导致第二产程延长的原因及其处理的探讨

本文对３８９例第二产程延长者进行分析，探讨其病因及对胎儿的影响。结果显示，导致第二产程延长的主要原因是胎位异常，其次是宫缩乏力；第二产程延长者胎儿窘迫，低Ａｐｇａｏ评分的发生率明显高于正常分娩组（Ｐ＜０．０１）；第二产程延长者一旦出现胎儿窘迫，不论是阴道助产还是剖宫产胎儿预后均不良。本文认为在观察产程过程中，应尽早的发现导致产程延长的原因，尽早的处理，缩短产程，可改善胎儿预后。     

足月妊娠引产方法的研究

目的：研究足月妊娠引产方法。方法：对1999年11月至2000年11月应用低位小水囊引产162例进行研究分析。结果：有效率100％，其中潜伏期＜6h90例（55．56％）；69h48例（29．63％）；912h12例（7．41％），1215h12例（7．41％）。结论：低位小水囊配合人工破膜、静脉滴注催产素的引产方法简单、安全、可靠、经济，值得推广。     

Premature labour.

Intravenously administered salbutamol inhibited premature labour for at least 48 hours in 49 of 76 patients (64%), but was more effective (89%) when the cervical dilatation was less than 2 cm, and no apparent cause for the premature labour was evident. Even when premature labour complicated multiple pregnancy, hydramnios, or followed a small antepartum haemorrhage, suppression of labour could often be achieved for at least 48 hours, thus following the administration of betamethasone or the transfer of the patient to a hospital with intensive care facilities for both mother and child. Treatment with betamethasone, in addition to salbutamol, was associated with a less severe form of respiratory distress syndrome, and did not increase the risk of maternal or fetal infection, except in patients with cervical incompetence when 46.2% of such patients were infected.     

Graphic monitoring of labour.

The parturograph is a composite record designed for the monitoring of fetal and maternal well-being and the progress of labour. It permits the early recognition of abnormalities and pinpoints the patients who would benefit most from intervention. Observations are made from the time of admission of the mother to the caseroom and recorded graphically. Factors assessed include fetal heart rate, maternal vital signs and urine, cervical dilatation, descent of the presenting fetal part, and frequency, duration and intensity of uterine contractions.     

长程惊厥发作后神经元死亡的动态研究

目的:探讨成熟期大脑惊厥后脑损伤的发生发展规律、及其与血清特异性烯醇化酶()变化的相关性。NSE方法:采用美解眠全身注射在只成年鼠中,建立惊厥大发作模型(惊厥持续时间～)。分别于惊厥发作停止后30Wistar1520min、、、、和天各处死只动物,采用和硫堇染色,光及电镜观察海马及皮层神经元病变。同时使用法测412244872h75HEELISA定血清浓度变化。NSE结果:()长程惊厥发作后,将出现选择性海马神经原损伤。惊厥发作后内,即有明显神经元死亡14h过程发生。坏死细胞数于惊厥后～达高峰(2448h180±个),是对照组(3838±个)的倍。()严重惊厥发作后,实验6524h动物血清浓度开始增高,于惊厥后～达高峰(NSE2448h5.13±),明显高于惊厥前水平(0.77nmol/L3.53±)。0.87nmol/L结论:长程惊厥发作后,对成熟期大脑能产生以海马为主的选择性脑损伤,血清的变化与其神经元死亡的发生发展规律一NSE致。血清可能作为临床检测脑损伤的有效指标。NSE     

A study of five year old children born after elective induction of labour

A controlled retrospective study of some short-term and long-term effects of elective induction of labour was conducted. There did not appear to be any increase in the incidence of maternal complications during labour, or of neonatal problems in the induced-labour group compared with the remainder of the mothers in the hospital. In the follow-up phase of the study, two treatment groups of children who were delivered after amniotomy and amniotomy plus the administration of oxytocin were compared with each other, and with a control group of children born after spontaneous labour. The children were assessed at the age of five years on verbal and non-verbal subtests of a standardized intelligence scale, tests of gross motor and fine motor coordination, and auditory and visual tests. A full physical examination was also performed. No statistically significant differences nor trends of clinical interest were found between the groups on any measure.     

546例劳教人员的人格特征研究

目的　探讨劳教人员的人格特征,并对类型间、劳教前职业间、高低智力间、年龄组间等差异等进行了比较研究。方法　采用卡特尔１６ 种人格因素量表,并结合心理矫治过程进行分析研究。结果　劳教人员的乐群性、兴奋性、敢为性、忧虑性、紧张性等因素的均分高于常模水平,而聪慧性、稳定性、有恒性、幻想性、自主性、自律性等因素均分低于常模水平;劳教人员的劳教前职业、年龄、高低智力、罪错类型间存在有一定的人格因素差异,但不以差异为主。结论　劳教人员的人格特征有其特异性,是其违法犯罪的主观因素