Objective To explore the effect of ergometrine maleic acid combined with carboprost trometamol in the second caesarean section in women with high risk of postpartum bleeding.Methods A total of 80 women with a high risk of postpartum hemorrhage who had a second caesarean section treated in Dongguan Qiaotou Hospital,Guangdong Province from June 2020 to June 2021 were selected and divided into control group and observation group according to random number table method,with 40 cases in each group.Both groups were treated with oxytocin,and the control group was treated with carboprost trometamol.The observation group added ergometrine maleic acid on the basis of the control group.The bleeding volume,hemoglobin(Hb)levels,coagulation function and adverse reactions between two groups at different time points were compared.Results There was no statistically significant difference in intraoperative bleeding between the two groups of postpartum women(P>0.05).The bleeding volume of the observation group's postpartum women at 30 minutes,90 minutes,and 1 day was lower than that of the control group(P<0.05).Before delivery,there were no statistically significant differences in D-dimer(D-D),fibrinogen(FIB)and Hb between the two groups of postpartum women(P>0.05).On the first day after surgery,the D-D of the observation group was lower than that of the control group,while FIB and Hb were higher than those of the control group(P<0.05).There was no significant difference in heart rate,diastolic blood pressure(DBP),and systolic pressure(SBP)levels between the two groups of patients before and 2 hours after medication(P>0.05).The total incidence of adverse reactions in the observation group was 15.00%,while the total incidence of adverse reactions in the control group was 10.00%.There was no statistically significant difference between the two groups(P>0.05).Conclusion Ergometrine maleic acid combined with carboprost trometamol can effectively reduce postpartum bleeding in the second caesarean section women with high-risk postpartum bleeding tendency,reduce the impact of bleeding on blood coagulation function,reduce the risk of anemia,and will not increase adverse drug reaction of pregnant women and newborns,with high safety.
目的:分析清热化湿和胃汤对脾胃湿热证慢性胃炎的疗效及中医证候积分、幽门螺杆菌(Hp)根除率的临床影响.方法:选取东莞市桥头医院2018年1月至2020年1月期间收治的89例脾胃湿热证慢性胃炎患者,按不同的治疗方式分为西医组(41例)和中医组(48例).比较两组治疗前、治疗1个月后的中医证候积分以及临床疗效、Hp根除率、不良反应发生率.结果:治疗后两组患者的中医证候积分均有不同程度下降,且治疗后中医组患者的中医证候积分均低于西医组,差异具有统计学意义(P<0.05).中医组的并发症发生率为12.50％,低于西医组的29.26％,差异具有统计学意义(P<0.05).中医组患者治疗总有效率为100.00％,高于西医组的90.24％,差异具有统计学意义(P<0.05).中医组的Hp根除率为97.92％(47/48),高于西医组的85.36％(35/41),差异具有统计学意义(P<0.05).结论:给予脾胃湿热证慢性胃炎患者清热化湿和胃汤治疗,能明显改善患者腹胀、纳差、胃脘痛、发酸等症状,提高Hp根除率,提升疗效,且中药的副作用小,安全性更好.
目的:探究麻杏石甘汤合千金苇茎汤加味在重症肺炎的疗效及对白细胞计数(White Blood Cell,WBC)、降钙素原(Procalcitonin,PCT)、氧合指数(Oxygenation Index,OI)影响.方法:选取东莞市桥头医院2018年2月-2020年2月收治的53例重症肺炎患者作为研究对象,以随机数字表法进行分组,将其分为对照组(26例)、观察组(27例),对照组仅应用西医治疗,观察组在对照组基础上应用麻杏石甘汤合千金苇茎汤加味治疗.对两组疗效、治疗前后中医证候积分、WBC、PCT、OI变化情况进行记录.结果:观察组临床总有效率高于对照组(P<0.05).治疗前,两组咳嗽咳痰、胸痛胸闷、呼吸困难积分比较,差异无统计学意义(P>0.05);治疗后,两组咳嗽咳痰、胸痛胸闷、呼吸困难积分均降低,比较发现,观察组低于对照组(P<0.05).治疗前,两组WBC、PCT、OI比较,差异无统计学意义(P>0.05);治疗后,两组WBC、PCT下降,OI上升,比较发现,观察组优于对照组(P<0.05).结论:应用麻杏石甘汤合千金苇茎汤加味治疗重症肺炎患者,可减轻炎症反应,缓解临床症状,显著提升氧合指数与临床疗效.
目的：分析经阴道超声对无症状型宫外孕的诊断价值效。方法：选取我院2015年5月~2020年5月收治的300例疑似无症状型宫外孕患者作为本研究的对象，所有患者均进行腹部超声检查及阴道超声检查，以手术病理检查作为金标准，比较该两种检查方式的诊断符合率。结果：300例疑似无症状型宫外孕患者经手术病理检查统计，256例确诊为无症状型宫外孕；经腹部超声检查诊断出宫外孕有203例，诊断符合率为79.30%；经阴道超声检查诊断出宫外孕有245例，诊断符合率为95.70%。经阴道超声诊断符合率高于腹部超声诊断符合率（P＜
目的 探究黄体酮联合间苯三酚对先兆流产患者孕酮(P)与血清绒毛膜促性腺激素(β-HCG)的影响.方法 回顾性分析我院2018年12月至2019年12月期间收治的98例先兆流产患者临床资料,以治疗方式的不同进行分组,即单一应用黄体酮治疗的患者纳入单一组(49例),联合应用黄体酮与间苯三酚治疗的患者纳入联合组(49例).对两组治疗前后P与β-HCG水平进行观察.结果 治疗前,两组P、β-HCG水平基本一致(P>0.05);治疗后,两组以上两项指标均呈升高趋势,且联合组升幅大于单一组(P<0.05).结论 先兆流产患者接受黄体酮联合间苯三酚治疗,可促进P、β-HCG水平的显著提高.
目的 探讨孕中期B超筛查在控制出生缺陷发生率中的作用.方法 选择2015年1月～2016年12月来我院行产前检查的1897例孕中期女性作为研究对象,所有孕妇均以四维超声技术对胎儿生长发育情况进行体检,判断胎儿是否先天性畸形,决定是否行产科干预措施(引产).将B超检查结果与妊娠结果、引产结果进行比较,分析B超在筛查孕中期缺陷儿的准确率情况.结果 B超检查共发现26例胎儿有出生缺陷,发生率为1.37％,类型包括重度脑室扩张8例,唇腭裂3例,心脏强光点3例,肾盂扩张2例,关节屈曲1例,胃肠道畸形2例,多指3例,脊柱侧弯3例,足内翻指1例,本次胎儿畸形B超诊断准确率为92.9％.结论 超声是临床胎儿生长检查、筛选缺陷儿的重要手段,能有效反映胎儿是否出现畸形,对临床减少缺陷儿出生有重要意义.
