Objective To analysis the hysteroscopy results of 2 123 female infertility patients in northern Shandong. Methods Retrospective analysis was performed on the case data of 2 123 female infertility patients in northern Shandong who underwent hysteroscopy in the Department of Reproductive Medicine of our hospital from January 2015 to December 2021 due to infertility (1 426 cases), adverse pregnancy history (448 cases), history of pregnancy failure assisted by IUI (61 cases) and history of pregnancy failure assisted by IVF (188 cases). The hysteroscopy results of patients with different types of infertility, age group, number of adverse pregnancies, and number of failed pregnancies assisted by IUI/IVF were compared. Results Among 1426 patients undergoing hysteroscopy due to infertility, 686 had abnormal results, with an abnormal rate of 48.11％. There were 428 cases of primary infertility, and 240 cases were abnormal, with an abnormal rate of 56.07％. There were 998 cases of secondary infertility, and 446 cases were abnormal, the abnormal rate was 44.69％ (P ＜0.05). The incidence of endometrial polyp, chronic endometritis and abnormal uterine development in primary infertility group was 21.73％, 21.73％ and 3.97％, respectively, which were higher than those in secondary infertility group (P ＜0.05). The incidence of intrauterine adhesions in secondary infertility group was 9.92％ higher than that in primary infertility group (P＜0.05). With the increase of age, the overall abnormal rate showed a downward trend (P＞0.05), and the abnormal rate of uterine development gradually decreased (P＜0.05). With the increase of infertility years, the overall abnormal rate gradually increased (P＜0.05). The abnormal rate of hysteroscopy increased gradually with the increase of the number of adverse pregnancies (P ＜0.05). With the increase of IUI-assisted pregnancy failure, hysteroscopy abnormality rate showed an increasing trend (P＞0.05). The abnormal rate of hysteroscopy decreased with the increase of transplant failure (P＞0.05). Conclusion The uterine abnormality rate of female infertility patients in northern Shandong is high, the overall abnormal rate of hysteroscopy is related to infertility factors, and the abnormal rate of uterine development is related to age. The duration of infertility is greater than or equal to 3 years, and the number of adverse pregnancies is greater than or equal to 3 times. Hysteroscopy is recommended.

该文就1例边缘性空卵泡综合征(EFS)患者成功妊娠情况进行了回顾、分析,患者于生殖中心行体外受精-胚胎移植助孕治疗,第1周期给予标准短效长方案促排卵,出现空卵泡综合征情况,第2周期采用黄体期促排卵方案成功获卵.对于边缘性EFS患者可尝试利用卵泡波理论采用黄体期方案促排卵,或许可成功获卵,增加妊娠可能性.

目的探讨初产妇在分娩后家庭及社会支持对其顺利进入母亲角色,建立亲子关系的影响。方法按随机数字表法分组,将400例初产妇分为实验组和对照组各200例。对实验组产妇新入院后即评估其家庭成员组成的支持系统对孕产妇的影响力,建立稳定的护患关系,细致地进行健康指导时,把其重要家庭成员纳入教育对象。从产妇的需求出发,与家属一起制定详实的护理计划,并实施,而对对照组产妇采用普通产科护理常规,落实产科护理措施。结果实验组产妇有效纯母乳喂养时间(1.32±0.37)d,出院时的纯母乳喂养率高达92.7%,舒适度满意率为98.3%,产妇睡眠质量较对照组佳,掌握产后康复知识及技能效率高对照组,差异有统计学意义(P<0.05)。结论家庭和社会支持系统的良好介入,解决了产妇在生产这个特殊时期保持一个渴求的心态和轻松愉悦的心境,顺利转换母亲角色,快速建立亲子关系,促进母婴健康。