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HEOS治疗宫腔粘连术后预防再粘连3种方法的对比研究
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作者 孟丽燕 高俊丽 +3 位作者 李春琳 牛洁 孙燕 王超群 《昆明医科大学学报》 CAS 2024年第2期141-147,共7页
目的 比较3种不同方法在HEOS系统治疗不同程度宫腔粘连术后预防再粘连疗效的研究。方法 分析昆明市妇幼保健院收治的284例的轻中重度宫腔粘连患者,使用HEOS系统治疗后,分为3组,A组(节育环组)放置宫内节育环+透明质酸钠凝胶、B组(球囊组... 目的 比较3种不同方法在HEOS系统治疗不同程度宫腔粘连术后预防再粘连疗效的研究。方法 分析昆明市妇幼保健院收治的284例的轻中重度宫腔粘连患者,使用HEOS系统治疗后,分为3组,A组(节育环组)放置宫内节育环+透明质酸钠凝胶、B组(球囊组)放置Foley水囊管+透明质酸钠凝胶、C组(对照组)仅放置透明质酸钠凝胶。比较3组术后宫腔粘连恢复情况、月经改善情况、子宫内膜厚度以及术后不良反应。结果轻度宫腔粘连组,月经改善情况中3组比较,差异有统计学意义(P<0.05),A组比C组月经改善率高(对R×C卡方检验两两比较,校正显著水平,P<0.017),其他疗效指标中无显著差异(P>0.017),但A组不良反应率较C组高(P<0.017)。在中度宫腔粘连组,B组的宫腔粘连改善率与其他两组比较有显著差异(P<0.017)。在月经改善率、子宫内膜厚度、不良反应方面,A、B组均较C组增加(P<0.017)。重度宫腔粘连组中,A组各疗效指标均较其他组高(P<0.017)。结论 综合疗效指标和不良反应率分析,对轻、中、重度宫腔粘连,术后依次为放置透明质酸钠凝胶、Foley水囊管+透明质酸钠凝胶、宫内节育环+透明质酸钠凝胶为各程度粘连的最佳选择。达到个体化及分层管理,可取得良好临床效果,值得推广。 展开更多
关键词 宫腔粘连 HEOS系统 宫内节育环 Foley水囊管
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Spatiotemporal evolution of sustainable development of China’s provinces:a modelling approach
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作者 junli gao Chaofeng Shao +1 位作者 Sihan Chen Xiaotong Zhang 《Ecosystem Health and Sustainability》 SCIE 2021年第1期354-371,共18页
Three sustainable development sub-indicators were established along with 49 indicators of sustainable development at the provincial level.We collected data for the key years of 2010,2015,and 2018 and evaluated the sus... Three sustainable development sub-indicators were established along with 49 indicators of sustainable development at the provincial level.We collected data for the key years of 2010,2015,and 2018 and evaluated the sustainable development level of 31 provinces in China by using the best and worst value improved equal-weight TOPSIS method.With spatial autocorrelation and hotspot analysis,the spatial characteristics of the sustainable development level were studied.Grey correlation analysis and the offset degree index were also used to find out which indicators should be of most concern to improve the level of sustainable development.The results showed the following.(1)The level of sustainable development of China’s provinces is increasing,but there is a decrease from east to west.(2)In terms of sustainable development,the gap between the four major economic regions is narrowing.(3)The overall sustainable development level is highly consistent with the mainstream green development and the human development index,indicating that exploiting the driving force behind developing and improving the quality of development is the key to China’s sustainable development strategy.(4)Different measures should be taken to promote the realization of Sustainable Development Goals in different areas. 展开更多
关键词 Sustainable development goals SDG localization sustainable development index spatial-temporal analysis
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