ABSTRACT
Objective:To investigate the efficacy of minimally invasive puncture and drainage versus small bone window craniotomy in the treatment of hypertensive basal ganglia hemorrhage. Methods:Seventy-three patients with hypertensive basal ganglia hemorrhage who received treatment in Hequ County People's Hospital from April 2018 to December 2020 were included in this study. They were divided into a minimally invasive puncture and drainage group ( n = 38) and a small bone window craniotomy group ( n = 35) according to surgical methods. Clinical efficacy and postoperative complications were compared between the two groups. Results:At 3 months post-surgery, the National Institutes of Health Stroke Scale score in the minimally invasive puncture and drainage group was significantly lower than that in the small bone window craniotomy group [(3.58 ± 1.23) points vs. (6.87 ± 0.97) points, t = 12.62, P < 0.001]. Barthel index in the minimally invasive puncture and drainage group was significantly higher than that in the small bone window craniotomy group [(62.15 ± 6.78) points vs. (43.15 ± 7.15) points, t = 11.65, P < 0.001]. The total response rate in the minimally invasive puncture and drainage group was significantly higher than that in the small bone window craniotomy group [92.11% (35/38) vs. 74.3% (26/35), χ2 = 4.21, P < 0.05]. The incidence of complications in the minimally invasive puncture and drainage group was significantly lower than that in the small bone window craniotomy group [5.2% (2/38) vs. 25.7% (9/35), χ2 = 6.18, P < 0.05]. Conclusion:Minimally invasive puncture and drainage have better clinical efficacy and fewer postoperative complications in the treatment of hypertensive basal ganglia hemorrhage than small bone window craniotomy. Therefore, minimally invasive puncture and drainage for the treatment of hypertensive basal ganglia hemorrhage are worthy of clinical promotion.
ABSTRACT
Objective:To investigate the application effects of unprotected perineal delivery technique in low-risk nulliparous women during natural delivery.Methods:Seventy low-risk nulliparous women who delivered in January to December 2017 in Huaibei People's Hospital were included in this study. They were randomly assigned to undergo delivery with either conventional technology (control group, n = 35) or unprotected perineal delivery technique (observation group, n = 35). Lateral episiotomy rate, incidence of perineal tears, labor process time and Visual Analogue Scale score as well as the degree of postpartum perineal pain were compared between two groups. Results:Lateral episiotomy rate in the observation group was significantly lower than that in the control group [8.57% (3/35) vs. (45.71% (16/35), χ2 = 10.402, P < 0.001). The incidence rates of complete perineum, grade I perineal injury and grade II perineal injury in the observation group were 34.29% (12/35), 57.14% (20/35) and 8.57% (3/35), respectively, and those in the control group were 11.43% (4/35), 28.57% (10/35) and 60.00% (21/35) respectively ( χ2 = 4.732, 4.725, 18.324, all P < 0.05). The Visual Analogue Scale score in the observation group was significantly lower than that in the control group [(3.08 ± 0.42) points vs. (5.13 ± 0.58) points, t = 16.936, P < 0.001]. There were no significant differences in the time of first-stage, second-stage and third-stage labors between the two groups (all P > 0.05). Conclusion:Application of unprotected perineal delivery technique for low-risk primipara delivery can reduce maternal injury during delivery, which is worthy of application.
ABSTRACT
Objective To OvaluatO thO Officacy and safOty of indinO of compositO Huaihua fructus posralOaO combinOd with fractional CO2 lasOr on acral stablO vitiligo.Methods From OctobOr 2014 to August 2017, 79 casOs with acral stablO vitiligo in thO Sixth POoplO′s Hospital of Dongguan wOrO randomly dividOd into trOatmOnt group and control group according to thO digital tablO. ThO trOatmOnt group(51 casOs) was trOatOd with fractional CO2 lasOr onO timO a month for four timOs, and thO sOcond day was givOn topical indinO of compositO Huaihua fructus posralOaO twicO a day. ThO control group(28 casOs) was trOatOd with topical indinO of compositO Huaihua fructus posralOaO twicO a day. ThO trOatmOnt OffOct was obsOrvOd aftOr trOatmOnt for 3 months and 6 months. Results AftOr trOatmOnt for 3 months and 6 months, thO total OffOctivO ratOs of thO trOatmOnt group wOrO 39.22% , 62.75% ,rOspOctivOly, which wOrO significantly highOr than thosO of thO control group(32.14% , 42.86% ) (χ2 =12.557,18.021,all P<0.05). No sOrious advOrsO OvOnt was obsOrvOd in thO two groups.Conclusion IndinO of compositO Huaihua fructus posralOaO combinOd with fractional CO2 lasOr is safO and OffOctivO in thO trOatmOnt of stablO sporadic vitiligo.