目的 探讨子午流注针法配合辩证取穴针刺对产妇乳房充盈度与泌乳量的影响.方法 选取2020年1月1 日～2021月8月1日我院诊治的产后缺乳产妇156例,按照随机数字表法分为按摩组、针刺组及观察组,每组52例.按摩组采用普通的按摩手法以及中医常规疗法进行治疗,针刺组采用穴位针刺疗法,观察组则采用子午流注针配合辨证取穴针刺进行治疗,观察3组治疗前后胸肋胀痛、神色、饮食、情志状态以及泌乳量和配方奶粉使用量情况,并进行乳房充盈度评分.结果 治疗前,3组患者的胸肋胀痛情况、神色情况、饮食情况、情志状态等相关的中医症状及乳房充盈度、泌乳量及婴儿的配方奶粉使用量差异无统计学意义(P＞0.05).治疗后,3组患者的胸肋胀痛情况、神色情况、饮食情况、情志状态得到较为显著的改善,观察组效果优于观察组和按摩组,3组组间比较差异均有统计学意义(P＜0.05);3组患者乳房充盈度、泌乳量均得到显著的提升,婴儿的配方奶粉使用量均减少,针刺组和观察组优于按摩组,观察组优于针刺组(P＜0.05).且观察组总有效率高于针刺组和按摩组(P＜0.05).结论 子午流注针配合辩证取穴针刺能够有效提升产妇的乳房充盈度,增加其泌乳量.

Cervical cancer has a high incidence of malignant tumors and a high mortality rate, with squamous cervical carcinoma (SCC) accounting for 80% of cases. A competing-risks model is recommended as being more feasible for evaluating the prognosis and guiding clinical practice in the future compared to Cox regression. Data originating from the Surveillance, epidemiology, and end results (SEER) database during 2004 to 2013 were analyzed. Univariate analysis with the cumulative incidence function was performed to assess the potential risk of each covariate. Significant covariates (P < .05) were extracted for inclusion in a Cox regression analysis and a competing-risks model that included a cause-specific (CS) hazard function model and a sub-distribution (SD) hazard function model. A total of 5591 SCC patients met the inclusion criteria. The three methods (Cox regression analysis, CS analysis, and SD analysis) showed that age, metastasis, American Joint Committee on Cancer stage, surgery, chemotherapy, radiation sequence with surgery, lymph node dissection, tumor size, and tumor grade were prognostic factors affecting survival in patients with SCC. In contrast, race and radiation status were prognostic factors affecting survival in the Cox regression and CS analysis, but the results were different in the SD analysis. Being separated, divorced, or widowed was an independent prognostic factor in the Cox regression analysis, but the results were different in the CS and SD analyses. A competing-risks model was used as a new statistical method to more accurately identify prognostic factors than conventional Cox regression analysis leading to bias in the results. This study found that the SD model may be better suited to estimate the clinical prognosis of a patient, and that the results of an SD model analysis were close to those of a CS analysis.

人类社会化进程,构成人类的疾病种类、疾病的病因及死亡原因也随之发生改变,随着人类物质生活条件的改善,对健康的需求也有了更多元化的需求,新医学模式随之诞生,妇产科技能训练如何适应新医学模式及现代教育发展,培养适合我国的国情的新时代高级医学人才,本文从医学文人素质培养、医学模拟教学方面进行探讨.

十九大报告明确提出,新时代高等教育的任务是实现内涵式发展,而其最具标志性的内容就是培养一流人才,基础和核心则是一流本科.要办好一流本科,必须要有一流专业做支撑,一流的专业应该有一流的课堂教学.如今,互联网+教育、信息技术与教育教学深度融合,引发了更为深刻的教与学的变革.基于此,我们中西医结合妇产科学专业,充分运用数字化的教学资源,打造一流的课堂教学,以期培养适应新世纪需要的具有创新意识和创新能力的复合型人才.该文主要探讨了关于《中西医结合妇产科学》数字化教学资源建设的基本思路,以更好地适应新形势下人才队伍的培养.

目的:探讨《中西医结合妇产科学》翻转课堂的教学效果.方法:将贵阳中医学院2013级中西医结合专业1、2班本生共96名作为对照组,2013级中西医结合专业3、4班本科生共101名作为观察组,对照组由传统教师讲授课程,观察组为翻转课堂,由3位学生讲授,最后由老师总结,通过问卷调查及考核,进行比较.结果:观察组各项指标与对照组各项指标,差异均有统计学意义(P＜0.05).结论:《中西医结合妇产科学》翻转课堂教学模式改革,可提高学生学习成绩.

目的:本课题主要对子宫腺肌病的中药用药规律探索,力求寻找出治疗该病的中药基础用药,进而提高临床疗效.方法:主要从中国期刊全文数据库中检索出1998—2014年间中药治疗子宫腺肌病的文献,筛选出口服中药方、病例数大于等于25例、有效率大于等于85%的文献64篇,共涉及方剂84方,其中有计量的方子53方,对其中涉及的中药出现频次、总剂量、药性、药味、五脏归经进行录入、统计,分析出子宫腺肌病的中药用药规律.结果:1)子宫腺肌病的用药主要以活血化瘀药及补虚药为主,具体以活血行气止痛药及补血药最多,用药以苦、辛、甘、温、平、凉为主.2)子宫腺肌病与肝、脾、肾三脏关系密切.结论:1)子宫腺肌病的病理实质是瘀血,病因以瘀、虚为主,病机以气滞、血瘀、气虚、血虚的气血失调为主,发病与肝、脾、肾关系密切,病性属虚实夹杂.2)中医药治疗上以活血化瘀、行气止痛、补虚为法.

目的:观察阿奇霉素联合甲磺酸帕珠沙星注射液治疗老年人支原体肺部感染的临床效果及安全性。方法:146例支原体肺部感染老年人按入院单双号随机分为对照组69例和观察组77例,对照组单独应用阿奇霉素治疗,观察组采用阿奇霉素联合甲磺酸帕珠沙星注射液联合治疗,观察两组治疗效果和不良反应。结果:观察组的总有效率94.8%明显高于对照组的81.2%(x~2=6.59,P<0.05)。两组均未发生严重不良反应。结论:阿奇霉素联合甲磺酸帕珠沙星注射液治疗老年人支原体肺部感染安全、有效。