目的 探讨针灸治疗在体外受精—胚胎移植技术的临床效果.方法 以2013年8月-2015年8月在顺德妇幼保健院生殖科,因不孕进入IVF/ICSI周期的108例患者为研究对象,按照随机自愿原则将其分为三组,针刺组、安慰针刺组、对照组各36例,针刺组:在移植前24小时、移植后30分钟进行相关的针刺治疗,安慰针刺组:针刺穴位与妊娠无关,对照组:不使用针刺疗法,比较三组临床效果.结果 治疗后针刺组Ⅰ型内膜血流类型及PI、RI、S/D低于治疗前,Ⅱ+Ⅲ型内膜下血流类型高于治疗前,差异有统计学意义(P＜0.05).针刺组总有效率高于安慰针刺组、对照组,三组差异有统计学意义(P＜0.05).针刺组种植成功率、妊娠成功率及活产率均高于安慰针刺组、对照组,三组差异有统计学意义(P＜0.05).结论 在体外受精—胚胎移植技术中为患者实施针灸治疗可改善子宫内膜下血流情况,提高临床疗效、改善妊娠结局.

目的研究探索达英-35对治疗女性多囊卵巢综合征的有效应用。方法将70例PCOS的门诊患者随机分为治疗组和对照组,各35例,对照组的患者采用口服枸橼酸氯米芬胶囊的方法治疗,治疗组的患者采用口服达英-35的方法治疗。结果对照组的疗效总有效率为68.57%,治疗组的疗效总有效率为88.57%,治疗组的有效率较对照组高20%,两组结果比较(P<0.05),说明两组的治疗结果具有显著性差异。结论达英-35在治疗多囊卵巢综合征方面有显著的临床疗效,可以广泛的推广应用。

Objective To explore whether endometriosis is one of the risk factors for endometrial cancer through analysis of pathology of endometrial cancer combined with endometriosis.Methods Chosed 34 cases of these patients who suffered from endometrial cancer combined with endometriosis and have been treated at our hospital from March 2011 to September 2012,set them as group one,and chose 78 cases of these endometrial cancer patients,and set them as group two,and these 44 cases of endometriosis patients as group three.Analyzed and compared these three groups according to their clinical pathological features and age distributions.Results Group one's and group three's pathological stagings were lower than group two's,and these two groups' patients tend to be young,these three groups' age distribution and surgery pathological staging have statistical differences after detections(P 0.05).Conclusion For these patients who suffer from endometriosis,they tend to be young,and their endometrial cancer's pathological staging is earlier,cell differentiation is higher and muscle layer infiltration is more shallow,and they recover quicker.

目的研究围生期先天性心脏病(简称先心病)临床发展趋势,为制定干预措施提供重要依据。方法选择广东省佛山市顺德区妇幼保健院2009年1月-2012年12月间出生的孕满28周至产后第7d内的围生儿的临床资料进行回顾性研究。结果在4年期间CHD的发生率为11.69‰,CHD各类型例次的构成比比较差异有统计学意义(P<0.01),孕母年龄≥30岁组的围生期先心病发生率明显增加,尤其年龄≥35岁组(χ2=2.73,P<0.01)。结论监测围生期先心病,开展病因研究,对提高出生人口素质和儿童未来生活质量有重要意义。

Objective To observe the influence of acupuncture treatment on parturition process.Methods 545 pregnant women delivered in our hospital were selected,excluding those with cesarean section indication.On voluntary principle and randomized principle,primipara aged from 22 to 30 who agreed with natural labor were divided into two groups:observation group and control group.Pregnant women in observation group were received acupuncture treatment during latent phase.The following indexes of the two groups were recorded and compared:labor time of the first stage and the second stage,the case for inertia of uterus,cesarean sections,postpartum hemorrhage amount and Apgar score of new-born.Results The labor time of the first stage and the second stage of the control group were (178.55 ± 56.87) min and (130.70 ± 77.22) min,and which of the observation group were (53.87 ±22.33) min and (33.25 ± 15.55) min,there was significant differenec between the two groups(t =3.97,4.11,all P ＜0.05).The differences in the pilot failed to cesarean section rate(14.2％ and 13.6％),postpartum hemorrhage and the perinatal outcome were not significant between the two groups.Conclusion Acupuncture and moxibustion can accelerate labor.

目的了解顺德区妇女乳腺疾病患病情况,制定防治措施.方法对顺德区部分企事业单位整群抽样,对1 474例妇女用电脑近红外线扫描仪进行乳腺检测.结果妇女乳腺疾病患病率为46.68%,乳腺癌的患病率为0.14%.结论妇女应定期进行乳腺疾病的检查.