ABSTRACT
Objective To establish the care model of vertical stratification, the safety and effectiveness of assisted reproductive technology has been made. Methods This study involved 708 infertile group from July 2014 to March 2015 of IVF treatment (control group) and 916 infertile group from April 2015 to December 2015 of IVF treatment (vertical stratification group). According to the clinical, the care works are divided into seven parts. Each part has three elements with the primary nurse, work instructions, regulations and quality control measures. Via the survey and test, to convey the awareness of patients, clinic visits, waiting times, the rate of clinical pregnancy, medical expenses. Results After the vertical stratification, compared with the control group, the score increased project of the observation group were causes of infertility, diagnosis, treatment choice, the treatment process, medication precautions, perioperative considerations, adverse reactions, follow-up requirements, the difference was statistically significant (χ2=7.39-159.94,P<0.01). Compared with the control group (10±2) times,(126± 20) min,(2.89±0.05) million,61.57%(564/916), the number of times to the hospital, the waiting time , the medical expenses and the percent of pregnancy were (15±5) times, (333±40) min, (3.21±0.08) million and 50.14%(355/708), the difference was statistically significant (t=-98.67-227.81, P<0.01). Conclusions To establish the care model of vertical stratification has help to improve work efficiency.
ABSTRACT
Objective To investigate the effect of tongue tie corrective surgery on the development of language in children with short lingual frenulum.Methods 94 children with short lingual frenulum were selected,and under the permission of the patients'family they were randomly divided into two groups.The treatment group received ankylotomy and language training.The control group was only given language training.The clinical efficacy,improvement time of pronunciation and adverse reactions were compared between the two groups.Results The total effective rate of the treatment group was 91.49％,which was significantly higher than 72.34％ of the control group (x2 =5.816,P ＜0.05).The improvement time of pronunciation in the treatment group was significantly shorter than the control group(t =21.250,P ＜ 0.01).There were no serious adverse reactions observed in two groups.Conclusion Tongue tie correction surgery can significantly affect the language development in children with short lingual frenulum,the improvement time of pronunciation is short,which is worthy of clinical application.