目的:探讨对产后抑郁患者进行改良正念减压认知疗法结合放松训练干预的效果。方法:选取2019年4月至2020年4月烟台市烟台山医院妇产科收治的产后抑郁患者134例为研究对象，采用住院标号奇偶数字排列法将其均分为对照组和观察组各67例。对照组患者给予常规心护理干预，观察组患者在此基础上给予改良正念减压认知疗法结合放松训练干预。观察并比较两组患者干预前后的心理状态、自我效能及生活质量。结果:实施干预后，观察组患者的心理状态各评分、自我效能各评分及生活质量各评分明显低于对照组患者，差异均有统计学意义(均 P<0.05)。 结论:改良正念减压认知疗法结合放松训练干预可显著缓解患者的不良情绪，提升患者的自我效能，提高生活质量，对患者获取良好妊娠结局具有重要意义。

目的 观察初产妇实施产前、产后护理干预对提高母乳喂养的有效性.方法 选择我院接受分娩的82例初产妇作为研究对象,分成观察组与对照组,对照组给予常规护理,观察组给予产后及产后护理,对比护理效果.结果 观察组产后乳汁分泌时间少于对照组,纯母乳喂养率高于对照组,组间数据对比差异显著(P＜0.05).结论 初产妇实施产前及产后干预,对提高纯母乳喂养率、加快产后乳汁分泌有着非常重要的作用.

Objective To analyze the effect of comfort nursing in nursing care of patients with cesarean section.Methods 90 cases of cesarean section in our hospital from April 2013 to April 2014 were selected as the research object, randomly divided into control group and observation group, control group received conventional nursing, observation group was given comfort nursing, compared with 2 groups of nursing effect.Results the nursing effect of the observation group was significantly higher than that of the control group.Conclusion Comfort care for patients with cesarean section in nursing, can effectively reduce the postoperative pain, help patients recover soon.

目的：探讨预防脊柱外科手术后下肢深静脉的护理策略。方法自2011年2月~2012年4月,280例接受脊柱手术治疗患者根据《中国骨科大手术静脉血栓栓塞症预防指南》骨科手术的静脉血栓栓寒症危险分度将入选患者分为4组：低危组,中危组,高危组,极高危组；并采取不同护理策略。结果低危组62例,血栓事件Ⅰ级2例（3.2%）。中危组128例,血栓事件Ⅰ级6例（4.7%）,Ⅱ级2例（1.6%）。高危、极高危组90例,血栓事件Ⅱ级6例（3.3%）,Ⅲ级2例（2.2%）。结论根据静脉血栓栓塞危险分度合理采用不同下肢深静脉预防措施,可以有效预防下肢DVT和PE；并最大程度避免抗凝药物所致出血并发症。

Objective The purpose of understanding the feminine menopausal syndrome associated with anxiety is to provide the basis for the rational use of drugs and psychological intervention .Methods The self-made general questionnaire and the Hamilton Anxiety Scale. Results There is no difference between menopausal anxiety and somatic anxiety mental factor , but the anxious mood, tension, depressed mood, anxiety, somatization, cardiovascular symptoms score were significantly higher. Conclusion There is no difference between anxiety, somatic anxiety and mental anxiety caused by the female climacteric syndrome, but the patients displays anxiety, mood, tension, depressed mood, cardiovascular symptoms.

Objective To study the effects of Orem self-care theory on urinary retention after radical hysterectomy.Methods Totals of 78 patients with cervical carcinoma,undergoing successful hysterectomy,were recruited and randomly divided into control group (n =39) and intervention group (n =39).Control group received the routine nursing,while intervention group received fully bucking-out system care according to Orem self-care theory.Then,the incidence of urinary retention,anxiety or depression were observed and compared,and the risk factors were analyzed.Results After the intervention,there were 11 cases with urinary retention in intervention group,and 20cases with urinary retention in control group,and the difference was statistically significant (11 vs 20 ; x2 =4.336,P ＜ 0.01).One month later after operation,the incidence of anxiety or depression in intervention group was significantly lower than that of control group (10 vs 32 ; x2 =24.968,P ＜ 0.01).Conclusions Orem self-care theory,which not only decreases the occurrence of urinary retention after radical hysterectomy,but reduces the incidence of anxiety and depression symptom,has significant social and economic benefits.

患者女,52岁,因子宫肌瘤介入治疗术后3个月入院.患者3个月前因月经量明显增多,B超示多发子宫肌瘤,最大2.8 cm×2.3 cm,在外院行右腿插管介入治疗.术后出现排尿困难,术后1月余月经来潮,量明显减少,随之出现腰酸、腰痛、下肢无力感,当眼睑浮肿出现后始来我院检查发现肾积水、双输尿管梗阻、肾功能不全.

慢性盆腔炎是妇科最常见的疾病之一,由于病程长、易反复发作,常规治疗效果欠佳或无效.因此我科2004年7月至9月采用经期综合治疗的方法,取得良好的疗效,现报道如下.

急性下肢深静脉血栓进行动脉灌注溶栓治疗时应做到:第一,密切观察患肢温度,肢端皮肤颜色变化.第二,灌注时观察一般情况的变化.第三,并发症的观察和护理.

笔者在近4年内成功抢救7例急性硬膜外血肿并横窦破裂的患者,现将抢救体会报告如下.