卡孕栓用于初孕妇女无痛人工流产术的临床分析

目的:探讨卡孕栓用于初孕妇女无痛人工流产术(简称人流)的临床效果及并发症发生情况。方法:选择门诊自愿要求实施无痛人流术的初孕妇女300例,随机分为两组。观察组150例,术前1h含服卡孕栓0.5mg后进行无痛人流术;对照组150例,术前不含服卡孕栓,常规施行手术。观察两组孕妇宫颈口扩张、镇痛效果、麻醉药物用量、手术时间、苏醒时间、术中出血量以及手术并发症情况。结果:观察组宫颈扩张程度、镇痛效果、手术时间、苏醒时间等指标结果均明显优于对照组(P<0.01)。手术并发症方面,观察组宫颈(宫腔)粘连、子宫穿孔、月经失调的发生明显少于对照组(P<0.01),漏吸的发生两组差异无显著性(P>0.05)。结论:无痛人工流产术前1h含服卡孕栓能有效扩张宫颈,增强麻醉效果,明显减少麻醉药物用量,缩短手术时间、麻醉苏醒时间、减少术中出血、降低手术并发症,是一种比较理想的终止初孕妇女早孕的方法。

两种小剂量静脉注射麻醉药在无痛人流术中的应用

目的探讨安全易行的无痛人流术的麻醉方法。方法选择2009～2011年自愿终止妊娠的早孕妇女950例,年龄18～40岁,体质量36～69kg,宫内孕6～11周,随机分为A,B二组,年龄、孕产次、孕周、经t检验均无明显差异。A组为异丙酚组500例,B组为氯胺酮组450例。术中观察监测记录血压、呼吸、心率、血氧饱和度、清醒时间、术中疼痛、出血、镇痛情况。结果本文经A,B两组开展无痛人流对比,结果显示:两组子宫收缩均无明显差异,但B组出现恶心、呕吐、恶梦、幻觉、兴奋、躁动、苏醒时间延长等不良反应,而A组未见明显副作用。结论小剂量异丙酚用于人工流产术具有麻醉效果好,苏醒快,麻醉并发症少的优点最适合基层应用。

应用B超监视妇产科手术仪进行人工流产486例分析

目的:探讨应用B超监视妇产科手术仪进行人工流产手术的临床效果。方法:2008年1月～2008年6月自愿做人工流产968例手术孕妇,随机分为两组,治疗组468例应用B超监视妇产科手术仪进行人工流产,对照组500例孕妇采用常规人工流产术。结果:两组手术时间、阴道出血量、术后并发症发生率等各项指标经统计学处理,差异有显著性,P<0.05。结论:用B超监视妇产科手术仪进行人工流产,可提高手术的效率、准确率和成功率,减少手术并发症的发生。

护理干预对人流患者术后的心理护理与临床疗效分析

目的:探讨护理干预对人流患者术后的情绪变化与临床疗效。方法:选取100例需进行人工流产患者,随进分为观察组与对照组,各50例,均进行人工流产手术,对照组患者给予常规护理,观察组患者给予护理干预,比较两组患者的SAS评分及临床疗效。结果:护理前,两组患者的SAS评分比较无差异;护理后,观察组患者的SAS评分明显低于对照组,差异显著(P<0.05);观察组患者的出血量、腹痛时间、手术时间均少于对照组患者,两组比较差异显著(P<0.05)。结论:护理干预能缓解人流患者术后的焦虑等不良情绪,同时能进一步提高临床疗效,具有一定积极的作用。

人工流产术后应用口服优思明的临床观察

目的：探讨人工流产手术后口服避孕药优思明的临床疗效。方法：将因早孕行人工流产术患者90例随机分为观察组45例和对照组45例。观察组在人工流产术后当天即服用优思明21片装，每晚1片，共3个周期。对照组未服用优思明。观察两组术后阴道出血量、出血时间、首次月经复潮时间、阴道分泌物增多、子宫内膜厚度及宫内组织残留情况。结果：观察组明显优于对照组（P〈0．05）。结论：人工流产术后口服避孕药优思明是防止人工流产术并发症，控制人工流产率和重复人工流产率的首选。

The role of intangible capital in wage inequality between skilled and unskilled workers in China

Wage inequality between skilled and unskilled workers has increased rapidly in China, right along with its major trading partner--the United States. Trade liberalization and technological improvement have been proposed as causes for the inequality, yet trade liberalization and technological improvement have set the stage for another, possibly more important, cause of the inequality： the movement of intangible capital to China. Intangible capital works synergistically with other inputs to make skilled-workers and tangible capital more valuable. Once the accumulated tangible capital reaches a certain level, its lower unit cost will attract the inflow of intangible capital, which will further expand the demand for skilled workers. As a result, wage inequality becomes larger in China. This paper takes the first step in an attempt to understand the role that the movement of intangible capital plays in the increasing wage inequality in China, and sets out several possible policy prescriptions for China to deal with this inequality.

单纯丙泊酚及复合芬太尼用于无痛人流的临床观察

目的观察单纯丙泊酚和复合芬太尼两种麻醉用法的临床效果,并进行比较,进一步验证丙泊酚复合芬太尼的配伍在人工流产术中的麻醉效果。方法选择在我院自愿要求行无痛人工流产手术的早孕妇女200例,随机分为复合芬太尼组(A组)和单纯丙泊酚(B组),二组一般情况相同。A组先芬太尼单次缓慢静推1.0μg/kg,0.5 min后再注入丙泊酚1.5 mg/kg,注药速度4 ml/10 s。B组单纯丙泊酚静脉推2.0 mg/kg,注药速度4 ml/10 s。两组均待患者意识消失(睫毛反射消失为标志)后开始手术,术中根据扩宫和宫内吸引、肢体活动情况,追加丙泊酚0.5 mg/kg。记录两组手术中平均动脉压、心率、呼吸、脉搏血氧饱和度、丙泊酚总用量、意识恢复时间、镇痛效果及严密监测不良反应。结果二组病人术中MAP、SPO2、R、HR均维持较稳定,差异无统计学意义(P>0.05)。两组镇痛效果对比,A组镇痛效果优于B组(P<0.01)。肢动发生率明显减少(P<0.01)。A组丙泊酚用量明显小于B组(P<0.01),两组术毕意识恢复时间差异无统计学意义(P>0.05)。结论丙泊酚复合芬太尼用于人工流产手术镇静、镇痛效果明显优于单纯使用丙泊酚。

Observation on therapeutic efficacy of thunder-fire moxibustion for hypomenorrhea after induced abortion

Objective:To observe the clinical efficacy of thunder-fire moxibustion for hypomenorrhea after induced abortion.Methods:A total of 74 patients with hypomenorrhea after induced abortion were randomized into two groups,with 37 cases in each group.The control group was treated with conventional hormone sequential therapy,and the observation group was treated with thunder-fire moxibustion.The course of treatment was 3 menstrual cycles.The traditional Chinese medicine(TCM)symptom scores,menstrual volume,endometrial thickness and the sex hormone levels were observed before and after treatment.The clinical efficacy was compared after treatment.Results:The total effective rate in the observation group and the control group was 91.4%and 73.5%,respectively,and the difference between the two groups was statistically significant(P<0.05).After treatment,the TCM symptom scores in both groups decreased significantly(all P<0.05),and the scores in the observation group were lower than those in the control group(P<0.05).The menstrual volume,endometrial thickness and each sex hormone level of the patients in both groups were significantly improved after treatment(all P<0.05),and the improvements in the observation group were more significant than those in the control group(all P<0.05).Conclusion:Thunder-fire moxibustion can significantly improve the clinical symptoms of patients with hypomenorrhea after induced abortion;it can increase menstrual volume and endometrial thickness,and regulate the sex hormone levels,producing a better curative effect than the conventional hormone sequential therapy.