妇科急腹症198例临床分析

目的明确妇科急腹症的特征，提高诊断和治疗效率。方法对松滋市人民医院和松滋市计划生育服务站2004年1月至2005年1月以下腹疼痛伴阴道出血收住院的198例患者的病历资料进行了回顾性分析。结果急腹症患者中多数为异位妊娠，黄体破裂，卵巢囊肿蒂扭转，急性盆腔炎，经血潴留等。结论根据腹痛的部位和性质，诱因及病史，结合B超检查与后穹窿穿刺可迅速作出诊断，复杂和危重患者可及时剖腹探查明确诊断，对腹痛伴发热者，应注意有无近期宫腔手术史及不洁性生活史。     

Delineating the anatomy of oncologic postradiation vesicovaginal fistulae with reconstructed computed tomography

The key diagnosis and treating of vesicovaginal fistulae is accurate imaging. We illustrate the latest use of enhanced computed tomography for such cases.     

子宫穿孔27例临床分析

目的提高子宫穿孔的防治水平。方法回顾性总结1994~2004年我院妇产科收治的27例子宫穿孔的临床资料。结果子宫穿孔是宫腔手术的常见并发症,其发生率及后果与术者的经验、操作技术是否规范,及子宫穿孔发生后能否及时发现、恰当处理有关。结论重视病史及详细的术前检查、规范操作技术,是防范子宫穿孔的关键;及时发现、恰当处理子宫穿孔,预后良好。     

乳癌术后妇科检诊的意义(附三苯氧胺使用或未使用病例分析)

在本院乳癌术后接受妇科检诊124例的结果与妇科普查(680人)相比较,发现宫颈部细胞学异常的发生率为1.2%,与普查没有差别,但使用三苯氧胺(TAM)的病人MI有右移倾向;子宫内膜细胞学异常3.5%,发生率较高;闭经病人11.4%;子宫肌瘤22.9%,服药期间没有缩小;卵巢肿大闭经前发生率23.1%,但多数可自然缩小。从以上结果以及乳癌危险因素和乳癌的转移观点看,认为乳癌术后的妇科检诊是重要的。     

Serum and ascitic fluid protein electrophoresis and immunoglobulin levels in gynecologic cancer

Serum and ascitic fluid protein electrophoresis and immunoglobulin levels were studied in 56 patients with ascites secondary to advanced gynecologic malignancy. The most significant abnormalities observed in serum protein electrophoresis were decreased protein and albumin and elevated levels of α-1-, α-2-, and β-globulins. A statistically significant correlation was found between serum and ascitic fluid protein and albumin concentration and each one of the globulin fractions. The serum concentrations of immunoglobulins G, A, and M were unchanged as compared to the normal range for healthy adults. Immunoglobulins were detected in all ascitic fluid samples tested. A tendency toward increased IgA levels in ascitic fluid was observed.     

妇科肿瘤术后尿路感染的危险因素调查分析以及防治

目的：研究妇科恶性肿瘤术后患者尿路感染的相关因素,为预防和控制尿路感染的发生提供科学依据。方法通过回顾性调查方法,对某医院妇科肿瘤患者术后尿路感染相关因素及感染病原菌进行调查与分析。结果共调查该医院妇科恶性肿瘤手术患者281例,术后发生尿路感染17例,感染率为6.05%,合并糖尿病患者,高龄患者（P＜0.01）,留置导尿管＞7d （P＜0.01）,住院时间＞15d（P＜0.01）等因素构成妇科恶性肿瘤患者术后尿路感染的主要危险因素,病原菌以大肠埃希菌为主。结论妇科肿瘤患者术后尿路感染是多因素结合作用的结果,其发生率较高,相关因素较明确,根据相关因素,预防与控制医院感染的发生。     

Simultaneous recording of the gastro-entero-pancreatic hormonal peptide response to food in man

The serum or plasma concentrations of gastrin, gastric inhibitory polypeptide (GIP), gut glucagon-like-immunoreactivity (gut GLI), secretin, vasoactive intestinal polypeptide (VIP), insulin, glucagon, and pancreatic polypeptide (PP) were recorded simultaneously following the ingestion of a normal, mixed meal in seven healthy, normal weight men. The concentrations of PP and gastrin increased within 10 min. Subsequently GIP, insulin, glucagon, and gut GLI increased in the order mentioned. The mean concentrations of secretin and VIP were not affected by the meal, although transient decreases in secretin concentrations could be detected in all subjects. The concentrations of the other hormones remained elevated for 4 hr or more. Perhaps the period of observation following food stimulation of gastroentero-pancreatic hormones should be extended.     

医学专科学校妇产科学教学改革的方向

以提高医学教育质量、培养社会所需的优秀医学人才为目标,进行医学教育模式改革和评估,是当前教育发展的重要内容。妇产科学教学的目的是培养出具有能够独立学习、研究、思考和解决问题能力的临床高素质人才,不仅应重视培养医学生的勤奋和钻研精神,更应重视培养医学生对妇产科学的浓厚兴趣、临床思维能力和熟练的临床技能操作,本文探索全新的教学模式和标准化教学评价体系。     

《傅青主女科》调经方剂组方用药挖掘分析

该文筛选《傅青主女科》中的调经门类方剂,通过SPSS,Clementine及中医传承辅助系统,结合运用GRI算法、相关分析法、层次聚类方法对筛选方剂进行用药挖掘分析,共筛选15首治疗月经病方剂,涉及中药45味.分析发现方中补血药、补气药出现频次较高;频次最高的单味药为白芍,占总处方数的9.6％;频率最高的药对为白芍-熟地,白芍-当归.关联分析结果显示,傅山在治疗月经病的方剂中关联系数达到0.05以上的药物组合有61对,从中演化得到核心组合16对.通过分析得知《傅青主女科》上卷治疗月经病方剂组方以补益中药为主,涉及肝脾肾3脏,根据气、血、寒、热、湿之变化而辨证用药,可为深入研究傅山学术思想和中医药临床治疗月经病提供一定参考.     

47例妇产科患者术后疼痛的护理体会

目的:探讨47例妇产科患者的术后疼痛护理。方法:选择妇产科进行手术的93例患者,并随机分为对照组(n=46例)和观察组(n=47例),给予对照组患者常规护理,而观察组患者除了给予常规护理外,同时给予疼痛护理,对比两组患者的疗效和护理满意度。结果:两组患者分别接受不同护理后,观察组患者总有效率93.6%,显著高于对照组总效率72.7%(x2=7.812,P=0.005);观察组患者满意度为95.7%,显著高于对照组满意度80.4%(x2=5.225,P=0.022)。结论:对患者实施疼痛护理可有效控制术后疼痛,增加患者用药依从性和安全性,提高治疗效果和护理满意度,促进术后康复。