阴道检查代替肛门检查监测产程的临床观察

传统的观察产程进展的方法常是肛门检查（以下简称肛查），但是肛查时产妇疼痛便意感明显，并且常不能正确地判断产程进展状况。为此，2004年5月-2005年5月，我们对385例分娩孕妇采用杭州民生药业集团有限公司生产的5％聚维酮碘溶液消毒后进行阴道检查（以下简称阴查），代替传统的肛门检查来了解产程进展，并探讨产程中常规采用阴查是否增加母儿感染。与356例肛查观察产程者进行对比分析，以确定阴道检查监测产程的可行性，尤其是妊娠合并细菌性阴道病（BV）产妇的母儿感染情况，现报道如下。

Clinical observation on the effect of different pharmacotherapy after lacrimal passage plastic laser operation

Objective To investigate the effect of different pharmacotherapy after lacrimal passage plastic laser operation. Methods Divided 90 patients (103 eyes) with nasolacrimal duct obstruction into group A (33 eyes), group B (36 eyes) and group C (34 eyes) randomly, each group consisted of 30 cases. Tetracycline cortisone ophthalmic ointment (TCO) was used to perfuse lacrimal duct in the end of the operation in group A, while TDO was used in group B and group C. In the first three postoperative irrigation, TDO was used only in group C, there are no no ointment during the course of irrigation in the other two groups. Followed-up survey for 3 months, evaluated the efficacy of the treatment in 3 groups. Results The therapeutic efficacy was significant better in group B than in group A (P<0.05), and that of in group C was better than group B(P<0.05). Conclusion TDO is superior to TCO in the treatment of lacrimal duct obstruction. The perfusion of lacrimal duct with ophthalmic ointment after irrigation plays an important role on improving the efficacy of lacrimal passage plastic laser operation.