更年期女性共病糖尿病患者围绝经期症状特征及其对生活质量的影响

目的:探讨分析更年期女性共病糖尿病患者围绝经期症状现状及其生活质量,并分析其围绝经期症状特征。方法:本研究采用方便随机抽样法选取于2023年8月至2024年10月在吴起县人民医院妇产科、内科住院部或门诊部就诊的更年期女性共病糖尿病患者作为调查对象,选用一般资料调查表、改良Kupperman评分量表、围绝经期生存质量量表(MENQOL)进行调查。本研究一般资料中计数资料用频数与构成比((n) %)来描述,计量资料符合正态分布采用(X¯±s)描述;组间比较采用t检验或方差分析,t检验或方差分析更年期女性共病糖尿病患者围绝经期相关症状在一般资料和疾病相关资料上的差异及影响因素,更年期女性共病糖尿病患者生命质量影响因素采用多元线性回归分析,以P P Objective: To investigate the status quo and quality of life of perimenopausal female patients with comorbidity diabetes, and to analyze the characteristics of perimenopausal symptoms. Method: In this study, convenient random sampling method was used to select menopausal female patients with comorbiditic diabetes who were treated in the obstetrics and gynecology department, internal medicine inpatient department or outpatient department of Wuqi County People’s Hospital from August 2023 to October 2024 as the investigation objects, and general data questionnaire, modified Kupperman score scale and Perimenopausal Quality of Life scale (MENQOL) were used Investigate. In the general data of this study, the counting data were described by frequency and component ratio ((n) %), and the measurement data conforming to normal distribution were described by (X¯±s). T test or analysis of variance were used for comparison between groups. T test or analysis of variance was used to analyze the differences and influencing factors of perimenopausal related symptoms in general data and disease-related data of menopausal female patients with comorbiditic diabetes, and there were statistical differences with P P < 0.05). Among the symptoms of perimenopausal syndrome, fatigue was the most common, followed by insomnia, irritability, depression and suspicion, vertigo, bone and joint pain, but in the symptoms of perimenopausal syndrome, urinary system infection, insomnia, sexual life symptoms accounted for a relatively large number of patients, accounting for 33.8%, 30.9%, 21.2% of the symptoms. Conclusion: In this study, the symptoms of perimenopausal syndrome were more serious and the quality of life was lower in menopausal women with comorbidities diabetes. The frequency and severity of perimenopausal syndrome increased with the increase of age, and the severity of perimenopausal syndrome also increased with the increase of disease course in female comorbidities. Fatigue is the most common symptom in this group, followed by insomnia, irritability, depression and suspicion, vertigo, osteoarthralgia side by side, but in the symptoms of perimenopausal syndrome, urinary system infection, insomnia, sexual life symptoms in severe patients accounted for a larger proportion, may be related to diabetic autonomic nervous dysfunction, the two symptoms superposition is the main factor affecting the quality of life in this group.

妊娠高血压合并症临床规范治疗探讨

目的：研究和探讨妊娠高血压合并症的临床治疗方法和治疗效果。方法：54例妊娠高血压合并症患者为本次研究对象，将全部所选患者分为2组，对照组患者采取常规治疗方式，治疗组患者在对照组患者的治疗基础上加用酚妥拉明和硝苯地平治疗，分别对2组患者的降压效果以及母婴结局进行观察和分析。结果：治疗前后2组患者血压水平可见明显差异（ P＜0．05），治疗后患者的收缩压和舒张压明显低于对照组，2组可见明显差异（P＜0．05）。治疗组患者妊娠结局明显优于对照组，2组可见显著差异（P＜0．05）。结论：在对妊娠高血压合并症患者进行常规治疗的基础上联合酚妥拉明和硝苯地平治疗能够取得更加显著的降压效果，改善妊娠结局。

缩宫素配伍卡孕栓预防产后出血的临床观察

目的探究分析缩宫素配伍卡孕栓预防产后出血的临床疗效。方法选取我院妇产科门诊自2014年3月-2015年3月期间收治的行剖宫产产妇148例作为临床研究对象,将所有产妇随机分为两组,每组各74例,对照组产妇在胎儿娩出即刻即予以缩宫素配伍葡萄糖生理盐水静脉滴注,试验组产妇在对照组的基础上加用卡孕栓一粒直肠给药。观察并记录两组患产后不同时点出血量及产后出血发生率情况。结果试验组产妇产后2h出血量及产后24h总出血量〔（132.4±27.4）mL、（204.4±52.5）mL〕均明显少于对照组产妇〔（186.7±45.3）mL、（354.7±82.4）mL〕,且其产后出血的发生率为9.46%,也明显低于对照组（25.68%）,P〈0.05,差异具有统计学意义。结论临床上,采用缩宫素配伍卡孕栓可有效预防剖宫产产妇产后出血,明显减少产后出血量,降低患者发生产褥病,产褥期感染,血栓等产后并发症发生率,安全性高,保障其生活质量和预后。

人文关怀护理模式对宫颈癌手术患者的心理状态、康复情况的疗效

目的观察手术治疗宫颈癌的患者实施人文关怀护理模式对患者心理状态、术后康复情况的影响。方法选择2015年3月~2016年3月在我院采用手术治疗宫颈癌的患者84例,随机分成对照组和研究组,每组各42例。对照组采用常规护理,研究组采用常规护理+人文关怀护理,观察对比两组心理状态、术后康复情况、生活质量及护理满意率。结果护理后,研究组心理状态评分、身体症状评分低于对照组,差异有统计学意义(P<0.05)。研究组生活质量优于对照组,差异有统计学意义(P<0.05)。研究组护理总满意率高于对照组,差异有统计学意义(P<0.05)。结论对手术治疗宫颈癌的患者采用人文关怀护理模式能更好地缓解不良情绪,改善生活质量,提高护理满意率及预后效果,可推广应用。