ABSTRACT
Objective To analyze the clinical effect of uterine artery ligation combined with modified uterine compression suture in the prevention and treatment of postpartum hemorrhage.Methods A total of 107 patients with refractory cesarean section who were treated with uterine artery ligation combined with modified uterine compression suture were selected as treatment group.Of the patients treated with conventional treatment,83 patients were included in the control group.The effective hemostasis rate,clinical curative effect,incision infection,postpartum hemorrhage,blood transfusion rate,mattress rate and postoperative morbidity were compared between the two groups.Results The amount of intraoperative blood loss (1 106 ± 458.78) mL in the treatment group was significantly higher than (753.6 ±302.30)mL in the control group,the difference was statistically significant (t =1.892,P ＜ 0.05).The 24h total blood loss of the the treatment group [(1 028.89 ± 375.87) mL] was significantly higher than (813.87 ± 312.15) mL of the control group (t =3.872,P ＜ 0.05).The postoperative 24h blood loss in the treatment group [(70.86 ±19.30)mL] was lower than (73.50 ± 21.20)mL in the control group,and the difference was not statistically significant (t =0.045,P ＞ 0.05).The transfusion rate in the treatment group was 27.10％,which in the control group was higher than 10.84％,the difference was statistically significant between the two groups (x2 =7.722,P ＜ 0.05).The effective hemostasis rate in the treatment group was 99.66％ (106/107),which was significantly higher than 96.39％ in the control group (x2 =6.263,P ＜ 0.05).The rate of puerperal infection was 7.48％ in the treatment group,which in the control group was 6.02％,there was no significant difference between the two groups (P ＞ 0.05).The incision infection rate and postoperative morbidity rate were 0.00％ in the treatment group and the control group,and the two groups were treated with Ⅱ / A healing.Conclusion Uterine artery ligation combined with improved uterine compression suture in the prevention and treatment of postpartum hemorrhage has good hemostasis effect,hysterectomy rate is low,it is worthy of promoting and application.
ABSTRACT
Under the current circumstance that more and more students are being recruited in universities,ways have to be explored to promote the development of our major.The following three points including strength in construction of teaching staff,management of teaching quality and active participation in administration of students are suggested to be attempted,in combination with many other good ideas.
ABSTRACT
Objective: To analyze socio-demographic and social psychological characteristics of college students with anxiety in Anhui province. Methods: Striated all universities in Anhui according to professional fields, selected one university in each field and 15% of students of that university were collected as our sample (N=4178). Anonymous questionnaires inclusive self-rating anxiety scale (SAS), social experience checklist (SEC), adolescent self-rating life events checklist (ASLEC) and family environment scale-Chinese version (FES~CV) were used to investigate anxiety status and its relation with socio-demographic and social psychological characteristics. Univariate logistic and multivariate stepwise logistic models were used to calculate the odds ratios between prevalence of anxiety and those influential factors. Results:The rate of anxiety among our sample was 6.94% (in male 7.22%, in female 6.35%). Students of science and technology school had the highest rate of anxiety (10.08%), while those from medical school the lowest (3.59%). It was shown that anxiety status was statistically significant associated with many demographic and social psychological factors by ?~2 test, while in multivariate stepwise logistic models it was significant related with majors (referred to science and technology OR=1.77,95%CI:1.30~2.41), poor academic achievement (OR=1.45,95%CI:1.09~1.93), negative life events (OR=4.76,95%CI:3.36~6.77), negative life experience (OR=3.35,95%CI:2.43~4.62), and intimacy (OR=0.65,95%CI:0.49~0.85)and emotion expression within families (OR=0.71,95%CI:0.54~0.94). Conclusion: Anxiety status among college students was influenced by a variety of factors including socio-demographic and social psychological characteristics, which must be taken into consideration during psychological health promotion.