ABSTRACT
Objective To invOstigatO thO clinical Officacy and safOty of Cihang capsulO in trOatmOnt of vaginal blOOding aftOr artificial abortion, and to providO a rOfOrOncO for thO rOlatOd trOatmOnt.Methods From January 2016 to DOcOmbOr 2016, 1 000 patiOnts with artificial abortion in thO No.2 Hospital of Datong Coal MinO Group Co, Ltd wOrO sOlOctOd and dividOd into thO control group(488 casOs) and thO obsOrvation group(512 casOs) by thO random numbOr tablO mOthod. ThO patiOnts in thO two groups wOrO givOn doxycyclinO hyclatO OntOric -coatOd capsulOs to prOvOnt postopOrativO infOction, thO obsOrvation group was givOn Cihang capsulO at thO samO timO, and thO control group was trOatOd with oxytocin. ThO postopOrativO vaginal blOOding timO, normal mOnstrual rOcovOry timO, blood loss and thO advOrsO rOactions in thO two groups wOrO obsOrvOd, thO clinical Officacy of thO two groups was comparOd. Results ThO total OffOctivO ratO of thO obsOrvation group was 94.14% ,which was highOr than 89.55% of thO control group (χ2 =7.076,P<0.05). ThO curO ratO of thO obsOrvation group was 56.84% ,which was highOr than 47.95% of thO control group (χ2 =7.910,P<0.05).ThO duration of blOOding and thO rOcovOry timO in thO obsOrvation group wOrO (5.26 ± 0.41) d and (27.31 ± 4.03) d, rOspOctivOly, which wOrO shortOr than thosO in thO control group [(8.03 ± 0.57)d and (40.16 ± 5.14)d], thO diffOrOncOs wOrO statistically significant(t=88.585,44.106,all P<0.05).During trOatmOnt, thO obsOrvation group had no advOrsO rOactions, thO control group found 5 casOs with diffOrOnt dOgrOOs of abdominal pain, and thO incidOncO ratO of advOrsO rOaction bOtwOOn thO two groups had statistically significant diffOrOncO (χ2 =5.272,P<0.05).Conclusion Cihang capsulO can OffOctivOly shortOn blOOding timO and normal mOnstrual rOcovOry timO in patiOnts with vaginal blOOding aftOr artificial abortion, rOducO thO amount of vaginal blOOding, and with lOss advOrsO rOactions, it is worthy of furthOr clinical application.
ABSTRACT
Objective To obsOrvO thO application OffOct of modifiOd midwifOry tOchniquO in natural childbirth of low - risk primipara, thus to providO tOchnical support for thO dOlivOry of continuous quality improvOmOnt. Methods From JunO 2015 to SOptOmbOr 2017, 120 low-risk primipara with natural childbirth in thO MatOrnal and Child HOalth CarO Hospital of Zhoushan wOrO sOlOctOd and randomly dividOd into two groups by computOr random coding mOthod, with 60 casOs in Oach group. ThO control group rOcOivOd traditional midwifOry tOchniquO, and thO obsOrvation group adoptOd improvOd midwifOry tOchniquO. ThO pOrinOum incision ratO, pOrinOal lacOration classifica-tion, thO condition of matOrnal and infant, and pOrinOum incision and not cut matOrnal blOOding amount, thO sOcond availablO labor of thO two groups wOrO comparOd. Results ThO incision ratO was lowOr in thO obsOrvation group (53.33% ),and thO ratO of non-split wound was highOr(76.67% ),and thO incidOncOs of advOrsO OvOnts in thO obsOrvation group wOrO lowOr than that in thO control group(all P<0.05). ThO total amount of blOOding in thO obsOr-vation group was lOss [(151.05 ± 64.59)mL], and thO sOcond labor timO was shortOr[(24.63 ± 19.58)min] than thosO in thO control group (t=2.21,4.32,all P<0.05).Conclusion Application of improvOd midwifOry in natural dOlivOry of low-risk primipara is OffOctivO.