Impact of unilateral versus bilateral laparoscopic ovarian drilling on ovarian reserve and pregnancy rate: a randomized clinical trial

Objective: To assess the impact of unilateral dose adjusted ovarian drilling (ULOD) compared to bilateral ovarian drilling (BLOD) on ovarian reserve and pregnancy rate.

Methods: This randomized clinical study included 105 patients with polycystic ovary syndrome. Patients were assigned to two groups; group 1 (n?=?52) underwent dose adjusted ULOD using 60 Joules/cm³ applied to the larger ovary, while group 2 (n?=?53) underwent BLOD with fixed doses of 1200 J. Ovulation rate, anti-Mullerian hormone (AMH), antral follicle count (AFC), and pregnancy rates were assessed at 3 and 6 months of follow-up.

Results: Ovulation and pregnancy rates at 3 months periods were comparable (p?>?0.05), but was significantly higher in BLOD at 6 months period (p?p?p?>?0.05) but became higher in the ULOD at 6-month follow-up period (p?Conclusion: Dose-adjusted ULOD applied to the larger ovary has comparable ovulation and pregnancy rates to fixed dose BLOD at 3-month follow-up periods with decrease in its effectiveness after 6 months.     

阶段性康复训练对心脏瓣膜置换术患者心脏康复的影响

目的探讨阶段性康复训练对心脏瓣膜置换术后患者心脏康复的疗效。方法选取70例心脏瓣膜置换术患者随机分为观察组和对照组各35例。对照组术后接受常规康复指导,观察组采用术后阶段性康复训练。结果观察组患者完成床上主动运动、下床活动时间、自行到洗漱间洗漱、沿病区走廊行走200米的时间均显著早于对照组;出院时,观察组6min步行距离显著长于对照组(均P0.01)。结论阶段性康复训练及护理能改善术后心脏功能,帮助患者尽快恢复身心健康,促进患者术后早日康复。     

放松训练对肺癌患者顺铂致急性及延迟性恶心呕吐的影响

目的探讨渐进性肌肉放松训练对肺癌患者顺铂所致急性和延迟性恶心呕吐的干预效果。方法将72例肺癌顺铂化疗患者按时间段分为对照组和干预组各36例,两组均按常规治疗护理,干预组增加渐进性肌肉放松训练,连续7d后评价效果。结果急性期两组呕吐频次、恶心程度差异无统计学意义(均P0.05),呕吐例次干预组显著少于对照组(P0.01);延迟期干预组呕吐频次、恶心程度、呕吐例次显著少于对照组(均P0.01)。结论渐进性肌肉放松训练可有效降低顺铂所致的延迟期呕吐频次及恶心程度,对急性期恶心呕吐的缓解作用较弱。