of three digenetic trematodes of buffalo

Sterols of three digenetic trematodes were isolated and characterized by infrared and 1H nuclear magnetic resonance spectroscopies, and gas-liquid chromatography and gas chromatography-mass spectrometry. Sterols identified were cholesterol, cholestanol, 24-methylcholesterol, 24-methylcholestanol, 24-ethyl-22-dehydrocholesterol, 24-ethyl-22-dehydrocholestanol, 24-ethylcholesterol and 24-ethylcholestanol.     

Mechanisms of generation of slow components of bioelectric activity in diagnostics of functional state of the gastrointestinal tract

New electrophysiologic devices were used for the diagnostics of the state of excitable structures in the gastrointestinal tract and correction of their motor functions. Bioelectrical and biomechanical activities form the basis of functioning of internal organs. The mechanisms of generation of slow bioelectrical activity that are important for clinical and physiological studies are described. One of these mechanisms is a capacitance parametric transducer converting the energy of contractions into specific electric signals reflecting muscle functions. Another mechanism results from slow oscillations of resting potentials of interrelated excitable cells in large neuromuscular structures of internal organs. The elaborated procedure is efficient for preventing early postoperative paresis of the gastrointestinal tract. Translated fromByulleten' Eksperimental'noi Biologii i Meditsiny, Vol. 128, No. 10, pp. 448–452, October, 1999     

胃小弯侧血管弓的MDCT解剖

目的：研究正常胃小弯侧血管弓及其属支血管的多排螺旋CT表现。方法：回顾性分析51例正常成人的上腹部CT资料,观察胃小弯侧血管弓及其属支血管的显示情况、血管弓形态及其与胃壁的关系。结果：51例均显示胃小弯侧血管弓,血管弓贲门部属支、胃体部属支和幽门部属支分别显示46例、15例和10例;血管弓与胃壁紧邻41例。结论：MDCT检查可良好显示正常胃小弯侧血管弓及其属支血管。     

Assessment of the efficacy of treatment of hemangiomas

Assessment of the aftereffects of cryoexposure and ultrahigh-frequency cryoexposure on hemangioma tissue of various types, cavernous and squamous, showed a higher cryogenic effect in hemangiomatous tissue preexposed to ultrahigh-frequency waves. A quantitative criterion is proposed for assessing the efficacy of the studied methods of exposure. Translated fromByulleten' Eksperimental'noi Biologii i Meditsiny, Vol. 119, N ^o 6, pp. 669–672, June, 1995