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Objective To discuss the clinical value of image navigation technique in nasal endoscopic repair of cerebrospinal fluid rhinorrhea. Methods Retrospectively analyse the clinical data of 10 cases with cerebrospinal fluid rhinorrhea who underwent nasal endoscopic repair who were admitted to hospital from March 2014 to June 2017 and discussing the diagnosis of cerebrospinal fluid rhinorrhea, preoperative and intraoperative leakage location,repair effect,complications and other indicators. Results All cases were cured by one treatment under imaging-guided transnasal endoscopic repair without any complication and recurrence during the 0. 5 to 40 months of follow-up visits. Conclusion Image-guided system application is essential in the endoscopic repairment of cerebrospinal fluid rhinorrhea by exactly locating the rhinorrhea.
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Objective To apply the health education intervention based on protection motivation theory in community female patients with stress urinary incontinence,in order to establish a health behavior and to control urinary incontinence.Methods 96 female patients with stress urinary incontinence were randomly divided into the control group and the experimental group by random number table method,the control group received routine health education,the experimental group received health education based on protection motivation theory.The ICI-Q-SF score,pelvic muscle exercise compliance scale score,urinary incontinence coping efficacy score were compared between the control group and the experimental group.Results The ICI-Q-SF score of the experimental group after the intervention was 5.43 ± 1.77,which was significant lower than that in the control group,7.96±2.98,t=4.88,P＜0.01.The urinary incontinence coping efficacy scores of experiment groups after the intervention was 17.63±1.85,which was higher than that in the control group,13.49±2.46,t=-9.09,P＜0.01.There were 29 cases accounted for 63.04％ with good compliance and 17 cases accounted for 36.96％ with poor compliance in experimental group after intervention,14 cases accounted for 31.11％ with good compliance and 31 cases accounted for 68.89％ with poor compliance in control group after intervention,the difference was statistically significant,x2=9.306,P＜0.05.Conclusions Health education based on protection motivation theory can promote the coping efficacy and health behavior of community female patients with stress urinary incontinence and can effectively control urinary incontinence symptom.
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Objective To analyze the prevalence of postpartum depression in China.Methods CNKI,Chongqing VIP database,CBMDISK,Pubmed databases were searched for articles about postpartum depression prevalence in China published during 1996～2012.The random effects model was employed.Results There were 84 articles which provided 52 776 samples,and 8390 cases of depressive symptoms were detected.The pooled prevalence was 14.7％(13.1％～16.3％),The prevalence of postpartum depression was different in different regions,municipality directly under the central government was the lowest 10.9％(8.7％～12.7％),county area was the highest 16.4％ (11.9％～22.2％).From the east of China to the central and to the west,the prevalence rate assumed the trend of escalation.The prevalence which evaluated by standard of EPDS ≥ 10 was higher than the prevalence evaluated by EPDS ≥ 13 and SDS ≥50.Conclusions The prevalence of postpartum depression is high in China.More attention should be paid to the central,western of China,urban,rural and other underdeveloped areas.
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ObjectiveTo investigate the positive rate of thyroid peroxidase antibody(TPO-Ab) in the diabetic in-patients. MethodsThe positive rates of thyroid peroxidase antibody ( TPO-Ab ) was measured in 1884 subjects, including 1508 type 2 diabetes mellitus ( T2DM ), 76 classic typetype 1 diabeties( T1 DM ), 44 latent autoimmune diabetes in adults (LADA) and 256 "untype" diabetics ( NTDM ). Clinical data were registered and analyzed. Results( 1 )The positive rates of TPO-Ab were 14. 59％ in T2DM(220/1508) ,42. 11％ in T1DM (32/76) ,31.25％ in NTDM ( 80/256 ), 63.64％ in LADA group ( 28/44 ), respectively. The positive rate of T2DM was significantly lower than that of LADA ( P ＜ 0. 05 ), but no significant difference was found in the coparison between T1 DM and NTDM ( P ＞ 0. 05 ). ( 2 ) There were no significant differences between LADA and NTDM groups in the comparison of age, course of disease and BMI ( Ps ＞ 0. 05 ). Conclusion①The positive rate of TPO-Ab in NTDM was significantly higher than that of T2DM, whereas significantly lower than that of T1 DM and LADA.②The positive rate of TPO-Ab was highest in LADA, which indicate that LADA and AIT might have the common etiological mechanisms. ③There is a consisted increasing trend in the positive rate of TPO-Ab from T2DM ,NTDM,and classic T1DM to LADA.