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Medication for Birth Control in Bitch at Battambang City,Battambang Province,Cambodia
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作者 Nal Si Sokun Khoeurn +1 位作者 Manay It Kouch Theng 《Journal of Environmental Science and Engineering(A)》 CAS 2024年第2期61-67,共7页
The observation study was conducted in Battambang City,Battambang province,by interviewing the 88 dog owners,who came to the animal pharmacy stores and clinics by using convenience sampling method of nonrandomized sam... The observation study was conducted in Battambang City,Battambang province,by interviewing the 88 dog owners,who came to the animal pharmacy stores and clinics by using convenience sampling method of nonrandomized sampling.Though the results of the interviews,showed that the dog owners were selected in different range of age and gender,however,most of them were in middle age from 21-40 years old,with medium and rich living wellbeing.The confinement in premise/house was primarily applied by dog owners.The number of bitches per household was from 1 to 3 batches,and there was no association with the wellbeing of the owners,and the age was from 2 to 4 years old,but some bitches had older age.Most of the bitches were dewormed in last 3 months and 6 months,however,there were some bitches last more than 6 months after deworming.The bitch vaccination was applied by owner around for 60.00%.There were two popular types of vaccination,Rabies and DHLPP(Distemper,Hepatitis,Leptospirosis,Parvovirus,and Parainfluenza).For dog population management,about 94.29%of the owners apply nonsurgical method with applying medicine.The reasons for using nonsurgical method were not only the cheapest price and easy way,but also there was no information on the consequence of using medication for birth control.The medication was highly used before heat.But,almost half of them got health problem in less than 3 months after administration,also some got long-term effect.Among clinical signs observed,the enlargement of belly was the most evidence,since 54.76%of affected bitches had shown it,then followed by discharge blood from vulvar,clear discharge and thick white pus from vulvar,accounting for 38.10%,35.71%and 26.71%,respectively. 展开更多
关键词 BITCH VACCINATION birth control clinical signs
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Mixed Reaction to Proposed Dual Standards for Birth Control
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《China Population Today》 2002年第Z1期19-20,共2页
关键词 Mixed Reaction to Proposed Dual Standards for birth control
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Relaxing Birth Control
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作者 Zheng Yang 《ChinAfrica》 2014年第6期24-25,共2页
ONE child or two? This is the question soon to be pondered by more than 15 million couples across China's mainland. They will become eligible later this year to have two children if one of the parents is an only chi... ONE child or two? This is the question soon to be pondered by more than 15 million couples across China's mainland. They will become eligible later this year to have two children if one of the parents is an only child. The new population policy, issued in November 2013, has already seen the choice given to couples in 22 provincial-level regions by the end of April this year. 展开更多
关键词 Relaxing birth control
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CHINA'S RADICAL BIRTH CONTROL POLICY AND IMPLICATIONS FOR INDIA
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作者 金玉献 《Chinese Geographical Science》 SCIE CSCD 1994年第3期210-218,共9页
China has been firmly carried out her birth control policy for over 2 decades, and this has been very srccessful in practice. India is the second populous country in the world. Although overpopulation problem was ide... China has been firmly carried out her birth control policy for over 2 decades, and this has been very srccessful in practice. India is the second populous country in the world. Although overpopulation problem was identified in the 1950s, and birth control policy was implemented since then, the situation has not yet been improved. The aim of this paper is to make comparisons between these two countries, in terms of social and cultural background, geographical distribution of population, national minority structure, in order to reveal the reasons behind the China's success, and implications for India. 展开更多
关键词 China INDIA birth control COMPARISON IMPLICATIONS
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More Rights but Less Gains:Relaxed Birth Control Policyand the Loss for Women
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作者 Ying Zhao Lin Zhang +1 位作者 Yuanping Lu Bo Wen 《China & World Economy》 2023年第2期159-191,共33页
In view of its aging population,China initiated in 2012 a relaxed birth control policy after a three-decades-long implementation of the restrictive one-child policy.This paper examines how China's relaxed birth co... In view of its aging population,China initiated in 2012 a relaxed birth control policy after a three-decades-long implementation of the restrictive one-child policy.This paper examines how China's relaxed birth control policy leads to gender inequality.It specifically focuses on migrant workers because they account for a significant portion of the working group.Using the National Migrant Population Dynamic Monitoring Survey from 2014 to 2016,we found that China's two-child pilot policy reduced female labor force participation by 1.4 percentage points.This negative effect was more pronounced for women with higher educational levels or working in the private sector because employers foresee greater risks of productivity decline.We demonstrated that the gender pay gap increased from RMB956 to RMB1,053 during this same period.Pinpointing these unintended consequences brought about by the relaxation of the one-child policy helps provide a more complete picture of inequality and make sense of persistent relative poverty in Chinese society.To counteract gender discrimination,females are advised to work outside their home jurisdictions and take advantage of positive peer effects. 展开更多
关键词 birth control gender inequality migrant worker two-child policy wage gap
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Wealthy Flou Birth Control
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作者 FENG JIANHUA 《Beijing Review》 2007年第7期18-20,共3页
China’s family planning policies have come under criticism for failing to con birth rates among wealthy families A ccording to the family planning policies, Hong Youfu, a restaurant owner in Fangcun District
关键词 Wealthy Flou birth control
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Birth Control and Family Planning in China
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作者 XIAO HUAN PAN ZHONGMING 《Women of China》 1996年第12期20-21,共2页
THIS year, Women of China asked two 30-year-old women from the Yimeng mountain area in Shandong Province about their chosen methods of birth control. Both women reported using intrauterine devices (IUDs), which they h... THIS year, Women of China asked two 30-year-old women from the Yimeng mountain area in Shandong Province about their chosen methods of birth control. Both women reported using intrauterine devices (IUDs), which they had placed by local gynecologists at the hospital 40 days after giving birth. Are these women aware of other contraceptive methods? Some rural women tell us they know of other methods such as oral contraception, contraceptive implants and tubal ligation. 展开更多
关键词 In IUD birth control and Family Planning in China
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If Mom OKs Birth Control,Teen Sex More Likely
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作者 裘金尧 《当代外语研究》 2000年第10期17-18,共2页
美国的科技领先世界一步,而该国的unwed mothers的人数恐怕也为世界之最。所谓unwed mothers指未婚先孕者,多系十多岁的学生娃。 国人视“未婚先孕”为见不得人之事,这是我们的文化。而美国的unwedmothers却少有羞耻感,她们落落大方,将... 美国的科技领先世界一步,而该国的unwed mothers的人数恐怕也为世界之最。所谓unwed mothers指未婚先孕者,多系十多岁的学生娃。 国人视“未婚先孕”为见不得人之事,这是我们的文化。而美国的unwedmothers却少有羞耻感,她们落落大方,将自己的孩子带到学校里来,同学围观,就如同围观已婚夫妇所生的小孩一样,根本谈不上是什么social stigma(社会的耻辱)! 本文提出了一个非常重要的问题:父母是否应该向其十多岁的子女公开自己避孕的措施?父母是否应该和他们谈“性”?本文在对万名学生调研的基础上对此问题作出了辨证回答: 1/这种“公开”和“谈论”,会令子女more likely to become sexually active,或者twice as likely to lose their virginity(处女性)。 2/这种“公开”和“谈论”利大于弊。因为其子女将less likely to have sex overthe study period.And when they did have sex,these kids were more likely to usebirth control and less likely to become pregnant. 我国青少年的性知识从哪里获得?笔者没有读到过这方面的调查,“无师自通”者也许不乏其人。为人父母者是否应该和自己的子女谈性论爱,这也许不是一个简单的“应该/不应该”的问题。真正在起作用的还有我们的文化传统。 展开更多
关键词 未婚先孕 If Mom OKs birth control Teen Sex More Likely
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Risk Factors for Low Birth Weight and Preterm Birth:A Population-based Case-control Study in Wuhan,China 被引量:3
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作者 汪静 曾云 +6 位作者 倪泽敏 王姽 刘淑运 李灿 余朝利 王齐 聂绍发 《Journal of Huazhong University of Science and Technology(Medical Sciences)》 SCIE CAS 2017年第2期286-292,共7页
Low birth weight(LBW) and preterm birth(PB) are associated with newborn mortality and diseases in adulthood.We explored factors related to LBW and PB by conducting a population-based case-control study from Januar... Low birth weight(LBW) and preterm birth(PB) are associated with newborn mortality and diseases in adulthood.We explored factors related to LBW and PB by conducting a population-based case-control study from January 2011 to December 2013 in Wuhan,China.A total of 337 LBW newborn babies,472 PB babies,and 708 babies with normal birth weights and born from term pregnancies were included in this study.Information of newborns and their parents was collected by trained investigators using questionnaires and referring to medical records.Univariate and logistic regression analyses with the stepwise selection method were used to determine the associations of related factors with LBW and PB.Results showed that maternal hypertension(OR=6.78,95% CI:2.27–20.29,P=0.001),maternal high-risk pregnancy(OR=1.53,95% CI:1.06–2.21,P=0.022),and maternal fruit intake ≥300 g per day during the first trimester(OR=1.70,95% CI:1.17–2.45,P=0.005) were associated with LBW.BMI ≥24 kg/m^2 of mother prior to delivery(OR=0.48,95% CI:0.32–0.74,P=0.001) and gestation ≥37 weeks(OR=0.01,95% CI:0.00–0.02,P〈0.034) were protective factors for LBW.Maternal hypertension(OR=3.36,95% CI:1.26–8.98,P=0.016),maternal high-risk pregnancy(OR=4.38,95% CI:3.26–5.88,P〈0.001),maternal meal intake of only twice per day(OR=1.88,95% CI:1.10–3.20,P=0.021),and mother liking food with lots of aginomoto and salt(OR=1.60,95% CI:1.02–2.51,P=0.040) were risk factors for PB.BMI ≥24 kg/m^2 of mother prior to delivery(OR=0.66,95% CI:0.47–0.93,P=0.018),distance of house from road ≥36 meters(OR=0.72,95% CI:0.53– 0.97,P=0.028),and living in rural area(OR= 0.60,95% CI:0.37–0.99,P=0.047) were protective factors for PB.Our study demonstrated some risk factors and protective factors for LBW and PB,and provided valuable information for the prevention of the conditions among newborns. 展开更多
关键词 case-control low birth weight newborn preterm birth risk factors
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Determinant of Low Birth Weight Infants: A Matched Case Control Study 被引量:3
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作者 Rosnah Sutan Mazlina Mohtar +1 位作者 Aimi Nazri Mahat Azmi Mohd Tamil 《Open Journal of Preventive Medicine》 2014年第3期91-99,共9页
Background: Low birth weight (LBW) is a well-known factor associated with neonatal mortality and has contributed to a range of poor health outcomes. Thus, the objective of this study was to determine factors associate... Background: Low birth weight (LBW) is a well-known factor associated with neonatal mortality and has contributed to a range of poor health outcomes. Thus, the objective of this study was to determine factors associated with LBW infants. Methods: A matched case control study was conducted in Universiti Kebangsaan Malaysia. Data of deliveries were obtained from Total Hospital Information System and medical records. All registered deliveries from January to June 2012 were used as sample populations. There were 180 pairs of cases and controls matched on babies’ gender. Fourteen variables were analyzed: maternal age, ethnicity, gravida, parity, gestational age, maternal booking weight, height and body mass index (BMI), history of low birth weight infants, birth interval, booking hemoglobin levels, hypertension, diabetes mellitus and mode of delivery. Results: Younger mother (t = 6.947, p < 0.001), lower booking BMI (t = 3.067, p = 0.002), prematurity (t = 12.324, p < 0.001), history of LBW infants (OR = 3.0, p = 0.001), LSCS (OR = 0.06, p = 0.001) and current hypertension (OR = 3.1, p = 0.008) were found significant in bivariate analysis. Multivariable conditional logistic regression identified younger maternal age (AOR = 2.9, 95% CI = 1.86 -4.51, p 13.58, p = 0.045), prematurity (AOR = 2.4, 95% CI = 1.79 -3.26, p < 0.001), and current hypertension (AOR = 4.5, 95% CI = 1.06 -19.22, p = 0.041) as significant factors associated with LBW infants. Conclusion: Younger maternal age, history of LBW infants, prematurity and hypertension have been recognized as predictors of LBW infants. The importance of pre-pregnancy screening, early antenatal booking and proper identification of high risk-mother needs to be strengthened and enforced in effort to reduce incidence of LBW infants. 展开更多
关键词 Low birth WEIGHT MATERNAL FACTORS Matched CASE control
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APPROXIMATE OPTIMAL BIRTH CONTROL OF POTULATION SYSTEMS
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作者 W.L.Ohan 郭宝珠 《Systems Science and Mathematical Sciences》 SCIE EI CSCD 1990年第1期46-52,共7页
We consider optimal birth control for the McKendrick equation of population dyna-mics.It consists of optimizing a system described by a first order partial differential equationwith nonlo-cal bilinear boundary control... We consider optimal birth control for the McKendrick equation of population dyna-mics.It consists of optimizing a system described by a first order partial differential equationwith nonlo-cal bilinear boundary control.Approximate minimum principles are obtained usingEkeland’s vari ational principle. 展开更多
关键词 OPTIMAL birth control McKendrick equation population dynamics nonlocal BILINEAR boundary control APPROXIMATE minimum PRINCIPLE Ekeland’s variational PRINCIPLE
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Risk Factors for Birth Defects: A Conditional LogisticRegression Analysis of a Case-Control Study in Guang-dong Province of China
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作者 王志瑾 穆荔 《Journal of Reproduction and Contraception》 CAS 1999年第3期170-175,共6页
Information was obtained from the same questionnaire (23 risk factors listed) of cases and controls. We used a multivariate logistic model, which described variables significantly increased risk of birth defects.... Information was obtained from the same questionnaire (23 risk factors listed) of cases and controls. We used a multivariate logistic model, which described variables significantly increased risk of birth defects. The risk factors included maternal educational levels, medicine taken during pregnancy and antenatal care. It was suggested to strengthen antenatal care was the main preventive measure against birth defects. 展开更多
关键词 birth defects Risk factors Case control study Conditional logistic regression Antenatal care
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Birth outcomes and pregnancy complications of women with uterine leiomyoma—a population-based case-control study
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作者 Ferenc Bánhidy Nándor ács +1 位作者 Erzsébet H. Puhó Andrew E. Czeizel 《Health》 2010年第6期566-574,共9页
Objective Uterine leiomyoma is not a rare pathological condition in pregnant women;thus the aim of the study was to evaluate the recent progress in the treatment of these pregnant women on the basis of the association... Objective Uterine leiomyoma is not a rare pathological condition in pregnant women;thus the aim of the study was to evaluate the recent progress in the treatment of these pregnant women on the basis of the association of leiomyoma in pregnancy (LP) with pregnancy complications and birth outcomes including structural birth defects, i.e. congenital abnormalities (CA) in the offspring. Design Cases with CA and matched controls without CA in the population-based Hungarian Case-Control Surveillan- ce System of Congenital Abnormalities (HCC SCA) were evaluated. Only women with prospectively and medically recorded LP in prenatal maternity logbook and medically recorded birth outcomes (gestational age, birth weight, CA) were included to the study. Setting the HCCSCA, 1980-1996 contained 22,843 cases with CA and 38,151 matched controls without CA. Population Hungarian pregnant women and their informative offspring: live births, stillbirths and prenatally diagnosed malformed fetuses. Methods Comparison of birth outcomes of ca- ses with matched controls and pregnancy com- plications of pregnant women with or without LP. Main outcome measures Pregnancy complications, mean gestational age at delivery and birth weight, rate of preterm birth, low birthweight, CA. Results A total of 34 (0.15%) cases had mothers with LP compared to 71 (0.19%) controls. There was a higher incidence of threatened abortion, placental disorders, mainly abruption placentae and anaemia in mothers with LP. There was no significantly higher rate of preterm birth in the newborns of women with LP but their mean birth weight was higher and it associated with a higher rate of large birthweight newborns. A higher risk of total CA was not found in cases born to mothers with LP (adjusted OR with 95% CI = 0.7, 0.5-1.1), the spe- cified groups of CAs were also assessed versus controls, but a higher occurrence of women with LP was not revealed in any CA group. Con- clusions Women with LP have a higher risk of threatened abortion, placental disorders and anaemia, but a higher rate of adverse birth outcomes including CAs was not found in their offspring. 展开更多
关键词 Uterine LEIOMYOMA in Pregnant WOMEN Pregnancy Complications PRETERM birth Large birth Weight Congenital Abnormalities POPULATION-BASED CASE-control Study
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分娩母猪舍仔猪智能保温控制系统设计
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作者 曾志雄 邬锡权 +3 位作者 代叶 罗志杰 涂祥 吕恩利 《中国农机化学报》 北大核心 2024年第7期54-59,67,共7页
为解决传统仔猪加热装置难以满足不同日龄仔猪体感温度需求、能耗高等问题,设计一种分娩舍仔猪智能保温控制系统。分娩舍仔猪智能保温控制系统根据猪舍养殖环境因子如温度、相对湿度和风速,推算仔猪当前的体感温度,智能和集群调节保温... 为解决传统仔猪加热装置难以满足不同日龄仔猪体感温度需求、能耗高等问题,设计一种分娩舍仔猪智能保温控制系统。分娩舍仔猪智能保温控制系统根据猪舍养殖环境因子如温度、相对湿度和风速,推算仔猪当前的体感温度,智能和集群调节保温设备的输出功率,以满足不同阶段日龄仔猪对体感温度的需求。开展分娩母猪舍仔猪保温控制系统试验,试验结果表明,该系统能够将仔猪体感温度控制在设定温度区间内,体感温度波动范围在±0.75℃内。不同日龄下体感温度数据计算出的变异系数均小于0.1,表现为弱变异性,说明体感温度的离散程度较小,系统控制体感温度效果相对稳定。该研究为分娩母猪舍环境调控提供参考。 展开更多
关键词 分娩舍 仔猪 智能保温 嵌入式控制 集群控制
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第二产程高半卧位体位分娩在硬膜外分娩镇痛中的应用研究 被引量:2
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作者 何丽蓉 徐萌艳 蔡锋成 《实用妇产科杂志》 CAS CSCD 北大核心 2024年第2期141-145,共5页
目的:探讨第二产程高半卧位体位在硬膜外镇痛分娩初产妇中应用的有效性及安全性。方法:采用随机数字表法将2021年5月1日至7月30日在杭州市妇产科医院分娩的120例孕妇随机性的分为研究组(n=60)和对照组(n=60)。对照组第二产程采用仰卧位... 目的:探讨第二产程高半卧位体位在硬膜外镇痛分娩初产妇中应用的有效性及安全性。方法:采用随机数字表法将2021年5月1日至7月30日在杭州市妇产科医院分娩的120例孕妇随机性的分为研究组(n=60)和对照组(n=60)。对照组第二产程采用仰卧位体位用力,研究组在第二产程采用仰卧位体位用力30分钟,未见胎头拨露时改为高半卧位体位用力。比较不同分娩体位对硬膜外镇痛分娩初产妇的第二产程时长、分娩方式、产后出血量、会阴损伤情况、分娩用力经验感受及分娩控制感的影响,比较新生儿窒息的情况。结果:研究组宫口开全至胎头拨露时长、宫口开全至胎头着冠时长、第二产程时长均短于对照组;自然分娩率高于对照组;会阴切开率和会阴Ⅱ级裂伤率低于对照组;产时+产后2小时出血量少于对照组;分娩体验感及分娩控制感分数高于对照组,差异均有统计学意义(P<0.05)。新生儿1分钟Agpar评分与5分钟Agpar评分在两组比较差异无统计学意义(P>0.05)。结论:硬膜外分娩镇痛下高半卧位体位的应用可以促进阴道自然分娩,缩短第二产程时间,减少会阴损伤情况,减少产后出血量,有较正向的分娩用力经验感受,可以增加分娩控制感。 展开更多
关键词 硬膜外镇痛 体位 分娩 第二产程 分娩控制感
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生育控制:从公法管控迈向私法治理 被引量:1
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作者 杨立新 李怡雯 《新疆师范大学学报(哲学社会科学版)》 CSSCI 北大核心 2024年第3期44-52,F0002,共10页
国家应如何控制生育这一私密性活动,以实现保护“未来的人”的目标,是学者念兹在兹的重大议题。以美国面临生育自由与生育管制时的漫长拉锯为鉴,我国可以考虑逐步从公法管控迈向私法治理。由此出发,应适当放开辅助生殖技术的应用,逐步... 国家应如何控制生育这一私密性活动,以实现保护“未来的人”的目标,是学者念兹在兹的重大议题。以美国面临生育自由与生育管制时的漫长拉锯为鉴,我国可以考虑逐步从公法管控迈向私法治理。由此出发,应适当放开辅助生殖技术的应用,逐步取消生育登记结婚限制。与此同时,借助《中华人民共和国民法典》第1002条、第1007条以及第1054条前段规定的无效制度规范生育行为;通过《中华人民共和国民法典》第1002条、第1054条后段以及第1071条第1款之规定,保障已出生子女的法律地位。 展开更多
关键词 生育自由 生育控制 辅助生殖技术 生命尊严 无效制度
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左炔诺孕酮宫内缓释节育系统治疗围绝经期妇女异常子宫出血的效果
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作者 刘燕 周学敏 《中国社区医师》 2024年第6期92-94,共3页
目的:观察围绝经期妇女异常子宫出血应用左炔诺孕酮宫内缓释节育系统治疗的临床效果。方法:选取2020年8月—2022年8月滕州市工人医院收治的80例围绝经期异常子宫出血患者作为研究对象,随机分为两组,各40例。两组均进行诊断性刮宫治疗,... 目的:观察围绝经期妇女异常子宫出血应用左炔诺孕酮宫内缓释节育系统治疗的临床效果。方法:选取2020年8月—2022年8月滕州市工人医院收治的80例围绝经期异常子宫出血患者作为研究对象,随机分为两组,各40例。两组均进行诊断性刮宫治疗,对照组给予宫血宁胶囊,研究组给予左炔诺孕酮宫内缓释节育系统。比较两组治疗效果、临床指标及激素水平。结果:研究组治疗总有效率高于对照组,差异有统计学意义(P=0.043)。治疗后,两组经期时长短于治疗前,且研究组短于对照组,子宫内膜厚度小于治疗前,且研究组小于对照组,月经量少于治疗前,且研究组少于对照组,差异有统计学意义(P<0.05)。治疗后,两组卵泡刺激素、雌二醇、孕酮水平低于治疗前,且研究组低于对照组,两组黄体生成素水平高于治疗前,且研究组高于对照组,差异有统计学意义(P<0.05)。结论:左炔诺孕酮宫内缓释节育系统治疗围绝经期妇女异常子宫出血的效果显著,可改善患者临床症状,调节激素水平。 展开更多
关键词 异常子宫出血 围绝经期 左炔诺孕酮宫内缓释节育系统 宫血宁胶囊 诊断性刮宫
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河谷型城市大气污染暴露与低出生体重儿的关系研究
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作者 康莹 何进伟 +3 位作者 曹梅英 李济民 刘浪 王晶 《成都医学院学报》 CAS 2024年第5期868-871,共4页
目的探究孕期暴露于不同空气污染物与不良妊娠结局之间的潜在联系,为降低低出生体重儿的出生率提供依据。方法收集2018年1月至2019年12月延安市区两所三级甲等医院的新生儿信息,共纳入低出生体重儿376例为试验组,足月产新生儿1504例为... 目的探究孕期暴露于不同空气污染物与不良妊娠结局之间的潜在联系,为降低低出生体重儿的出生率提供依据。方法收集2018年1月至2019年12月延安市区两所三级甲等医院的新生儿信息,共纳入低出生体重儿376例为试验组,足月产新生儿1504例为对照组,通过对孕妇的一般信息、本次妊娠情况等多个因素综合分析,结合大气污染物的暴露数据,分析空气污染物暴露与不良妊娠结局之间的关联性。结果两组在孕周、妊娠期并发症、妊娠期高血压、妊娠期合并症方面比较,差异有统计学意义(P<0.05);试验组孕妇在孕早期PM2.5、PM10、SO2、NO2的暴露剂量和整个孕期PM10、SO2的暴露剂量均明显高于对照组(P<0.05);当对混杂因素进行调整后,只有O3在整个孕期为危险因素(OR=1.011,95%CI:1.001~1.021)。结论延安市区大气污染物O3的暴露增加低出生体重儿的发生风险。 展开更多
关键词 河谷型城市 大气污染 低出生体重儿 病例对照
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左炔诺孕酮宫内节育系统联合裸花紫珠片治疗更年期功能性子宫出血的效果
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作者 赵红霞 吴平易 王惠 《中外医学研究》 2024年第6期108-111,共4页
目的:探讨左炔诺孕酮宫内节育系统联合裸花紫珠片治疗更年期功能性子宫出血的效果。方法:选取2021年3月—2023年3月仙桃市妇幼保健院收治的104例更年期功能性子宫出血患者。随机将其分为观察组和对照组,各52例。两组均给予康复新液,对... 目的:探讨左炔诺孕酮宫内节育系统联合裸花紫珠片治疗更年期功能性子宫出血的效果。方法:选取2021年3月—2023年3月仙桃市妇幼保健院收治的104例更年期功能性子宫出血患者。随机将其分为观察组和对照组,各52例。两组均给予康复新液,对照组给予左炔诺孕酮宫内节育系统,观察组在对照组基础上给予裸花紫珠片。比较两组临床疗效,时间指标,治疗前后炎症因子及不良反应。结果:观察组总有效率为94.23%,高于对照组的76.92%,差异有统计学意义(P<0.05)。观察组出血控制时间、完全止血时间均早于对照组,差异有统计学意义(P<0.05)。治疗后,两组C反应蛋白(CRP)、降钙素原(PCT)水平均降低,观察组PCT、CRP水平均低于对照组,差异有统计学意义(P<0.05)。两组不良反应发生率比较,差异无统计学意义(P>0.05)。结论:左炔诺孕酮宫内节育系统联合裸花紫珠片治疗更年期功能性子宫出血患者能够缓解症状,效果确切,缩短出血控制时间,降低PCT、CRP水平,且安全。 展开更多
关键词 左炔诺孕酮宫内节育系统 裸花紫珠片 更年期功能性子宫出血
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安康市2017—2021年围产儿出生缺陷监测及先天性心脏病影响因素分析 被引量:1
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作者 赵华俊 裴磊磊 +1 位作者 高显舜 杨潇 《中国妇幼健康研究》 2024年第5期36-41,共6页
目的 了解陕西省安康市近五年(2017—2021年)围产儿出生缺陷发生情况及变化趋势,分析围产儿发生先天性心脏病(CHD)的影响因素,为制定有效的出生缺陷防治策略提供科学依据.方法 依据陕西省妇幼健康信息系统中的有关数据,回顾性分析2017—... 目的 了解陕西省安康市近五年(2017—2021年)围产儿出生缺陷发生情况及变化趋势,分析围产儿发生先天性心脏病(CHD)的影响因素,为制定有效的出生缺陷防治策略提供科学依据.方法 依据陕西省妇幼健康信息系统中的有关数据,回顾性分析2017—2021年安康市各助产医疗机构围产儿出生缺陷资料.采用病例对照研究设计,选择孕满28周至出生后7天明确诊断为CHD的围产儿为病例组(200例),选择同期诊断为非CHD的出生缺陷儿为对照组(400例),以单因素分析和多因素Logistic回归分析CHD的影响因素.结果 2017~—2021年共监测安康市围产儿126077例,其中发生出生缺陷1116例,出生缺陷总体发病率为88.52~/万;围产儿出生缺陷发生的前5顺位为CHD(29.90~/万)、多指(趾)(13.72~/万)、唇腭裂(7.54~/万)、外耳其他畸形(6.11~/万)、马蹄内翻足(5.79~/万).2017~—2021年安康市出生缺陷发病率由63.89~/万持续上升至131.96~/万,2021年比2017年增长了约2.07倍,有显著的上升趋势(χ^(2)趋势=106.074,P<0.001);其中CHD发病率上升明显(χ^(2)趋势=81.109,P<0.001).2017~—2021年监测的377例CHD出生缺陷围产儿中,动脉导管未闭、房间隔缺损、室间隔缺损、法洛四联症为4种最常见的CHD,依次占32.10%、24.14%、13.79%、9.02%;其中复合多种亚型的CHD(房间隔缺损+动脉导管未闭、房间隔缺损+室间隔缺损、房间隔缺损+肺动脉瓣狭窄)围产儿有12人,占3.18%.单因素分析显示,病例组与对照组围产儿胎龄及产妇围孕期的自然流产史和烟草暴露史的分布比较差异均有统计学意义(χ^(2)值分别为13.187、5.280、12.927,P<0.05).多因素Logistic回归分析显示,非足月儿(胎龄<37周)(OR=1.834,95%CI:1.196~2.812)和产妇围孕期有烟草暴露史(OR=1.914,95%CI:1.081~3.387)均是围产儿发生CHD的危险因素(P<0.05).结论 加强健康宣教,做好孕期保健,保障足月胎龄分娩,远离烟草等不良暴露,积极参与出生缺陷防控相关的惠民项目,其均是预防出生缺陷发生的有效策略. 展开更多
关键词 围产儿 出生缺陷 先天性心脏病 病例对照研究 影响因素
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