Objectives:To analyze the correlation of cognitive state of sexual activity with health education and education level for primiparae.Methods:183 primiparae treated from January 2012 to April 2016 in our obstetrical department were selected.Through questionnaire,their general data,cognition of sexual activity and health education was investigated to analyze their cognitive state of sexual activity,awareness rate and demand rate on the health education.Results:74.9％ of primiparae thought the sexual activity was available during the pregnancy.The awareness rate of matters needing attention,common problems and countermeasures was below 50％.With the higher education level,the awareness rate increased (P ＜ 0.05).The health education demand rate on "the influence of sexual activity on infant and moms" was 79.8％ (146/183);the demand rate on the "matters needing attentions concerning sexual activity" was 50.8％ (93/183);the demand rate on the "common problems and countermeasures" was 56.3％ (103/183).The demand rate of health education had a positive correlation with patients' education level,i.e.the higher the education level was,the higher the demand rate was (P ＜ 0.05).Conclusion:The majority of primiparae hold a scientific attitude towards sexual activity during the pregnancy;however,there is a high demand for the knowledge of common problems and contermeasures.

目的探讨异位妊娠患者腹腔镜治疗后妊娠前再次腹腔镜探查在预防重复异位妊娠中的作用。方法对126例输卵管妊娠患者腹腔镜治疗后的生殖状况进行回顾性分析,按1∶2配比分为观察组42例和对照组84例。2组均行腹腔镜下保留患侧输卵管手术,观察组于术后计划妊娠前采用腹腔镜探查(评估病情,必要时行黏连松解或/和输卵管修复整形术),对照组术后仅行抗感染等治疗。结果观察组宫内妊娠率为64.3%,高于对照组的36.9%,重复异位妊娠率为7.1%,低于对照组的21.4%,差异均有统计学意义(P<0.05)。观察组不孕率为28.6%,低于对照组的41.7%,但差异无统计学意义(P>0.05)。结论首次异位妊娠的患者,妊娠前再次腹腔镜盆腔探查或治疗可降低重复异位妊娠的发生率。

To satisfy the training demand of graduate students,contain new calculation method and afford calculation ability of students,research and reform is carried on numerical analysis based on the present situation and problem analysis of numerical analysis about graduate students.Good teaching effect is obtained.

Objective:To study whether maternal serum C-reactive protein(CRP) and interleukin-6(IL-6) can predict the early chorioamnionitis(CMA) in patients with preterm premature rupture of membranes(PPROM).Methods:Amniotic fluid(AF) retrieved from women with PPROM was cultured for aerobic and anaerobic bacteria and analyzed for anti-cytomegalovirus IgM,anti-chlamydia trachomatis IgM and ureaplasma urealyticum.Maternal blood was collected for determination of CRP and IL-6.Results:①The level of maternal serum CRP and IL-6 determination raised signficantly in the detection of positive AF pathogen(P<0.05).②Maternal serum CRP≥0.15 g/L and IL-6≥6.12×10-8 g/L could be used to diagnose early CMA.Conclusion:The maternal serum CRP and IL-6 determination can be used for the prediction of early CMA conveniently.

直肠子宫内膜异位症(rectal endometriosis,RE)是指具有生长活力的子宫内膜累及直肠壁,在直肠壁内非癌性生长,受卵巢激素周期性影响,产生肛门坠胀、里急后重、经期便血等临床症状的疾病[1].临床上常有因RE误诊为直肠癌而行根治性切除术的报道[2,3].我院1994-2004年共收治了13例RE,均经手术后病理证实.现报告如下.

<正>在市场经济发展的今天,快餐业的竞争也日渐激烈,于是快餐店经营者希望采取的策略有一个定性、定量的分析。某些快餐店公宣布:若顾客等待超过一定时间,那么可以免费享受所订的快餐。经营者希望对于此策略的利弊有一个定量的分析,本文在最佳服务时间模型的基础上给出解决这个问题的一种方法

Objective To study the relationship between C-reactive protein(CRP) of maternal serum, interleukin-6(IL-6) and chorioamnionitis (CMA) in patients with preterm premature rupture of the membranes(PPROM). Methods Maternal blood was collected for determination of CRP and IL-6, and plancents were checked pathologically when women with PPROM(PPROM group) and normal pregnant woman(control group) ended their pregnancy. Results ①The incidence of CMA in PPROM group was 100%, but maternal serum CRP and IL-6 determination raised significantly in the detection of positive AF pathogen(P<0.05). ②Maternal serum CRP 0.15g/L and IL-6 6.12×10-8g/L can be used to diagnosed early CMA. Conclusion The maternal serum CRP and IL-6 determination can be used as the prediction of early CMA conveniently.

当今,世界经济发展一个明显的趋势,就是科学技术发展日新月异,科技在经济发展中的作用越来越大,科技创新成为经济发展的主导力量.这一趋势主要表现在:科学技术成果的高速增长,产品科技含量高密化;科技新成果从发现、发明到实际应用的周期越来越短,开发速度加快;科技创新与生产密切结合高新技术产业在整个经济中比重不断增加.

目的观察循证分娩孕妇的优质接生率、产程、产后出血及新生儿Apgar评分情况.方法将循证分娩的668例产妇与全程陪护分娩689例产妇的优质接生率、产程、产后出血量及新生儿Apgar评分进行比较.结果循证分娩的产妇优质接生率提高,产程缩短,产后出血减少,剖宫产新生儿Apgar评分高.结论循证分娩优于全程陪护分娩.

目的:观察中药保留灌肠与VLD盆腔炎治疗仪治疗慢性盆腔炎的临床疗效.方法:采用中药(元胡、川芎、三棱、黄柏、没药、乳香、赤芍、乌梅、地丁草、败酱草、半枝莲、蛇床子、甘草)灌肠配合VLD盆腔炎治疗仪治疗慢性盆腔炎56例.结果:痊愈率85.7%,全部有效.提示:本方法对慢性盆腔炎有协同的消炎、止痛、解痉的功效.

目的:探讨中西医结合保守治疗输卵管妊娠的有效途径.方法:采用宫腔镜直视下输卵管插管一次性注射甲氨蝶呤(MTX)40mg,同时配合中药异位妊娠方剂内服治疗早期输卵管妊娠.结果:实验组较对照组血β-HCG下降快、转阴时间短,差异具显著性(P＜0.05);成功率差异无显著性.结论:宫腔镜直视下输卵管内注药配合中药异位妊娠方剂治疗早期输卵管妊娠,副反应少、成功率高、治疗时间短,方法可行,值得推广.

目的:探索中西医结合治疗榆卵管阻塞性不孕的疗效.方法:中药组采用内服方(当归、川芎、赤芍、丹参、皂刺、蒲公英等)口服及中药灌肠(当归、川芎、莪术、乳香、枳壳等);中西医结合组除中药治疗外,并行宫腔镜下输卵管疏通术治疗.结果:中药组总有效率为63%,中西医结合组总有效率89%,P＜0.05.提示:中西医结合治疗本病可以较大的提高榆卵管通畅率及妊娠率.

对桂枝的临床应用,历代医家均有深刻的研究和精辟的论述,近代药理也研究证实;桂枝有明显的镇痛、解痉、解热、平喘、抗过敏等作用.临床治疗风寒表症,风湿痹痛,胸痹痰饮,经闭症瘕,小便不利,黄疸,湿阻,胁痛等常获奇效,补中作用亦勿庸置疑.临床切勿以其平谈而忽之.

出生缺陷是指胚胎发育紊乱引起的形态、结构、功能、代谢、精神及行为等方面的异常.近30年婴儿死亡中出生缺陷所占比例相对增多,一些发达国家已居首位.目前我国每年出生的缺陷儿约30万,除去1岁内死亡患儿,每年仍有20余万名缺陷儿[1],因此,减少出生缺陷非常必要,1995年1月～2003年9月在我院出生的缺陷儿26例,现将其临床资料报告如下.

在围产医学中准确预测胎儿体重(FW)有重要意义,超声及计算机在产科的普及应用,使FW预测的准确性得以提高.为探讨简便而较准确的预测FW的方法,我们测量了1 000例足月胎儿腹围(AC)、小脑横径(TCD)、双顶径(BPD)、股骨长度(FL),同时临床测量孕妇的腹围(PAC)、宫高(FUH),建立胎儿体重预测模型,并研制了预测软件包,使预测计算简单易行,报告如下.

子宫内膜异位症(下称内异症),好发于盆腔脏器和腹膜,发病率呈逐年上升趋势.盆腔外特殊部位的内异症不常见.1987至1995年我院收治了4例特殊部位的内异症,现报道如下.

为研究用计算机多指标预测胎儿体重(PW)的可行性,应用B超测量1 000例胎儿的腹围(AC)、小脑横径(TCD)、双顶径(BPD)及股骨长度(FL),同时临床测量孕妇的腹围(PAC)、官高(FUH),建立胎儿体重预测模型,用AHP法计算出各层、各因素的权值,结合评价集合形成U×V表,将待评资料逐级变换后,得出综合评判数学模型,用C语言和数据库混合编程.经1 000例临床验证,符合率达91.5%,相对误差＜10%者占92.5%.说明计算机多指标预测胎儿体重准确率高,有较好的临床实用价值.

脊髓损伤后膀胱功能重建,可恢复膀胱功能的正常容量,增加膀胱的顺应性,以减少输尿管返流,保护上泌尿道,减少尿失禁,恢复膀胱的可控性排尿.我院收治1例脊髓损伤(spinal cord injury,SCl)痉挛性膀胱尿失禁患者,行膀胱功能重建术,现报告如下.

阴道斜隔是指双子宫、双宫颈、双阴道、一侧阴道完全或不完全闭锁的先天性畸形,多伴有闭锁阴道侧的肾缺如,是一种少见的畸形,本文报告5例均合并泌尿系统畸形.