Background：No national research on maternal and fetal complications and outcomes has been carried out in the mainland of China in recent years.This study was to provide a scientific basis for better control of obstet...Background：No national research on maternal and fetal complications and outcomes has been carried out in the mainland of China in recent years.This study was to provide a scientific basis for better control of obstetrical and neonatal diseases and better allocation of medical resources by analyzing the epidemiological characteristics of obstetrical diseases in the mainland of China.Methods：Hospitalized obstetrical cases from 19 tertiary and 20 secondary hospitals in 14 provinces （nationally representative） during the period January 1,2011 to December 31,2011 were randomly selected.The general condition,pregnancy complications,and perinatal outcomes of the patients were studied.Results：The top five medical and surgical complications of pregnant women in the mainland of China were anemia （6.34％）,uterine fibroids （2.69％）,thyroid disease （1.11％）,thrombocytopenia （0.59％）,and heart disease （0.59％）.The incidences of premature rupture of membranes （PROM）,preterm birth,prolonged pregnancy,hypertensive disorders complicating pregnancy （HDCP）,multiple pregnancy,intrahepatic cholestasis of pregnancy （ICP）,placenta previa,placental abruption,postpartum hemorrhage,and amniotic fluid embolism were 15.27％,7.04％,6.71％,5.35％,1.57％,1.22％,1.14％,0.54％,3.26％ and 0.06％,respectively.The incidences of anemia and prolonged pregnancy were significantly lower in tertiary than secondary hospitals （P ＜ 0.001）,whereas the incidence of uterine fibroids,thyroid diseases,thrombocytopenia,heart disease,PROM,preterm birth,HDCP,multiple pregnancy,ICP,placenta previa,and placental abruption were significantly higher in tertiary than secondary hospitals （P ＜ 0.001）.The cesarean section （CS） rate was 54.77％.The newborn sex ratio was 119：100,and 1.03％ of the neonates were malformed.The percentages of low birth weight and fetal macrosomia in full-term babies were 2.10％ and 7.09％,respectively.Conclusions：The incidence of some obstetrical diseases is still high in the mainland of China.The CS rate is much higher than World Health Organization recommendations,in which CS delivery by maternal request （CDMR） accounted for a large proportion.The government should propose solutions to reduce CS rate,especially the rate of CDMR.Most obstetrical complications have higher incidence in tertiary hospitals compared with secondary hospitals.It is important to manage the health of pregnant women systematically,especially those with high-risk factors.展开更多
To discuss the dominant diseases of acupuncture and moxibustion and their trend in development.At present,the concepts of acupuncture and moxibustion disease spectrum include efficacy-based graded disease spectrum of ...To discuss the dominant diseases of acupuncture and moxibustion and their trend in development.At present,the concepts of acupuncture and moxibustion disease spectrum include efficacy-based graded disease spectrum of acupuncture and moxibustion and evidence-based graded disease spectrum of acupuncture and moxibustion.Hence,the ranges of dominant diseases are various in terms of the different concepts.Regarding the efficacy-based graded disease spectrum,81 dominant diseases are included.In accordance with the principle of disease spectrum of evidence-based acupuncture and moxibustion,the articles of systematic reviews and meta-analysis of acupuncture and moxibustion published in Chinese medical journals were retrieved,and thus 68 dominant diseases of acupuncture and moxibustion were collected.In view of the retrieval result and the effect characteristics of acupuncture and moxibustion,the authors believe that the following 4 aspects should be involved in the development of the dominant diseases of acupuncture and moxibustion,named(1)painful diseases,(2)neurological disorders,(3)mental,cognitive and affective diseases and(4)immune-endocrine disorders.展开更多
文摘Background：No national research on maternal and fetal complications and outcomes has been carried out in the mainland of China in recent years.This study was to provide a scientific basis for better control of obstetrical and neonatal diseases and better allocation of medical resources by analyzing the epidemiological characteristics of obstetrical diseases in the mainland of China.Methods：Hospitalized obstetrical cases from 19 tertiary and 20 secondary hospitals in 14 provinces （nationally representative） during the period January 1,2011 to December 31,2011 were randomly selected.The general condition,pregnancy complications,and perinatal outcomes of the patients were studied.Results：The top five medical and surgical complications of pregnant women in the mainland of China were anemia （6.34％）,uterine fibroids （2.69％）,thyroid disease （1.11％）,thrombocytopenia （0.59％）,and heart disease （0.59％）.The incidences of premature rupture of membranes （PROM）,preterm birth,prolonged pregnancy,hypertensive disorders complicating pregnancy （HDCP）,multiple pregnancy,intrahepatic cholestasis of pregnancy （ICP）,placenta previa,placental abruption,postpartum hemorrhage,and amniotic fluid embolism were 15.27％,7.04％,6.71％,5.35％,1.57％,1.22％,1.14％,0.54％,3.26％ and 0.06％,respectively.The incidences of anemia and prolonged pregnancy were significantly lower in tertiary than secondary hospitals （P ＜ 0.001）,whereas the incidence of uterine fibroids,thyroid diseases,thrombocytopenia,heart disease,PROM,preterm birth,HDCP,multiple pregnancy,ICP,placenta previa,and placental abruption were significantly higher in tertiary than secondary hospitals （P ＜ 0.001）.The cesarean section （CS） rate was 54.77％.The newborn sex ratio was 119：100,and 1.03％ of the neonates were malformed.The percentages of low birth weight and fetal macrosomia in full-term babies were 2.10％ and 7.09％,respectively.Conclusions：The incidence of some obstetrical diseases is still high in the mainland of China.The CS rate is much higher than World Health Organization recommendations,in which CS delivery by maternal request （CDMR） accounted for a large proportion.The government should propose solutions to reduce CS rate,especially the rate of CDMR.Most obstetrical complications have higher incidence in tertiary hospitals compared with secondary hospitals.It is important to manage the health of pregnant women systematically,especially those with high-risk factors.
基金Supported by Standardization Administration,National Standard:Moxibustion:No:20170317-T-468。
文摘To discuss the dominant diseases of acupuncture and moxibustion and their trend in development.At present,the concepts of acupuncture and moxibustion disease spectrum include efficacy-based graded disease spectrum of acupuncture and moxibustion and evidence-based graded disease spectrum of acupuncture and moxibustion.Hence,the ranges of dominant diseases are various in terms of the different concepts.Regarding the efficacy-based graded disease spectrum,81 dominant diseases are included.In accordance with the principle of disease spectrum of evidence-based acupuncture and moxibustion,the articles of systematic reviews and meta-analysis of acupuncture and moxibustion published in Chinese medical journals were retrieved,and thus 68 dominant diseases of acupuncture and moxibustion were collected.In view of the retrieval result and the effect characteristics of acupuncture and moxibustion,the authors believe that the following 4 aspects should be involved in the development of the dominant diseases of acupuncture and moxibustion,named(1)painful diseases,(2)neurological disorders,(3)mental,cognitive and affective diseases and(4)immune-endocrine disorders.
