Objective: the study is aimed to introduce the developing history of gynecology and gynecological nursing in traditional Chinese medicine (TCM). Study Design: the development of gynecology and gynecological nursing co...Objective: the study is aimed to introduce the developing history of gynecology and gynecological nursing in traditional Chinese medicine (TCM). Study Design: the development of gynecology and gynecological nursing consists of six periods in Chinese history. They are: 1) budding stage represented by the inscriptions of Nü (female) on oracle bones;2) physiological development stages of women;3) specialized chapters of gynecology in TCM;4) features of gynecological nursing;5) monograph of gynecology and gynecological nursing;6) integration of ancient gynecological nursing perceptions. Results: TCM has a profound understanding of gynecology and gynecological nursing. For period one, the inscriptions of Nü (female) on oracle bones is the symbol of the budding stage. For period two, physiogenesis stages of women are recorded in The Yellow Emperor of Classics of Inner Medicine. For period three, the specialized chapters of gynecology appeared, represented by Golden Chamber, Woman. For period four, the features of gynecological nursing were elaborated in Essential Prescriptions Worth A Thousand Gold including menstruation, depression, yin-dampness, and menopause. For period five, monographs of gynecology and gynecological nursing represented by Good Comprehensive Woman Formulae appeared. For period six, Integrative studies of gynecological nursing perceptions were carried out with the representation by Integrated Ancient and Modern Books. Conclusion: TCM gynecology and gynecological nursing harbors a long history of treating and nursing gynecological disorders. With therapeutic and nursing modalities, they are effective systems of un-derstanding and managing woman health as proven by medical literatures, clinical benefits and basic research studies.展开更多
目的分析妇科恶性肿瘤患者术后下肢深静脉血栓(DVT)的中医证型分布及风险预测。方法收集2019年1月至2022年9月于广州中医药大学第一附属医院行妇科恶性肿瘤手术的279例患者的临床资料进行回顾性分析,根据术后是否发生DVT分为血栓组(40例...目的分析妇科恶性肿瘤患者术后下肢深静脉血栓(DVT)的中医证型分布及风险预测。方法收集2019年1月至2022年9月于广州中医药大学第一附属医院行妇科恶性肿瘤手术的279例患者的临床资料进行回顾性分析,根据术后是否发生DVT分为血栓组(40例)和非血栓组(239例),分析两组中医证型分布情况及DVT相关危险因素。结果妇科恶性肿瘤术后DVT的发生率为14.34%,血栓组气滞血瘀证占比最大(40.0%)。多因素分析提示,年龄、既往无手术史、术后3 d D-二聚体(DD)水平是妇科恶性肿瘤术后DVT的独立危险因素(P<0.05)。三指标联合的受试者工作特征曲线下面积为0.776(95%CI:0.697~0.855),经Hosmer-Lemeshow检验该模型准确性良好。结论妇科恶性肿瘤术后DVT以气滞血瘀证最为常见,高龄、既往无手术史、术后3 d DD高水平是该病的独立危险因素,三指标联合有较好的预测效率。临床应重视术后及时检测相关指标,以预防妇科恶性肿瘤术后DVT。展开更多
文摘Objective: the study is aimed to introduce the developing history of gynecology and gynecological nursing in traditional Chinese medicine (TCM). Study Design: the development of gynecology and gynecological nursing consists of six periods in Chinese history. They are: 1) budding stage represented by the inscriptions of Nü (female) on oracle bones;2) physiological development stages of women;3) specialized chapters of gynecology in TCM;4) features of gynecological nursing;5) monograph of gynecology and gynecological nursing;6) integration of ancient gynecological nursing perceptions. Results: TCM has a profound understanding of gynecology and gynecological nursing. For period one, the inscriptions of Nü (female) on oracle bones is the symbol of the budding stage. For period two, physiogenesis stages of women are recorded in The Yellow Emperor of Classics of Inner Medicine. For period three, the specialized chapters of gynecology appeared, represented by Golden Chamber, Woman. For period four, the features of gynecological nursing were elaborated in Essential Prescriptions Worth A Thousand Gold including menstruation, depression, yin-dampness, and menopause. For period five, monographs of gynecology and gynecological nursing represented by Good Comprehensive Woman Formulae appeared. For period six, Integrative studies of gynecological nursing perceptions were carried out with the representation by Integrated Ancient and Modern Books. Conclusion: TCM gynecology and gynecological nursing harbors a long history of treating and nursing gynecological disorders. With therapeutic and nursing modalities, they are effective systems of un-derstanding and managing woman health as proven by medical literatures, clinical benefits and basic research studies.
文摘目的分析妇科恶性肿瘤患者术后下肢深静脉血栓(DVT)的中医证型分布及风险预测。方法收集2019年1月至2022年9月于广州中医药大学第一附属医院行妇科恶性肿瘤手术的279例患者的临床资料进行回顾性分析,根据术后是否发生DVT分为血栓组(40例)和非血栓组(239例),分析两组中医证型分布情况及DVT相关危险因素。结果妇科恶性肿瘤术后DVT的发生率为14.34%,血栓组气滞血瘀证占比最大(40.0%)。多因素分析提示,年龄、既往无手术史、术后3 d D-二聚体(DD)水平是妇科恶性肿瘤术后DVT的独立危险因素(P<0.05)。三指标联合的受试者工作特征曲线下面积为0.776(95%CI:0.697~0.855),经Hosmer-Lemeshow检验该模型准确性良好。结论妇科恶性肿瘤术后DVT以气滞血瘀证最为常见,高龄、既往无手术史、术后3 d DD高水平是该病的独立危险因素,三指标联合有较好的预测效率。临床应重视术后及时检测相关指标,以预防妇科恶性肿瘤术后DVT。