七年制妇产科临床教学思考

为了提高七年制妇产科临床教学质量，新桥医院妇产科教研室进行了一系列教学改革。在尝试“以病例为先导，以问题为基础”的教学方法，大量使用多媒体课件等先进教学手段的同时，加强双语教学，以培养和提高医学生的综合素质为目标，并借此建立全新的教学模式。     

Characteristics of women using a mental health clinic in a gynecologic out-patient setting

A special mental health clinic was set up in the gynecologic out-patient setting of a medical center. The present study examined the demographic and clinical characteristics of patients seen at the clinic and evaluated the need for mental health services in a gynecologic setting. Participants were 136 consecutive patients who visited the clinic during a 6 month period. Their ages ranged from 20 to 74 years, with a mean age of 41.5 +/- 12.3 years. Twenty-three percent of women were referred by gynecologists. All subjects were interviewed by experienced psychiatrists using the structured Mini-International Neuropsychiatric Interview (MINI), supplemented by the DSM-IV criteria for premenstrual dysphoric disorder (PMDD) and other diagnoses. The most common diagnosis was major depressive disorder (36.0%), followed by generalized anxiety disorder (29.4%), PMDD (16.2%), dysthymic disorder (14.7%) and others. Patients were categorized into four major diagnostic categories: depressive disorders, anxiety disorders, PMDD and others. No significant differences were found in years of education, employment status, living situations or referral pattern among the four major diagnostic groups. Most patients with anxiety disorders were married. Our results suggest that the gynecologic department may be a good setting to help women with mental disorders.     

PBL在妇产科见习中的应用

在2002级临床专业见习生中尝试应用“以问题为基础的教学法”（PBL）.结果表明,PBL能很好地以见习生为中心,激发见习生的浓厚兴趣,提高见习生的综合分析、自主思维、自学创新能力,学会良好的理论联系实际的学习方法,对培养见习生的综合素质,深化教学改革,全面提高见习教学质量有着重要意义.     

医学研究生培养模式的思考

我院中医妇科根据21世纪对中医学研究生的要求,提出以目标管理与动态管理对研究生进行培养,并建立了一套管理方案,通过素质教育,临床、科研及教学能力的培养,以及与人交流、计算机应用、英语水平的培养,以期为我国培养出复合型、外向型、实用型、创新型、高层次的新一代高级中医学人才,为提高我国的医学发展水平做出贡献。     

提高临床医学研究生培养质量的探讨

为提高妇产科专业学位研究生临床技能,我院借助教育技术手段总结了2005~2007年妇产科专业学位研究生的临床能力考核结果,分析了存在的问题,并提出合理化建议。     

在妇科门诊进行精神障碍筛查的初步研究

目的探讨在妇科门诊进行精神障碍筛查的必要性。方法连续对妇科门诊1702名就诊者进行问卷调查,筛查工具采用《问题导向的患者报告》。包括重性抑郁发作、心境恶劣、广泛焦虑、强迫障碍和精神病性障碍5个分量表及Sheehan功能障碍尺。结果有效问卷为1626份,脱落率为4.5%。1626例中431例患者筛查阳性,占26.51%。在1626例中重性抑郁发作49例,占3.01%;亚临床重性抑郁发作130例,占8.00%;心境恶劣230例,占14.15%;广泛焦虑155例,占9.53%。常见的精神症状包括记忆力减退(36.5%)、乏力(28.2%)、注意力不集中(24.4%)等。结论妇科门诊患者中精神卫生问题突出,在妇科门诊进行精神障碍的筛查是十分必要的。     

腹腔镜手术治疗妇科疾病85例的体会

目的 探讨腹腔镜在妇科手术方面的临床应用价值.方法 回顾分析2006年6月～2007年6月腹腔镜诊治妇科疾病85例的临床资料.结果 85例腹腔镜妇科手术均顺利完成,无严重术中及术后并发症.结论 妇科腹腔镜手术具有恢复快、住院时间短、创伤小等优点,掌握好适应证,腹腔镜手术能完全有效地应用于大部分妇科疾病.     

Bleeding Disorders in Adolescents with Heavy Menstrual Bleeding: The Queensland Statewide Paediatric and Adolescent Gynaecology Service

Study Objective

Heavy menstrual bleeding (HMB) is a common gynecological complaint among young women with up to 40% having experienced HMB. Bleeding disorders are increasingly being recognized in adolescents and young adults with HMB. The aim of this study was to determine the prevalence of bleeding disorders in adolescents with HMB, among patients who presented to the Queensland Statewide Paediatric and Adolescent Gynaecology Service between July 2007 and July 2017.

Hormonal changes in premenstrual syndrome

The etiology of premenstrual syndrome (PMS) is unknown. Presently there is little or no data to show that cyclic hormonal changes cause PMS or that patients with PMS have different hormonal patterns from those without. Routine measurements of peripheral luteal phase levels of prolactin, thyroxine (T₄), thyroid-stimulating hormone (TSH), and dehydroepiandrosterone sulfate (DHEAS) in patients with PMS are presented. These tests proved not useful in diagnosis. Routine use of costly peripheral hormonal measurements in patients with premenstrual complaints is not indicated at the present time.