目的:探讨生姜对妊娠早期轻、中度恶心呕吐患者症状改善及生活质量的影响.方法:将伴有轻中度恶心呕吐症状但拒绝服用药物治疗的98例单胎早孕妇女根据其意愿分为观察组和对照组,对照组进行饮食及生活指导,观察组除进行饮食及生活指导外,每天加服醋姜或蜜饯姜,对治疗前后观察组和对照组的PUQE指数和NVPQOL进行评分比较.结果:治疗后观察组PUQE指数和NVPQOL评分均明显优于对照组(P<0.05).结论:相比于单纯饮食及生活方式的改变,加用生姜治疗更能有效的改善妊娠早期轻中度恶心呕吐症状,有利于患者生活质量的提高

目的:探究分析中-重度稳定期慢性阻塞性肺疾病老年患者应用布地奈德福莫特罗气雾剂的最佳治疗剂量.方法:2020年3月至2021年3月,选取50例中-重度稳定期慢性阻塞性肺疾病老年患者为临床研究对象,依循随机双盲法分组,对照组及观察组各有患者25例与25例.两组患者均采用布地奈德福莫特罗气雾剂雾化吸入治疗,其中对照组25例患者应用常规剂量,观察组25例患者应用高剂量.获取两组的肺功能指标、血气分析指标及用药不良反应,并采用统计学比较.结果:用药前,观察组及对照组的肺功能指标、血气分析指标比较,数值显示(P>0

目的 探讨无创呼吸机治疗慢性阻塞性肺疾病(COPD)合并Ⅱ型呼吸衰竭的疗效.方法 选取300例COPD并Ⅱ型呼吸衰竭患者作为研究对象,按随机数字表法分为观察组和对照组,每组150例.对照组采用常规治疗,观察组在对照组治疗的基础上配合无创呼吸机治疗.比较2组患者治疗前后动脉血气(PaCO2、PaO2和PaO2/FiO2)和肺功能(FEV1、FEV1/FVC和FEV1)改善情况.结果 与治疗前相比,治疗后2组患者的PaCO2值降低,PaO2和PaO2/FiO2值均升高(均P<0.05);治疗后观察组患者的PaCO2值明显低于对照组,PaO2和PaO2/FiO2值均明显高于对照组(均P<0.01).治疗后,2组患者FEV1、FEV1/FVC和FEV1值均较治疗前提高(均P<0.05),但观察组患者的各项值明显高于对照组(均P<0.01).结论 常规治疗配合无创呼吸机治疗COPD合并Ⅱ型呼吸衰竭能有效改善患者的肺功能和动脉血气分析指标.

OBJECTIVE:To study the efficacy of intravenous thymosin injection in treatment of AECOPD and effects on T lymphocyte subsets.METHODS:300 cases of AECOPD patients admitted to Xinyu People’s Hospital from Jan.2014 Mar. 2016 were selected to be divided into observation group and control group via the random number table , with 150 cases in each.The control group were given the conventional treatment , while the observation group were treated with intravenous thymosin injection.The efficacy and changes of T lymphocyte subsets of two groups were compared before and after treatment.RESULTS:The total effective rate of observation group was 96.67%(145/150), significantly higher than that of control group[86.00%(129/150)], with statistically significant difference (P<0.05).After treatment, the blood oxygen partial pressure(PaO2), carbon dioxide partial pressure(PaCO2), 1 s forced expiratory volume(FEV1) and FEV1/forced vital capacity (FVC) of observation group were significantly better than those of control group , and CD3+, CD4 +, CD8 +, CD4 +/CD8 +levels were significantly higher than those of control group , with statistically significant difference(P<0.05). CONCLUSIONS:Intravenous injection of thymosin can improve the lung function in patients with acute exacerbation of immune period of COPD and improve the therapeutic effects .

Objective To investigate the application of ring clamp in abdominal tubal ligation. Methods A total of 83 women undergoing voluntary abdominal tubal ligation were randomly divided into two groups. In observation group(n=42),the ring clamp was placed into uterine cavity by circulati-ng nurse to adjust the position of the uterus after the anterior lip of cervix was fixated with vaginal cervical clamp. In control group(n=41), the anterior uterus was restored with index finger and no ring clamp was used in operation. The operative time, success rate and complications were compared between the two groups. Results The operative success rate was 97.62% in observation group and 80.49%in control group(P<0.05).The operative time was(5.0±2.5) minutes in observation group and(12.0± 6.5) minutes in control group. The pelvic operation time was (16.5±5.5) minutes in observation group and(23.0±8.5)minutes in control group. There were significant differences in these parameters between the two groups(P<0.001). However, no significant difference in the incidence of operative complications was found between observation group and control group (2.38% vs 7.32%, P>0.05).Conclusion The application of ring clamp in abdominal tubal ligation can shorten operation time, relieve intraoperative pain and improve operative success rate, but can not reduce operative complications.

调阅2006年1月～2008年12月在我区计生服务站置入吉妮式宫内节育器或T型含铜宫内节育器妇女的临床资料，并对其进行随访，统计其避孕成功率、因故取环率、不良反应和并发症的发生率，以评价两种宫内节育器的远期疗效。结果A组患者避孕成功率明显优于B组，其差异有统计学意义（χ2=25.85，P＜0.01）；A组妇女因不良反应取环率为4.18%，明显低于B组的17.64%，其差异有统计学意义（χ2=20.09，P＜0.05）；A组妇女总体不良反应发生率为16.56%，低于B组的26.99%，其差异有统计学意义（P＜0.05）。应用含吉妮式宫内节育器的妇女避孕有效率更高，并发症发生率更低，因并发症取环的患者更少，提示吉妮式宫内节育器具有更好的临床疗效。

Objective To investigate the efficacy of methyl testosterone treatment in shortening the duration of vaginal bleeding after medical abortion.Methods 75 cases of gravida whose pregnancy within 49 days were randomly divided into observation group and control group.Methyl testosterone was added after Embryo sac discharge in observation group.And motherwort medicine was added after Embryo sac discharge in control group.To observe whether there was a dominant difference duration of vaginal bleeding between observation group and control group,to analysis the efficacy of methyl testosterone treatment in shortening the duration of vaginal bleeding after medical abortion.Results Complete abortion rate was 95.24% in observation group,complete abortion rate was 90.91% in control group,there was no significant difference(P>0.05).But the average duration of vaginal bleeding in the observation group was significantly gelower than the avera duration of vaginal bleeding in the control group.There was a significant difference(P<0.05).Conclusion Methyl testosterone can shorten the time of vaginal bleeding after medical abortion.

目的分析徒手旋转胎头在头位难产中的应用。方法对100例持续性枕后位及枕横位产妇施行经阴道徒手旋转胎头。结果 100例胎头位置异常经徒手旋转成功经阴道分娩78例,成功率78%。观察组与对照组产后出血、产后病率、总产程比较差异有显著意义(P<0.05)。结论徒手旋转胎头是一种简单、方便、安全、有效的纠正头位难产的措施,可缩短产程,减少产妇痛苦,降低剖宫产率。

1 病例报告 例1,24岁,停经1月余B超确诊"宫内早孕双胎",孕5月余B超示"宫内双胎,一胎为死胎".孕期顺利,无定期产检,于2005年5月11日因孕40周于我院顺产一外观无畸形、发育良好之女婴,产时产后出血250 ml,胎盘胎膜自娩完整,产后检查胎盘:二个胎盘无明显分界,胎盘间未见动静脉吻合支,为单绒毛膜、双羊膜囊.其中活胎羊膜囊内仅见增厚退化的胎盘痕迹,见一灰白色、扁平状、身长15cm、重100g之纸样胎儿,且见脐带扭转数十圈并绕颈1周,脐带长30cm.

1 病历报告 患儿,女,年龄3岁3个月,因不规则阴道流血伴双乳房增大2年多,于2001年6月26日入院.患儿出生时一般情况良好,约6个月时出现阴道少量点滴状出血,3d后自行停止.