目的 探讨血清降钙素原(PCT),白介素-6(IL-6),C-反应蛋白(CRP)和宫颈分泌物涂片联合检测对绒毛的孕妇胎膜早破(PPROM)的诊断价值.羊膜的应用价值.方法 选择2017年3月至2018年12月我院收治的PPROM孕妇62例作为观察组,选择同期在医院进行产科检查的正常孕周孕妇60例作为对照组.观察组的孕妇在胎膜破裂后12小时内(使用抗生素之前)和分娩时抽取了5毫升静脉血.对照组的孕妇在分娩时和分娩时抽取5 ml静脉血,并对血样进行处理以检测PCT,IL-6和CRP水平,以及子宫颈分泌物涂片检查.从观察组收集病理标本,检查绒毛膜羊膜炎.结果 观察组胎膜早破12 h外周血中PCT,IL-6和CRP的浓度明显高于对照组,差异有统计学意义(P<0.05).病理活检结果显示,观察组39例孕妇患有绒膜羊膜炎,胎膜早破12小时内外周血PCT,IL-6和CRP的浓度显着高于非胎膜早破的孕妇.绒毛膜羊膜炎患者.统计学意义(P<0.05).IL-6的敏感性(92.30％)显着高于PCT,CRP和宫颈分泌物涂片.仅四个测试的阳性预测值相似,特异性和阴性预测值处于较低水平.四种联合检查的特异性,敏感性,阳性预测值和阴性预测值均为阳性,敏感性和阳性预测值最高,为92.31％.结论 PCT,IL-6,CRP和宫颈分泌物涂片联合检测对PPROM孕妇绒毛膜羊膜炎的早期预测有明显效果,比单独检测更具优势,是评价PPROM母亲和孕妇预后的良好方法.

目的 比较控释地诺前列酮栓(欣普贝生)和催产素对孕晚期引产的临床效果.方法 选取2015年2月-2016年1月在华北理工大学附属医院住院的220例产妇为研究对象,根据引产方法分为研究组(地诺前列酮栓)和对照组(催产素),每组各110例,比较两组促宫颈成熟效果、引产成功率和分娩结局.结果 用药12 h、24h后研究组宫颈Bishop评分(7.46±2.70、8.98±2.44)高于对照组的(6.25±1.65、7.26±1.77)(P＜0.05).研究组总促宫颈成熟率77.3％、引产成功率74.5％、阴道分娩率70％,对照组促宫颈成熟率56.4％、引产成功率41.8％、阴道分娩率为48.2％,两者比较差异有统计学意义(P＜0.05).两组产后出血量、新生儿体重、新生儿Apgar评分、新生儿窒息发生率差异无统计学意义(P＞0.05).结论 欣普贝生促宫颈成熟效果明显,引产成功率高、增加了阴道分娩率,是一种有效的促宫颈成熟方法.

Objective Comparison of two different disinfectant on the surface of a preterm infant incubator and the influence of the air colony count .Methods Under the same environment ,Incubator were randomly divided into experimental group and control group ,The experimental group:250mg/L iodine volts detergent wipe the surface of the casing ,Operation window ,shuikou storage;Control group:250mg/L "250"chlorine disinfectant ,With the experimental group .Compare two groups disin‐fectant effect .Results Two kinds of disinfectant effect comparison before and after disinfection( P <0 0.5);Two kinds of disinfectant after disinfection effect comparison( P <0 0.5) .Conclusion 250mg/L iodine v solution used for disinfection of w arm box ,sterilization effect is good .

Objective To analyze the relationship and significance between plasma level of thyroid hormone and ovulation disorder of (polycystic ovary syndrome)PCOS.Methods Eighty-nine cases with PCOS were induced ovulation by CC+HCG.During menstrual cycle of induced ovulation,PCOS patients were divided into two groups according to Ovulation (No ovulation 40,ovulation 49).The level of thyroid hormone at different follicular development period and ovulatory time were detected.Result Levels of thyroid hormone at two groups were no difference at 5 mm,10 mm,15 mm size follicular phase(P＞0.05).But there was significant at follicular 20mm size(F inner groups=4.38,50.34,48.65;P＜0.05).The level of T3 an T4 at No ovulation group was lower than those in ovulation group(T3:(2.69±0.15) nmol/L vs.(1.97±0.17) nmol/L;T4:(124.38±0.29) nmol/L vs.(97.43±0.16) nmol/L).The level of TSH at No ovulation group was (3.43±0.10) mU/L,higher than that in ovulation group ((1.38 ± 0.18) mU/L;P ＜ 0.05).Conclusion The level of thyroid hormone in patients of ovulation group is at a normal level when the follicle is mature,and the level of thyroid hormone can affect the normal ovulation of patients with PCOS.

目的 探讨母婴床旁护理模式对产妇泌乳量的影响.方法 选择2010年2月-2011年7月住院分娩的产妇50例为对照组,实施传统的母婴同室护理;选择2010年8月-2011年5月住院分娩的产妇50例为干预组,实施母婴床旁护理模式.观察二组护理模式对产妇乳汁分泌量的影响.结果 干预组与对照组产妇及家属对护理工作的满意度进行比较,差异有统计学意义(P＜0.05).干预组产妇及家属对健康教育的知识掌握较好,对护理工作满意度较高.干预组产妇产后第一、二天乳汁分泌量较多.结论 母婴床旁护理模式使新生儿做到了早吸吮,早开奶,促进了产妇乳汁的分泌.

Objective To evaluate the relation between sex hormone acceptor of endometrium and miscarriaget rate. Methods To investigate the pcos who pregnant because of IVF-ET in hosptail as case. All patiente are to be taken endometrium during luteal phase by pipette and accept IVF-ET. Detect the ER,PR of endometrium. analyze the miscarriage rate and the date of ER,PR. Results The number are statistics significant of the number of ER on miscarriage group are more than control group. The number of PR on miscarriage group are less than control group. Conclusion Unnormal sex hormone of endometrium in pcos influence endometrium acception abilty and reduce pregnant rate.

①目的探讨环境因素对早产儿暖箱消毒效果的影响。②方法实验在母婴同室内不同病室进行,随机将培养箱及产妇分为实验组和对照组。对暖箱内空气、暖箱壁表面、产妇手样本进行监测。③结果产妇手样本及暖箱消毒前实验组与对照组相比较(P<0.05)。结果有显著性差异。④结论改善母婴同室的环境条件,能够减少暖箱的污染,有效降低母婴同室早产儿院内感染的发病率。

目的观察碘伏用于早产儿培养箱消毒效果。方法在母婴同室内,使用含量为250 mg/L碘伏溶液擦拭消毒后,对培养箱内空气、表面、操作窗口做细菌监测。结果碘伏擦拭消毒后培养箱有机玻璃罩内壁、贮水口、床垫、操作窗检测细菌数分别为1.25、3.10、2.23和2.25 cfu/m2,消毒后24 h,检测细菌数分别为3.25、4.16、6.2、7.45 cfu/m2。结论碘伏毒性低、无刺激性,性能稳定,适合对早产儿培养箱进行消毒。

OBJECTIVE To find the safe and effective antiseptics for incubator.METHODS In the rooms for mother with infant,the incubators were randomly divided into Three groups under the same surroundings.A group Containing 250mg/L available chlorine preparation of the solution,disinfecting cabinet,operating window,water ports,mattress;B group With 500mg/L iodine complex,A group of disinfection sites with the same;C group: 0.1% benzalkonium bromide solution,A group of disinfection sites with the same Then compare the effect of three disinfectants.RESULTS 3 kinds of disinfectants were able to achieve the effects of sterilization The results of three disinfectants after comparison P0.05.No significant difference.CONCLUSION Povidone Iodine was more fit for incubators because of its lower toxicity,no stimulation and more stable nature.