期刊文献+
共找到757篇文章
< 1 2 38 >
每页显示 20 50 100
Abnormal Uterine Bleeding due to Retention of Fetal Bones after Abortion: A Case Report
1
作者 Okafor Love Chimezirim Ogoke Nwakamma Chisom +3 位作者 William Oladiran Taiwo Simon Joseph Adagadzu Kingsley Iyoko Iseko Aminyene Essien Meraiyebu 《Open Journal of Obstetrics and Gynecology》 2023年第11期1881-1885,共5页
Background: Retention of fetal bones is a rare cause of abnormal uterine bleeding. Others may present as subfertility, chronic pelvic pain, abnormal vaginal discharge, menometrorrhagia, dysmenorrhea and spontaneous ex... Background: Retention of fetal bones is a rare cause of abnormal uterine bleeding. Others may present as subfertility, chronic pelvic pain, abnormal vaginal discharge, menometrorrhagia, dysmenorrhea and spontaneous expulsion of bony fragments. Incidence is 0.26% among patients undergoing hysteroscopy. Aim: To document a pattern of presentation of retained fetal bone and its management. Case Presentation: Our patient is an 18-year old who presented with vaginal bleeding of four weeks duration and managed for abnormal uterine bleeding due to retained fetal bone following second trimester abortion. Conclusion: The use of transvaginal ultrasound in making diagnosis of retained fetal bone is effective. Treatment by removal of bones through evacuation by dilatation and curettage or hysteroscopy brings about resolution of symptoms. Use of pelvic ultrasonography to confirm complete evacuation of the uterus after abortion especially second trimester abortion could aid in early diagnosis and management of incomplete abortion. 展开更多
关键词 Abnormal Uterine bleeding Retained Fetal Bones abortion Transvaginal Ultrasound Dilatation and Curettage HYSTEROSCOPY
下载PDF
Induced abortion in China and the advances of post abortion family planning service 被引量:2
2
作者 Li Ying Cheng Yi-ming Huang Na Guo Xin Wang Xian-mi 《生殖医学杂志》 CAS 2004年第z1期53-58,共6页
This is a review of current situation of induced abortion and post abortion family planning service in China. Induced abortion is an important issue in reproductive health. This article reviewed the distribution of in... This is a review of current situation of induced abortion and post abortion family planning service in China. Induced abortion is an important issue in reproductive health. This article reviewed the distribution of induced abortion in various time, areas, and population in China, and explored the character, reason, and harm to reproductive health of induced abortion.Furthermore, this article introduces the concept of Quality of Care Program in Family Planning,and discusses how important and necessary it is to introduce Quality of Care Program in Family Planning to China. 展开更多
关键词 REPRODUCTIVE health Induced abortion Quality of CARE in FAMILY PLANNING post abortion FAMILY PLANNING service
下载PDF
Post Tonsillectomy Bleeding among Children in a Tertiary Hospital in the Kingdom of Bahrain: Two Years Experience 被引量:1
3
作者 Zahraa A. Abdeen Worood A. Husain +1 位作者 Alaa Q. Mandeel Sayed Mohamed J. Almoosawi 《International Journal of Otolaryngology and Head & Neck Surgery》 2020年第6期203-212,共10页
<strong>Background:</strong> Palatine tonsils are part of the immune system located within the Waldeyer’s ring, they are prone to infections, hypertrophy or both. These conditions are known as tonsil dise... <strong>Background:</strong> Palatine tonsils are part of the immune system located within the Waldeyer’s ring, they are prone to infections, hypertrophy or both. These conditions are known as tonsil diseases that usually require surgical removal through tonsillectomy. Tonsillectomy is one of the most common procedures done for children but it is challenged by the occurrence of complications, especially post tonsillectomy bleeding (PTB). In the current study, the incidence of post tonsillectomy bleeding in children younger than 14 years undergoing tonsillectomy in Salmaniya Medical Complex is evaluated and their demographic data and risk factors are assessed. <strong>Method:</strong> Pediatric patients who are younger than 14 years with postoperative tonsillectomy bleeding that were treated in Salmaniya Medical Complex between the period of January 2018 and December 2019 were retrospectively studied for risk factors. <strong>Results:</strong> A total of 1161 patients within the age range of 2 - 13 years old underwent tonsillectomy in Salmaniya Medical Complex from the period of January 2018 to December 2019. Twenty-eight pediatric patients had post-tonsillectomy bleeding (PTB) during the study period with an incidence of 2.4% of the total number of pediatric tonsillectomies done in our institute. The majority were male patients and the mean age was 6.2 years. The main indication of tonsillectomy for those with bleeding was recurrent tonsillitis. A second surgery was needed in 64.5% to control the bleeding. The size of the tonsil, the level of the surgeon and the season at which the tonsillectomy was done did not seem to have any effect on the incidence of post-tonsillectomy bleeding (PTB). <strong>Conclusion:</strong> The incidence of post tonsillectomy bleeding (PTB) in Salmaniya Medical Complex is 2.4%, which makes it a common complication for a common surgery irrelevant to any patient, surgeon or climate related factors. 展开更多
关键词 Pediatric Tonsillectomy post Tonsillectomy bleeding (PTB) Primary post Tonsillectomy bleeding Secondary post-Tonsillectomy bleeding TONSILLECTOMY
下载PDF
Heparin bridge therapy and post-polypectomy bleeding 被引量:2
4
作者 Toshiyuki Kubo Kentaro Yamashita +4 位作者 Kei Onodera Tomoya Iida Yoshiaki Arimura Masanori Nojima Hiroshi Nakase 《World Journal of Gastroenterology》 SCIE CAS 2016年第45期10009-10014,共6页
AIM To identify risk factors for post-polypectomy bleeding(PPB), focusing on antithrombotic agents. METHODS This was a case-control study based on medical records at a single center. PPB was defined as bleeding that o... AIM To identify risk factors for post-polypectomy bleeding(PPB), focusing on antithrombotic agents. METHODS This was a case-control study based on medical records at a single center. PPB was defined as bleeding that occurred 6 h to 10 d after colonoscopic polypectomy and required endoscopic hemostasis. As risk factors for PPB, patient-related factors including anticoagulants, antiplatelets and heparin bridge therapy as well as polyp- and procedure-related factors were evaluated. All colonoscopic hot polypectomies, endoscopic mucosal resections and endoscopic submucosal dissections performed between January 2011 and December 2014 were reviewed. RESULTS PPB occurred in 29(3.7%) of 788 polypectomies performed during the study period. Antiplatelet or anticoagulant agents were prescribed for 210(26.6%)patients and were ceased before polypectomy except for aspirin and cilostazol in 19 cases. Bridging therapy using intravenous unfractionated heparin was adopted for 73 patients. The univariate analysis revealed that anticoagulants, heparin bridge, and anticoagulants plus heparin bridge were significantly associated with PPB(P < 0.0001) whereas antiplatelets and antiplatelets plus heparin were not. None of the other factors including age, gender, location, size, shape, number of resected polyps, prophylactic clipping and resection method were correlated with PPB. The multivariate analysis demonstrated that anticoagulants and anticoagulants plus heparin bridge therapy were significant risk factors for PPB(P < 0.0001). Of the 29 PPB cases, 4 required transfusions and none required surgery. A thromboembolic event occurred in a patient who took anticoagulant. CONCLUSION Patients taking anticoagulants have an increased risk of PPB, even if the anticoagulants are interrupted before polypectomy. Heparin-bridge therapy might be responsible for the increased PPB in patients taking anticoagulants. 展开更多
关键词 post-polypectomy 流血 肝磷脂桥治疗 结肠的 polypectomy 抗凝剂 ANTIPLATELETS 内视镜的外科
下载PDF
Medication Rules of Traditional Chinese Medicine for Treating Threatened Abortion in the Early Stage of Pregnancy with Subchorionic Haematoma Based on Data Mining
5
作者 曾丽 俎丽 +2 位作者 陈莉 王唪义 李莉 《World Journal of Integrated Traditional and Western Medicine》 2023年第4期21-30,共10页
Objective:Using data mining technology to explore the rules of traditional Chinese medicine(TCM)in the treatment of threatened abortion in the early stage of pregnancy with sub-chorionic haematoma(SCH).Methods:Literat... Objective:Using data mining technology to explore the rules of traditional Chinese medicine(TCM)in the treatment of threatened abortion in the early stage of pregnancy with sub-chorionic haematoma(SCH).Methods:Literature of TCM in the treatment of threatened abortion in the early stage of pregnancy with SCH were retrieved from CNKI,VIP,WANFANG and Pubmed,EMBASE.The literature information database was established to be used for descriptive analysis,association rule analysis and cluster analysis of relevant data.Results:A total of 100 literatures were included,involving 114 Chinese herbs.The efficacy of Chinese herbs were mainly tonic drugs,hemostatic drugs,heat-clearing drugs,dissolving blood stasis and hemostatic drugs.The medicinal properties were mostly mild and warm,and the taste of the drug was mainly sweet,bitter and pungent.The liver meridian,spleen meridian and kidney meridian were frequently used.The commonly used drug pair combination was"Xu duan(Radix dipsaci,续断)-Tusizi(Semen Cuscutae,菟丝子)",and the core combination was"Tusizi-Xu duan-Ejiao(Donkeyhide gelatin,阿胶)-Baizhu(Atractylodes macrocephala,白术)-Dangshen(Codonopsis pilosula,党参)".Commonly used drugs for removing blood stasis and hemostasis were with Sanqi(Panax notoginseng,三七),Puhuang(cattail pollen,蒲黄),and Qiancao(Radix Rubiae,茜草).Conclusion:Data mining traditional Chinese medicine for the treatment of threatened abortion in the early stage of pregnancy with SCH clinically commonly used drug efficacy,taste,meridian,commonly used drug pairs,core combination and commonly used blood stasis hemostatic drugs,has important reference significance for the treatment of threatened abortion in the early stage of pregnancy combined with SCH. 展开更多
关键词 Threatened abortion for early stage of pregnancy Sub-chorionic haematoma Data mining Medication rules Removing blood stasis and stopping bleeding TCM
下载PDF
Improving Post Abortion Care (PAC) Delivery in Sub-Saharan Africa: A Literature Review
6
作者 Alphonse Nyong Ngalame Robert Tchounzou +12 位作者 Humphry Tatah Neng Fulbert George Nkwele Mangala Rakya Inna Diane Modjo Kamdem Bilkissou Moustapha Julius Sama Dohbit Eugene Justine Kongnyuy Claude Ndoua Noa Benova Lenka Gregory Ekane Halle Darolles Wekam Mwadjie Therese Delvaux Emile Telesphore Mboudou 《Open Journal of Obstetrics and Gynecology》 2020年第9期1295-1306,共12页
Saharan Africa (SSA) contributes 29% of the global unsafe abortions with 62% of abortion-related deaths. This is due to restrictive abortion laws, low quality post abortion care (PAC) and inadequate access to effectiv... Saharan Africa (SSA) contributes 29% of the global unsafe abortions with 62% of abortion-related deaths. This is due to restrictive abortion laws, low quality post abortion care (PAC) and inadequate access to effective modern contraception. The overall objective was to review current literature on PAC in SSA and make recommendations for improvement especially in Cameroon. A literature review was conducted on PAC in SSA published </span><span style="font-family:Verdana;">during</span><span style="font-family:Verdana;"> 2000-2018. The following databases were searched</span><span style="font-family:Verdana;">:</span><span style="font-family:Verdana;"> MEDLINE, POPLINE, COCHRANE Library, African Index Medicus and GOOGLE Scholar. Thirty articles were reviewed from 16 countries ranging from observational studies to systematic reviews with meta-analysis. Major outcomes: 1) Manual vacuum aspiration (MVA) and misoprostol are equally safe and effective. 2) There is comparable</span><span style="font-family:""> </span><span style="font-family:Verdana;">effectiveness between physicians and trained mid-level cadres in PAC management. 3) PAC contraception uptake was increased when offered immediately before patient leaves the facility. 4) Gaps to PAC service use include inadequate access, low quality care and less adolescent-friendly environment. Task shifting of PAC to trained mid-level staff, decentralization of medical PAC using misoprostol, offering post abortion counselling and contraception to clients before leaving the health facility, encouraging linkage and provider-community partnership in PAC and reinforcement of advocacy for less restrictive abortion laws in Cameroon are recommended. 展开更多
关键词 post abortion Care (PAC) MISOPROSTOL CONTRACEPTION Midlevel Cadres Sub-Saharan Africa
下载PDF
Does serotonin reuptake inhibitor therapy increase the risk of post-sphincterotomy bleeding in patients undergoing endoscopic retrograde cholangio-pancreatography?
7
作者 Divya Yadav John Vargo +1 位作者 Rocio Lopez Prabhleen Chahal 《World Journal of Gastrointestinal Endoscopy》 CAS 2017年第4期171-176,共6页
AIM To evaluate the risk of immediate and delayed bleeding following sphincterotomy procedure.METHODS This retrospective cohort study was conducted with all patients who underwent endoscopic sphincterotomy during Janu... AIM To evaluate the risk of immediate and delayed bleeding following sphincterotomy procedure.METHODS This retrospective cohort study was conducted with all patients who underwent endoscopic sphincterotomy during January 2006 to September 2015 at a tertiary academic center. Patients were grouped according to pre procedural usage of serotonin reuptake inhibitors(SRIs). Both groups were matched for demographic and clinical characteristics. Patients with thrombocytopenia,increased international normalized ratio, or a history of bleeding or coagulation disorders, concurrent use of other antiplatelet/anticoagulants were excluded from the study.RESULTS A total of 447 patients were included, of which 219(45.9%) used SRIs and 228(54.1%) cases did not.There was no significant difference in acute or delayed bleeding during endoscopic sphincterotomy between the two groups.(8.2% vs 12.3%, P = 0.16).CONCLUSION The use of SRIs was not associated with an increased risk of post-sphincterotomy bleeding. To our best knowledge, this is the first study to explore this asso-ciation. 展开更多
关键词 血清素举起禁止者 柱子 -- sphincterotomy 流血 内视镜检查法 内视镜后退 cholangiopancreatography 胃肠的流血
下载PDF
Post Abortion Women’s Perceptions of Utilizing Long Acting Reversible Contraceptive Methods in Uganda. A Qualitative Study
8
作者 Othman Kakaire Janet Nakiggude +1 位作者 John C. Lule Josaphat K. Byamugisha 《Open Journal of Obstetrics and Gynecology》 2014年第16期1087-1097,共11页
Background: About one-third of all pregnancies that occur in low income countries are unintended. An estimated 1.2 million unwanted pregnancies occur in Uganda annually. The majority of the unwanted pregnancies end in... Background: About one-third of all pregnancies that occur in low income countries are unintended. An estimated 1.2 million unwanted pregnancies occur in Uganda annually. The majority of the unwanted pregnancies end in unsafe abortion which is one of the five direct causes of maternal mortality. Abortion related complications are responsible for 26% of all maternal deaths in Uganda. Abortion complications can be avoided if women appropriately use contraception to avoid unwanted pregnancy. However, in Uganda the contraceptive prevalence is low at 30% and less than 4% of women rely on long acting reversible contraceptives. Aim: We aimed to explore post-abortion women’s perceptions of using of long acting reversible contraception (LARC). Methods: A qualitative research design was used for data collection and analysis. Thirty in-depth interviews with post abortion women in Mulago hospital were carried out using an interview guide. Interviews were transcribed and coded using nodes and subsequently through query, we derived themes. Results: Emergent themes regarding women perceptions of using LARC methods were myths and misinformation, fear of side effects, women’s lived experiences, relatives’ influence, health providers’ perceptions, lack of knowledge and women desire for spacing children for a long time. Conclusion and recommendations: The majority of women were skeptical about using LARC. There is a need to educate women to dispel myths, misinformation and quality counseling to address the benefits and side effects of LARC. There is also a need to revamp the knowledge and skills of the healthcare providers regarding LARC methods. 展开更多
关键词 PERCEPTIONS CONTRACEPTION Family Planning LARC post-abortion
下载PDF
A Critical Review of Post Endoscopic Sub-Mucosal Dissection (ESD) Delayed Bleeding Risk Factors
9
作者 Bilal Khan Bilquis Nawabi +2 位作者 Daniya Sivakumar Said Maisam Shuoa Ruihua Shi 《Open Journal of Gastroenterology》 2020年第6期166-179,共14页
<span style="font-family:;" "=""><span style="font-family:Verdana;">Endosco</span><span style="font-family:Verdana;">pic sub-mucosal dismemberment (... <span style="font-family:;" "=""><span style="font-family:Verdana;">Endosco</span><span style="font-family:Verdana;">pic sub-mucosal dismemberment (ESD) has become a settled strat</span><span style="font-family:Verdana;">egy for treatment of shallow neoplasms in the gastrointestinal tract. In three local areas, ESD was introduced to overcome traditional endoscopic mucous resecti</span><span style="font-family:Verdana;">on (EMR) and inadequate resection of the EMR, combining mout</span><span style="font-family:Verdana;">h, stomach, and the colon, for early disruptive sores. ESD was grown first in Japan since that nation has the highest predominance of gastric malignant growth on the p</span><span style="font-family:Verdana;">lanet. Endoscopic sub-mucosal analyzation causes enormous fake ulc</span><span style="font-family:Verdana;">ers with </span><span style="font-family:Verdana;">more severe dangers of intra-usable and deferred postoperative draining. However, </span><span style="font-family:Verdana;">there is no agreement in regards to the ideal peri-usable administration for the anticipation of free draining and the advancement of ulcer mending. The hugeness of this investigation is to locate a superior procedure to bring down the hazard post ESD draining and to plan to defeat the confinements of re</span><span style="font-family:Verdana;">gular EMR (endoscopic mucosal resection) and fragmented resection for</span><span style="font-family:Verdana;"> early malignant injuries in the three districts which incorporate throat, stomach, and colon. However, it has considered a standard in Eastern Asian nations and Japan because of the incredible importance of ESD. The EMR and </span><span style="font-family:Verdana;">ESD approaches are discussed in this report. Thus, the warning factors for early gastric neoplasms of PPB after ESD were established, and a superi</span><span style="font-family:Verdana;">or technique was created to mitigate the danger of ESD dying. EMR was already wide</span><span style="font-family:Verdana;">ly used for treating early neoplastic sores in the gastrointestinal tra</span><span style="font-family:Verdana;">ct;colon adenoma and colorectal tumors are widely acknowledged.</span></span> 展开更多
关键词 post-Endoscopic Sub-Mucosal bleeding Risk Factor Delayed bleeding
下载PDF
Integration of Post Abortion Care Package in the Activity of 56 Health Facilities by the Burkina Faso Society of Obstetricians and Gynecologists (SOGOB)
10
作者 Sibraogo Kiemtoré Hyacinthe Zamané +8 位作者 Yobi Alexis Sawadogo Charlemagne Marie Ouédraogo Dantola Paul Kaïn Abdoule Azize Diallo Issa Ouédraogo Adama Dembélé Ali Ouédraogo Blandine Thiéba Jean Lankoandé 《Open Journal of Obstetrics and Gynecology》 2016年第8期457-462,共6页
Introduction: This article is an analysis of post-abortion care in 56 health facilities after their capacity building by the Burkina Faso Society of Obstetricians and Gynecologists (SOGOB). Patients and Methods: In 20... Introduction: This article is an analysis of post-abortion care in 56 health facilities after their capacity building by the Burkina Faso Society of Obstetricians and Gynecologists (SOGOB). Patients and Methods: In 2012, with funds from Safe Abortion Action Fund, the SOGOB trained care providers and equipped 56 health facilities for post abortion care. Statistical data on the management of incomplete abortions after the capacity building were analyzed. The significance level was set at 0.05. Results: There were 6316 cases of abortion that have been managed in 56 health facilities. The evacuation of the uterine contents for incomplete abortion has been provided to 6167 patients. Manual vacuum aspiration (MVA) and misoprostol were used respectively in 69.4% and 26.9% of cases to evacuate uterine content. Post-treatment complications were 1.8% for MVA and 0.9% for misoprostol (p = 0.004). MVA’s complication rate in the health facilities of the 1<sup>st</sup> level of care (1.7%) was not different from the third level of care (1.2%) with p = 0.21. A modern method of contraception was provided after abortion to 65.7% of the patients. In addition to the post abortion care, 7.3% of the patients received other reproductive health services. The community was involved in the development process of post abortion care in the facilities of the first level of care. Conclusion: The support of health facilities by SOGOB has provided post abortion care to thousands of women with little complications. Given the good results, an extension to other health facilities is desirable. 展开更多
关键词 post-abortion Care MVA MISOPROSTOL Family Panning Burkina Faso
下载PDF
Research Priorities for Preventing Unsafe Abortions in the WHO Africa Region
11
作者 Leopold Ouedraogo Triphonie Nkurunziza +14 位作者 Assumpta Muriithi Chilanga Asmani Hayfa Elamin Souleymane Zan Mihretu Belete Gbenou Dina Theopista Kabuteni John Bigirimana Françoise Dadji Kwami Kim Caron Rahn Ali Moazzam Tolu Lemi Blami Dao Issiaka Sombie Okech Mollent 《Advances in Reproductive Sciences》 2021年第1期24-32,共9页
<strong>Background:</strong> Unsafe abortion is a commonly neglected sexual and reproductive health and rights issue despite the serious health problems it causes to women and girls in their reproductive a... <strong>Background:</strong> Unsafe abortion is a commonly neglected sexual and reproductive health and rights issue despite the serious health problems it causes to women and girls in their reproductive ages. It is classified as a main cause of maternal mortality and morbidity. This paper has considered questions that have the greatest potential to successfully reduce unsafe abortions in the resource poor settings. <strong>Methods: </strong>We adapted the Child Health and Nutrition Research Initiative (CHNRI) to identify and prioritize many competing sexual and reproductive health and rights research ideas that impact the health of the populations. The implementation was done in three phases which included generation and collection of research ideas from various experts virtually in August 2019 consolidation of the potential questions through thematic analysis conducted in September 2019. Finally, scoring and ranking of the research questions was done in a workshop of experts. <strong>Results: </strong>Out of a list of 45 priority research questions, two questions were ranked the highest scoring 28 out of the possible 30. The research priorities include: “The effectiveness of interventions (e.g. counseling or incentives or home visits) to increase post abortion uptake and continuance”, “Reducing repeat abortion on improving maternal health outcomes” and “Evaluation of community-based awareness programs to reduce unwanted pregnancies and encourage women to seek help early”. <strong>Conclusions:</strong> Ten key research priorities in preventing unsafe abortion were identified. The priority list covers areas of focus that could effectively impact preventing unsafe abortions while also acting as a knowledge base for researchers, policy makers and other interested stakeholders who would want to invest in this area. 展开更多
关键词 Unsafe abortion post-abortion Contraception Sexual and Reproductive Health UNPLANNED abortion
下载PDF
女性药物流产后加用米非司酮的治疗效果
12
作者 张俊勤 李亚星 《中国当代医药》 CAS 2024年第5期116-119,共4页
目的探析女性采取药物流产后予以米非司酮药物治疗的效果。方法选取2020年4月至2021年4月河北省人民医院就诊的70例药物流产患者作为研究对象,根据随机数字表法分为对照组(35例)和观察组(35例)。两组均采用药物流产治疗,对照组不加用药... 目的探析女性采取药物流产后予以米非司酮药物治疗的效果。方法选取2020年4月至2021年4月河北省人民医院就诊的70例药物流产患者作为研究对象,根据随机数字表法分为对照组(35例)和观察组(35例)。两组均采用药物流产治疗,对照组不加用药物,观察组行米非司酮治疗,比较两组治疗效果及不良反应情况。结果观察组流产情况优于对照组,观察组阴道出血量低于对照组,出血持续时间短于对照组,观察组治疗后卵泡刺激素(FSH)、黄体生成素(LH)、孕酮(P)及雌二醇(E2)水平与不良反应总发生率低于对照组,差异有统计学意义(P<0.05)。结论米非司酮药物应用在女性药物流产后效果显著,可提升患者完全流产率,缩短患者出血持续时间,有效减少患者流产后的阴道出血量,同时对患者激素水平进行调节,降低患者不良反应发生率,促进患者流产后的恢复,临床上可借鉴及推广。 展开更多
关键词 米非司酮 女性 药物流产 阴道出血 激素水平 不良反应
下载PDF
非意愿妊娠女性人工流产后放置吉妮致美IUD效果
13
作者 魏岚 韦玲 《中国计划生育学杂志》 2024年第1期142-145,共4页
目的:探讨非意愿妊娠女性人工流产后放置吉妮致美宫内节育器(IUD)效果.方法:以2021年7月-2022年7月在本院自愿要求人工流产术的未育女性213例,对实行流产后关爱干预,其中选择IUD避孕103例为观察组,未选择IUD避孕方法110例为对照组,问卷... 目的:探讨非意愿妊娠女性人工流产后放置吉妮致美宫内节育器(IUD)效果.方法:以2021年7月-2022年7月在本院自愿要求人工流产术的未育女性213例,对实行流产后关爱干预,其中选择IUD避孕103例为观察组,未选择IUD避孕方法110例为对照组,问卷调查比较两组干预前后对人工流产危害的知信行,比较流产后性生活恢复时间,随访1年非意愿妊娠及其妊娠原因、人工流产情况.结果:干预前后两组对人工流产危害性知识理论认知、态度信念、行为能力评分均提升(P<0.05),但两组间无差异;干预后观察组性生活恢复时间(3.7±0.1月)晚于对照组(3.2±0.9月),非意愿妊娠发生(8例,7.8%)低于对照组(24例,21.8%)(P<0.05),两组人工流产(0.9%、1.9%)发生无差异,观察组非意愿妊娠原因均为IUD脱落,对照组为避孕措施失败(11例,45.8%)和未避孕或避孕措施使用不正确(13例,54.2%).结论:吉妮致美IUD对降低人工流产后妇女非意愿妊娠有效,但需要重视IUD脱落率问题. 展开更多
关键词 人工流产后避孕 知信行 吉妮致美宫内节育器 非意愿妊娠 妊娠原因
下载PDF
自拟如意散治疗药物流产后气虚血瘀型阴道异常出血效果及对血β-HCG的影响
14
作者 肖晓玲 王素萍 +2 位作者 朱晶晶 顾娟 陆卫 《实用妇科内分泌电子杂志》 2024年第12期28-31,共4页
目的探讨自拟如意散治疗药物流产后气虚血瘀型阴道异常出血的效果。方法选取80例药物流产后气虚血瘀型阴道异常出血患者作为研究对象,根据随机数字表法分为研究组与对照组,各40例。对照组给予益母草颗粒治疗,研究组给予中药自拟如意散... 目的探讨自拟如意散治疗药物流产后气虚血瘀型阴道异常出血的效果。方法选取80例药物流产后气虚血瘀型阴道异常出血患者作为研究对象,根据随机数字表法分为研究组与对照组,各40例。对照组给予益母草颗粒治疗,研究组给予中药自拟如意散治疗。比较两组相关临床指标、临床疗效。结果研究组阴道出血量少于对照组,出血持续时间短于对照组,宫腔内残留组织面积小于对照组,血β-人绒毛膜促性腺激素(β-HCG)水平低于对照组,差异有统计学意义(P<0.05)。研究组总有效率为87.5%,高于对照组的60.0%,差异有统计学意义(P<0.05)。结论自拟如意散治疗药物流产后气虚血瘀型阴道异常出血患者疗效显著,可有效促进宫腔内残留组织的排出,改善β-HCG水平,减少阴道出血量,缩短出血持续时间,值得临床推广。 展开更多
关键词 药物流产 阴道异常出血 气虚血瘀型 自拟如意散
下载PDF
米索前列醇用于晚期妊娠引产临床分析
15
作者 林文艳 《江西中医药大学学报》 2024年第1期61-63,共3页
目的:探讨米索前列醇在晚期妊娠引产中临床效果。方法:选取莲花县人民医院2017年1月—2019年1月住院待产且有引产相关指征孕妇80例作为研究对象,随机分为观察组和对照组,各40例。观察组给予米索前列醇引产,对照组给予缩宫素引产,比较2... 目的:探讨米索前列醇在晚期妊娠引产中临床效果。方法:选取莲花县人民医院2017年1月—2019年1月住院待产且有引产相关指征孕妇80例作为研究对象,随机分为观察组和对照组,各40例。观察组给予米索前列醇引产,对照组给予缩宫素引产,比较2组效果。结果:观察组有效率为95.0%,对照组有效率为82.5%,差异有统计学意义(P<0.05);观察组阴道出血量显著少于对照组,差异有统计学意义(P<0.05);观察组宫颈评分提高程度大于对照组,差异有统计学意义(P<0.05);2组均未出现恶心、呕吐等胃肠道反应。结论:米索前列醇片用于晚期妊娠引产能促宫颈成熟及发动子宫收缩,是一种方便、有效、经济、较安全的引产方法。 展开更多
关键词 米索前列醇 妊娠晚期 引产 产后阴道出血
下载PDF
屈螺酮炔雌醇片在人工流产术后患者中的应用价值
16
作者 黄慧珠 刘丽娣 《实用妇科内分泌电子杂志》 2024年第12期32-34,53,共4页
目的探讨在人工流产术后患者中使用屈螺酮炔雌醇片的临床应用价值。方法选取100例行人工流产术的患者,按照随机数字表法将其分为研究组与对照组,各50例。对照组采用产后逐瘀胶囊,研究组在对照组基础上采用屈螺酮炔雌醇片。比较两组阴道... 目的探讨在人工流产术后患者中使用屈螺酮炔雌醇片的临床应用价值。方法选取100例行人工流产术的患者,按照随机数字表法将其分为研究组与对照组,各50例。对照组采用产后逐瘀胶囊,研究组在对照组基础上采用屈螺酮炔雌醇片。比较两组阴道出血量、出血时间、月经恢复时间、子宫内膜厚度、并发症发生情况及性激素水平。结果研究组阴道出血量<月经量比率90.00%比对照组74.00%高,且出血时间≤7 d比率88.00%比对照组70.00%高(P<0.05)。研究组月经恢复时间>33 d比率2.00%比对照组16.00%低,且子宫内膜厚度≥1.0 cm比率92.00%比对照组74.00%高(P<0.05)。研究组并发症发生率6.00%比对照组22.00%低(P<0.05)。治疗后,两组雌二醇(E_(2))、孕酮(P)水平上升,且研究组E_(2)、P水平比对照组高(P<0.05)。结论屈螺酮炔雌醇片能够有效减少人工流产术后患者的阴道出血量,对患者出血时间、月经恢复时间具有缩短作用,能够有效帮助患者快速修复子宫内膜,安全性较高,能有效提高血清性激素水平,值得临床应用。 展开更多
关键词 屈螺酮炔雌醇片 人工流产 阴道出血量 出血时间
下载PDF
生化汤及其加减方治疗药物流产后阴道出血的研究进展
17
作者 刘洋 贾志诚 +1 位作者 师伟 王莉 《中医药学报》 CAS 2024年第7期97-104,共8页
生化汤是产后病血瘀证的基础方。现代临床中,除应用生化汤原方外,其加减方也用于药物流产后阴道出血的治疗,并可与其他方剂(如失笑散、王不留行散)、中成药(如益母草颗粒、宫血宁胶囊)、西药(如雌孕激素、缩宫素、米非司酮)、中医针刺... 生化汤是产后病血瘀证的基础方。现代临床中,除应用生化汤原方外,其加减方也用于药物流产后阴道出血的治疗,并可与其他方剂(如失笑散、王不留行散)、中成药(如益母草颗粒、宫血宁胶囊)、西药(如雌孕激素、缩宫素、米非司酮)、中医针刺或耳穴压豆等特色疗法联用。临床疗效显示生化汤及其加减方能缩短阴道出血时间,减少出血量,促进月经复潮,改善性激素水平,降低清宫率且不良反应少。实验药理学研究显示,生化汤及其加减方通过促进细胞凋亡、调节血管生成、改善微循环、调节炎症因子、调控免疫细胞功能以及调节脂肪酸与氨基酸代谢,发挥防治药物流产后阴道出血的作用。本文就生化汤及其加减方治疗药物流产后阴道出血的临床和实验研究进行系统综述,以期为中医药临床治疗药物流产后阴道出血提供一定的思路。 展开更多
关键词 生化汤 药物流产 阴道出血 综述
下载PDF
阴道菌群失调与早孕流产风险的关系
18
作者 段宁娟 刘燕 +2 位作者 王振威 徐兰 贾健 《中国妇幼健康研究》 2024年第5期8-14,共7页
目的 探讨阴道菌群失调与早孕流产风险的关系。方法 选取2021年5月至2022年3月在陕西中医药大学第二附属医院妇科就诊的147名孕妇为研究对象,其中病例组为早孕流产(妊娠12周内确诊)患者(n=64),对照组为健康足月分娩者(n=83)。采用基于16... 目的 探讨阴道菌群失调与早孕流产风险的关系。方法 选取2021年5月至2022年3月在陕西中医药大学第二附属医院妇科就诊的147名孕妇为研究对象,其中病例组为早孕流产(妊娠12周内确诊)患者(n=64),对照组为健康足月分娩者(n=83)。采用基于16S rRNA基因测序,对病例组与对照组研究对象妊娠早期的阴道菌群组成进行比较及分析。结果 病例组与对照组在年龄、体质量指数、吸烟者人数、妊娠情况、既往流产、胎龄、阴道pH值的分布比较差异均无统计学意义(P>0.05)。在总样本队列中鉴定出244种细菌。样本分为5个主要类型,其中菌落状态类型(CST)Ⅰ的特征是卷曲乳酸杆菌占优势,CSTⅡ的特征是加氏乳酸杆菌占优势,CSTⅢ的特征是内乳酸杆菌占优势,CSTⅤ的特征是詹氏乳酸杆菌占优势,而CSTⅣ的特征是乳酸杆菌属的丰度较低。在CSTⅣ型群落中观察到了最高的α多样性和丰度。与对照组相比,病例组的阴道菌群组成中乳酸杆菌属消耗的比例显著增加[25.0%(16/64)vs. 6.0%(5/83),χ^(2)=10.626,P<0.01]。病例组中CSTⅣ型为主阴道菌群组成的比例明显增加[29.7%(19/64)vs. 12.0%(10/83),χ^(2)=7.100,P<0.01]。病例组的逆辛普森指数(2.81±1.20 vs. 1.41±0.48)和丰度(28.06±15.08 vs. 17.13±6.83)均明显高于对照组(t值分别为4.641、3.523,P<0.05)。当从病例组中排除报告阴道出血评分>1的孕妇时,这种相关性仍然存在。与稽留流产相比,不完全/完全流产的阴道菌群组成中乳酸杆菌属消耗的比例显著增加[19.2%(10/52)vs. 75.0%(9/12),χ^(2)=14.527,P<0.01]。不完全/完全流产中CSTⅣ型为主阴道菌群组成的比例显著增加[23.1%(12/52)vs. 75.0%(9/12),χ^(2)=11.923,P<0.01]。结论 高度多样性的阴道菌群群落和乳酸杆菌减少是早孕流产的危险因素。 展开更多
关键词 阴道菌群 早孕流产 稽留流产 出血
下载PDF
流产后避孕咨询服务质量评估工具信效度分析——服务提供者视角
19
作者 王昕 茅群霞 +3 位作者 邓猛聪 朱昱嘉 吴尚纯 王宏伟 《中国计划生育学杂志》 2024年第6期1225-1230,共6页
目的:本研究拟从服务提供者视角制定流产后避孕咨询服务质量评估工具,并进行信效度检验,为后续评估各医疗机构咨询服务质量提供统一标准。方法:通过文献研究和专家咨询制定流产后避孕咨询服务质量评估工具,调查对象来自国内17家医疗机... 目的:本研究拟从服务提供者视角制定流产后避孕咨询服务质量评估工具,并进行信效度检验,为后续评估各医疗机构咨询服务质量提供统一标准。方法:通过文献研究和专家咨询制定流产后避孕咨询服务质量评估工具,调查对象来自国内17家医疗机构中提供流产后避孕咨询服务的医护人员,通过问卷星收集数据,对评估工具中的所有量表型条目评价其内在信度、分半信度、结构效度、聚合效度和区分效度。结果:收集问卷100份,有效回收率100%;内在信度Cronbach’sα系数=0.818,分半信度系数=0.941;结构效度χ^(2)/df=1.605,近似误差均方根(RMSEA)=0.078,非标准拟合指数(TLI)=0.912,比较拟合指数(CFI)=0.928,各维度平均提取方差值(AVE)均>0.5,各维度间相关系数均<AVE平方根。结论:本研究开发的流产后避孕咨询服务质量评估工具(服务提供者视角)具有良好的信度和效度,可以用于评估流产后避孕咨询服务的质量。 展开更多
关键词 流产后避孕 咨询服务 信效度
下载PDF
流产后关爱服务在生育妇女术后落实高效避孕措施中的效果评价
20
作者 杨增芳 黄丽 腾云 《实用妇科内分泌电子杂志》 2024年第11期21-23,48,共4页
目的探讨流产后关爱服务在生育妇女术后落实高效避孕措施中的效果。方法选取1000例流产妇女为研究对象,随机分为两组,各500例。对照组给予常规护理,实验组给予流产后关爱服务,比较两组的干预效果。结果实验组高效避孕措施使用率高于对照... 目的探讨流产后关爱服务在生育妇女术后落实高效避孕措施中的效果。方法选取1000例流产妇女为研究对象,随机分为两组,各500例。对照组给予常规护理,实验组给予流产后关爱服务,比较两组的干预效果。结果实验组高效避孕措施使用率高于对照组,重复人工流产率低于对照组(P<0.05);实验组术后避孕措施持续情况优于对照组(P<0.05);实验组医护满意度为98.00%,高于对照组的95.00%(P<0.05)。结论流产后关爱服务在生育妇女术后落实高效避孕措施方面,可极大程度改善流产妇女避孕意识及提升避孕方法使用率,值得借鉴。 展开更多
关键词 流产后关爱 高效避孕措施 效果评价
下载PDF
上一页 1 2 38 下一页 到第
使用帮助 返回顶部