Pregnancy-induced hypertension is an independent risk factor for meconium aspiration syndrome: A retrospective population based cohort study

ObjectiveMeconium aspiration syndrome (MAS), possibly resulting from fetal hypoxia, is a respiratory distress disorder in the infant. Pregnancy-induced hypertension (PIH) can cause placental dysfunction and lead to fetal hypoxia, which may induce the development of MAS. Therefore, the aim of this study was to determine the association between PIH and MAS and to identify the predictive risk factors.Materials and methodsThis was a retrospective cohort study. We selected patients with newly diagnosed PIH and a matched cohort group from the Taiwan National Health Insurance Research Database (NHIRD), from January 1, 2000 till December 31, 2013. For each patient in the PIH cohort, 4 subjects without PIH, matched for age and year of delivery, were randomly selected as the comparison cohort. The incidence of meconium aspiration syndrome was assessed in both groups.ResultsAmong the 23.3 million individuals registered in the NHIRD, 29,013 patients with PIH and 116,052 matched controls were identified. Patients who experienced PIH had a higher incidence of MAS than did those without PIH. According to a multivariate analysis, PIH (odds ratio [OR] = 1.70, 95% confidence interval [CI] = 1.49–1.93, p < 0.0001) was independently associated with increased risk of MAS. Additionally, age ≥30 years (OR = 1.26, 95% CI = 1.12–1.42, p = 0.0001), nulliparity (OR = 1.13, 95% CI = 1.01–1.27, p = 0.0367) and patients with diabetes mellitus (OR = 3.09, 95% CI = 1.35–7.09, p = 0.0078) were also independent risk factors of MAS.ConclusionPatients with PIH obtained higher subsequent risk for the development of MAS than those without PIH. Besides, age ≥30 years, nulliparity and patients with diabetes mellitus are the independent risk factors of developing MAS.     

Uterine Inversion as a Result of a Large Prolapsed Carcinosarcoma of the Uterus

BackgroundUterine inversion is most commonly seen in labour and delivery. However, it can be associated with uterine tumours, including gynaecologic malignancy.CaseIn a 66-year-old woman, uterine inversion identified at laparotomy that was found to be associated with uterine carcinosarcoma (malignant mixed mesodermal tumour) represents an unusual presentation. Surgical approach necessitated a vertical hysterotomy to amputate and deliver the uterine tumour.ConclusionUterine inversion in gynaecologic oncology may be associated with sarcoma or malignant mixed mesodermal tumour. This can represent a diagnostic and surgical challenge and should be considered.     

关于妇产科护理技术的研究

目的探讨妇产科护理技术并对其进行分析和研究。方法研究产前诊断技术及护理,对不同病症的产妇进行不同的护理技术以及对产妇的心理护理的研究。结果有效的措施明显减少了妇产科产妇的不良心理因素,提高对于出现不同症状的产妇的处理效率。结论妇产科产妇的心理护理是十分必要的,同时还需要极强各方面的护理技术。     

女性尘肺合并结核性胸膜炎患者妇科健康状况调查

目的 了解女性尘肺合并结核性胸膜炎患者的妇科健康状况.方法 分别对51例女性尘肺合并结核性胸膜炎患者(以下简称尘肺组)和51例参加健康检查的女性机关干部(对照组)进行妇科检查和超声检查.结果 尘肺组妇科疾病患病率为70.59％,其中,宫颈炎患病率为33.33％,盆腔炎症患病率为21.57％,均高于对照组,2组比较,差异均有统计学意义(P＜0.05).但妇科疾病患病率并不随着工龄的增加而增加.结论 尘肺组生殖系统健康状况较对照组差.     

2050例剖宫产术后预防医院感染分析

目的探讨预防剖宫产术后医院感染的方法。方法对施行剖宫产的2050例产妇进行医院感染调查分析。结果2050例剖宫产术产妇中,发生医院感染病例70例次,医院感染率3.41%。手术切口甲级愈合率为94.44%。结论加强剖宫产术医院感染治理,对保证术后效果以及预防医院感染极为重要。     

泽泻炮制及副作用

泽泻性寒,味甘、淡,归肾、膀胱经,具有利水渗湿、泄热之功效。古代泽泻经盐炒、麸炒、土炒等炮制后,水溶性煎生物较生品均有不同程度增加,尤以盐制品为高,利于有效成分煎出。现代炮制主要包括生泽泻、清炒泽泻、麸炒泽泻、土炒泽泻及盐炙泽泻等,最常用为麸炒泽泻和盐泽泻,泽泻生品以利水渗湿为主,麸炒泽泻以渗湿和脾、降浊生清为主,盐炙泽泻引药下行,增强滋阴泻热及利尿作用。泽泻无明显副作用,少数出现轻度食减退、嘈杂、肠鸣、腹泻等胃肠反应。     

Scientific publications in obstetrics and gynecology journals from China, 2000–2009

Objective

To analyze the output of scientific publications in obstetrics and gynecology journals from 3 principal regions of China: mainland China, Taiwan, and Hong Kong.

Methods

Information on article numbers, impact factors, citation reports, and publication in high-impact obstetrics and gynecology journals by Chinese authors between January 1, 2000, and December 31, 2009, was extracted from PubMed and WoS databases. Comparisons of quantity and quality were done by Kruskal–Wallis and rank-sum tests.

Results

There were 3044 articles from mainland China (n = 1042), Taiwan (n = 1304), and Hong Kong (n = 698). The cumulative impact factors and citations of articles from Taiwan were highest among the 3 regions. In terms of average impact factor and number of citations per article, Hong Kong exceeded mainland China and Taiwan. Fertility and Sterility, Human Reproduction and Gynecologic Oncology were among the most popular obstetrics and gynecology journals used by authors in the 3 regions.

Conclusion

The annual number of articles published in obstetrics and gynecology journals from the 3 regions of China increased during the past decade, especially for mainland China. However, the quality of articles from mainland China arouses attention because the average citation of articles from Hong Kong and Taiwan was higher than that of articles from the mainland.     

龙江韩氏妇科治疗不孕症经验

龙江韩氏妇科认为导致不孕症的因素为肾虚、肝郁、炎症和免疫反应.针对以上病因分别自拟了百灵育阴汤、渗湿汤、百灵调肝汤、韩氏妇炎汤、消抗灵1号分别治疗,均取得显著疗效.