目的:探讨双球囊促宫颈成熟法在足月妊娠产妇中的应用效果。方法:选取2020年3月—2021年3月珠海高新技术产业开发区人民医院收治的80例足月妊娠产妇,采用随机数字表法分为对照组与观察组各40例。对照组给予缩宫素引产,观察组给予双球囊...目的:探讨双球囊促宫颈成熟法在足月妊娠产妇中的应用效果。方法:选取2020年3月—2021年3月珠海高新技术产业开发区人民医院收治的80例足月妊娠产妇,采用随机数字表法分为对照组与观察组各40例。对照组给予缩宫素引产,观察组给予双球囊促宫颈成熟法引产。对比两组产妇干预前后的宫颈成熟评分、产程时间以及自然分娩率、剖宫产分娩率。结果:干预前,两组产妇宫颈成熟度评分比较,差异无统计学意义;干预后,观察组评分高于对照组,差异有统计学意义(P<0.05)。观察组自然分娩率(77.50%)高于对照组(55.00%),观察组的剖宫产分娩率(22.50%)低于对照组(45.00%),观察组的子宫收缩过度发生率(0.00%)低于对照组(12.5%),观察组的胎心异常发生率(0.00%)低于对照组(10.00%),差异均有统计学意义(P<0.05)。两组新生儿的体重以及出生后1 m i n、出生后5 min的Apgar评分对比,差异无统计学意义(P>0.05)。观察组产妇的引产至规律宫缩时间短于对照组,观察组产妇的总产程时间短于对照组,差异均有统计学意义(P<0.05)。结论:双球囊促宫颈成熟法在足月妊娠产妇中应用效果较好,能够促进产妇的宫颈成熟度,减少产妇生产时间,提高自然分娩率,减少产妇引产时出现的不良,在增加引产效果的同时,还有助于确保母婴的安全,值得临床应用。展开更多
AIM： To clarify clinical features of the NSAID-induced sma bowel lesions using a new method of endoscopy. METHODS： This is a retrospective study and we analyzed seven patients with small bowel lesions while taking N...AIM： To clarify clinical features of the NSAID-induced sma bowel lesions using a new method of endoscopy. METHODS： This is a retrospective study and we analyzed seven patients with small bowel lesions while taking NSAIDs among 61 patients who had undergone doubleballoon endoscopy because of gastro-intestinal bleeding or anemia between September 2000 and March 2004, at .lichi Medical School Hospital in Japan. Neither conventional EGD nor colonoscopy revealed any lesions of potential bleeding sources including ulcerations. Double-balloon endoscopy was carried out from oral approach in three patients, from anal approach in three patients, and from both approaches in one patient. RESULTS： Ulcers or erosions were observed in the ileum in six patients and in the jejunum in one patient, respectively. The ulcers were multiple in all the patients with different features from tiny punched out ulcers to deep ulcerations with oozing hemorrhage or scar. All the patients recovered uneventfully and had full resolution of symptoms after suspension of the drug. CONCLUSION： NSAIDs can induce injuries in the small bowel even in patients without any lesions in both the stomach and colon.展开更多
文摘目的:探讨双球囊促宫颈成熟法在足月妊娠产妇中的应用效果。方法:选取2020年3月—2021年3月珠海高新技术产业开发区人民医院收治的80例足月妊娠产妇,采用随机数字表法分为对照组与观察组各40例。对照组给予缩宫素引产,观察组给予双球囊促宫颈成熟法引产。对比两组产妇干预前后的宫颈成熟评分、产程时间以及自然分娩率、剖宫产分娩率。结果:干预前,两组产妇宫颈成熟度评分比较,差异无统计学意义;干预后,观察组评分高于对照组,差异有统计学意义(P<0.05)。观察组自然分娩率(77.50%)高于对照组(55.00%),观察组的剖宫产分娩率(22.50%)低于对照组(45.00%),观察组的子宫收缩过度发生率(0.00%)低于对照组(12.5%),观察组的胎心异常发生率(0.00%)低于对照组(10.00%),差异均有统计学意义(P<0.05)。两组新生儿的体重以及出生后1 m i n、出生后5 min的Apgar评分对比,差异无统计学意义(P>0.05)。观察组产妇的引产至规律宫缩时间短于对照组,观察组产妇的总产程时间短于对照组,差异均有统计学意义(P<0.05)。结论:双球囊促宫颈成熟法在足月妊娠产妇中应用效果较好,能够促进产妇的宫颈成熟度,减少产妇生产时间,提高自然分娩率,减少产妇引产时出现的不良,在增加引产效果的同时,还有助于确保母婴的安全,值得临床应用。
文摘AIM： To clarify clinical features of the NSAID-induced sma bowel lesions using a new method of endoscopy. METHODS： This is a retrospective study and we analyzed seven patients with small bowel lesions while taking NSAIDs among 61 patients who had undergone doubleballoon endoscopy because of gastro-intestinal bleeding or anemia between September 2000 and March 2004, at .lichi Medical School Hospital in Japan. Neither conventional EGD nor colonoscopy revealed any lesions of potential bleeding sources including ulcerations. Double-balloon endoscopy was carried out from oral approach in three patients, from anal approach in three patients, and from both approaches in one patient. RESULTS： Ulcers or erosions were observed in the ileum in six patients and in the jejunum in one patient, respectively. The ulcers were multiple in all the patients with different features from tiny punched out ulcers to deep ulcerations with oozing hemorrhage or scar. All the patients recovered uneventfully and had full resolution of symptoms after suspension of the drug. CONCLUSION： NSAIDs can induce injuries in the small bowel even in patients without any lesions in both the stomach and colon.
