简介:摘要目的分析绝经后妇女取出宫内节育器不同情况,关心绝经后妇女身心健康,指导该人群绝经后及时取出IUD。方法收集2010年1月-2015年12月间绝经后取出宫内节育器86例,根据各种宫内节育器取出过程,结合具体情况对比分析。结果成功取出70例,占81.40%;取出困难15例,占17.44%;取器失败1例,占1.16%。结论绝经后因卵巢功能衰退、雌激素水平降低导致子宫萎缩变小,宫颈弹性差,宫颈内口变窄,随着绝经时间延长,这种变化加剧而IUD大小不变,不同程度增加手术难度。我们要关注更年期及绝经后妇女,关心她们的身心健康,向她们宣传相关保健知识,打消思想顾虑,指导其绝经后半年内及时取出IUD。
简介:目的探讨应用平阳霉素(PYM)、鱼肝油酸钠(SM)、地塞米松(DXM)联合病变内注射治疗口腔颌面部大型静脉畸形的临床疗效。方法选择86例口腔颌面部大型静脉畸形,病灶范围在5cm×3cm至10cm×7cm之间.取DXM5mg/ml,PYM8mg,配1%普鲁卡因4ml及生理盐水3ml,按病变面积每1cm×1cm注射混合药物1ml计算注射剂量,再按相对大剂量鱼肝油酸钠注射方法注射鱼肝油酸钠。每隔7~10d注射1次,3-6次为1个疗程。未愈者可重复注射治疗。结果经6-48个月随防,治愈45例(52.3%),基本治愈32例(37.2%),好转9例(10.5%)。结论PYM、SM、DXM联合病变内注射治疗口腔颌面部大型静脉畸形,治愈和基本治愈率达89.5%,有效率为100%,临床疗效肯定、安全,疗程较短,为治疗口腔颌面部大型静脉畸形的一种比较理想的方法,值得推广应用。
简介:摘要目的对胎儿宫内窘迫进行临床监测,分析相关因素。方法回顾分析我院发生胎儿宫内窘迫的86例产妇的临床资料。结果胎儿宫内窘迫的相关因素中脐带异常53例,占分娩总数61.62%,是引起胎儿宫内窘迫最常见的因素。结论产程中应密切监测胎心音变化,及时作出正确处理,提高围生儿质量。
简介:摘要目的分析和探讨肺结核合并支气管结核的临床特点,有助于提高该病的诊断和治疗水平。方法对2017年1月-2018年1月收住本院肺结核合并支气管结核患者86例的临床资料加以分析。结果临床主要为咳嗽、咳痰、胸闷气短、咯血或血丝痰等症状,胸部CT以肺不张或膨胀不全及渗出或增殖性病灶为主要表现,支气管镜检查以主支气管及叶支气管开口受累显著,多支气管受累患者达71.06%,支气管狭窄者居多,支气管刷检抗酸杆菌阳性率为51.52%,经过支气管镜介入治疗和(或)雾化治疗的29例。结论肺结核合并支气管结核患者临床表现无特异性,胸部CT可提供帮助,早期支气管镜检查有助于支气管结核的诊断,雾化和支气管镜介入治疗能有效地治疗支气管结核。
简介:【摘要】目的:探讨滋阴润目汤治疗干眼症的临床疗效。方法:选取2020年4月~2022年3月间我院进行收治的干眼症患者86例作为研究对象,分为观察组43例、对照组43例。对照组接受玻璃酸钠滴眼液治疗,观察组在对照组基础上行滋阴润目汤治疗。对比两组患者的的临床疗效,对比两组患者治疗前后的BUT和Schirmer test。结果:观察组患者的临床疗效明显高于对照组,具有统计学意义(P<0.05),治疗前两组患者的BUT和Schirmer test均无明显区别,不具有统计学意义(P>0.05),治疗后观察组患者的BUT和Schirmer test明显高于对照组,具有统计学意义(P<0.05)。结论:滋阴润目汤治疗干眼症的疗效十分显著,能够改善患者的临床症状,值得临床推广。
简介:摘要 目的 调查了解近三年来本院老年性高血压的发病特点,为今后更加规范、合理的治疗提供依据。方法 自制调查表,对2017年8月至2020年8月在本院住院的老年性高血压病患者的病史、体检及各项医技检查结果进行登记、汇总、分析。结果 老年病科和综合内科老年性高血压病患者86例,男48例,女38例,年龄最小60岁,最大91岁,平均年龄(69.3±3.6)岁,按最新高血压指南分为1级高血压37例,2级高血压49例,多数患者均有靶器官损害,同时有高脂血症、糖尿病等。结论 老年性高血压的治疗包括非药物治疗和药物治疗,降压药使用应个体化、小剂量、单药开始,降压的目标原则上应将血压降到患者的最大耐受水平,同时兼顾其他基础疾病和并发症。
简介:AbstractPurpose:The long-term situation of children with spinal cord injury (SCI) was investigated, and suggestions for helping them better return to the society were provided.Methods:SCI patients less than 18 years old hospitalized in Beijing Boai Hospital from January 2011 to December 2020 were retrospectively analyzed. Information including motor function, complications, characteristic changes, self-care abilities, school attendance and social participation were collected by telephone interview and electronic questionnaire. All the answers were statistically analyzed.Results:A total of 86 cases were enrolled, 77 girls and 9 boys, with a median injury age of 6 years and 2 months. The follow-up time was 3-130 months. The main cause of trauma in these children was sport injury (66.3%), the thoracic spinal cord was involved the most (91.9%), and complete SCIs accounted for the majority (76.7%). In terms of complications, children with complete SCIs were more likely to have urinary incontinence, constipation and characteristic changes (p < 0.05); whereas the incomplete SCIs often have spasticity (p < 0.05). As to the daily living abilities, children with incomplete lumbar SCIs were more capable to accomplish personal hygiene, transfer, and bathing independently than those with complete injuries, or cervical/thoracic SCIs, respectively (p < 0.05). Moreover, children older than 9 years care more able to dress and transfer independently than the youngers (p < 0.05). Wheelchair users accounted for 84.9% and more than half of them were able to propel wheelchair independently, and those who move passively in wheelchairs were mostly introverted kids (p < 0.05). Almost all (93.8%) children with incomplete injuries were able to walk independently. Most (79.1%) children continued to attending school, and 41.9% participated in interest classes. Unfortunately, 67.4% of the children spent less time playing with their peers than before the injury.Conclusion:SCIs impair physical structures and function of children, affect their independence in daily living, and restrict school attendance and social interaction. Comprehensive rehabilitation after injury is a systematic work. Medical staff and caregivers should not only pay attention to neurological function, but also help them improve self-care abilities. It is also important to balance rehabilitation training and school work and social participation.
简介:摘要目的分析无痛胃肠镜和常规胃肠镜在诊断消化内科疾病上的优缺点;方法选取2016年12月-2018年12月在我院消化内镜中心进行胃肠镜检查的86例患者作为研究对象。其中进行常规胃肠镜检查(常规组)的患者45例,进行无痛胃肠镜检查(无痛组)的患者41例。比较两组患者在检查前后及检查中的血压和心率、不良反应发生的几率及对本次检查的满意度;结果常规组患者在检查中的舒张压和收缩压增加,心率加快(P<0.05),且相对于无痛组增加明显(P<0.05),检查后恢复正常。无痛组患者在检查的前中后期,舒张压、收缩压和心率无明显变化(P>0.05);常规组不良反应发生等为20.00%,满意率为66.67%。无痛组不良反应发生率为2.44%,满意率为97.35%。结论无痛胃肠镜相对于常规胃肠镜不良反应少,满意度高.对患者血压和心率无明显影响。