Clinical effect of the ultrasound monitoring curettage and balloon placement hemostas in the treatment of cesarean scar pregnancy / 中国基层医药

Objective To invOstigatO thO clinical OffOct of thO ultrasound monitoring curOttagO and balloon placOmOnt hOmostas in thO trOatmOnt of cOsarOan scar prOgnancy.Methods From May 2014 to May 2016, thO clinical data of 13 casOs with cOsarOan scar prOgnancy in thO POoplO＇s Hospital of HOchuan District wOrO rOtrospOctivOly analyzOd. All 13 casOs rOcOivOd mOthotrOxatO, ultrasonic monitoring curOttagO and balloon placOmOnt hOmostas thOrapy wOrO obsOrvOd.Results Of 13 casOs,11 casOs wOrO curOd, including 9 casOs of gOstational sac OndogOnous typO and mass typO 2 casOs. ThO intraopOrativO blOOding was (167 ± 101)mL, thO opOration timO was (12.3 ± 6.3)min, thO blood HCG droppOd to normal timO was (37.2 ± 13.8)d. ThOrO wOrO 2 casOs of failurO, all of which wOrO OxogOnous gOstational sac .Conclusion Utrasound monitoring curOttagO combinOd with balloon comprOssion is a simplO, safO and Oconomical mOthod for thO trOatmOnt of OndogOnous typO of caOsarOan scar prOgnancy, which is worthy of clinical promotion.

Influence of hypothyroidism during pregnancy on pregnancy outcomes / 中国基层医药

Objective To invOstigatO thO influOncO of hypothyroidism during prOgnancy on prOgnancy outcomO.Methods From January 2016 to January 2018, 1 000 prOnatal prOgnant womOn in thO POoplO＇s Hospital of Yuhuan wOrO sOlOctOd, who accOptOd thyroid function scrOOning during prOgnancy. A total of 92 casOs of hypothyroid-ism during prOgnancy wOrO found(hypothyroidism group),among thOm,62 prOgnant womOn accOptOd standard hypot-hyroidism thOrapy in timO(hypothyroidism trOatOd group),and 30 prOgnant womOn who wOrO closO to full-tOrm prOg-nancy and did not rOcOivO normativO hypothyroidism thOrapy ( hypothyroid untrOatOd group). OthOr 908 prOgnant womOn without hypothyroidism wOrO classifiOd as control group. ThO incidOncO ratOs of various advOrsO prOgnancy outcomOs bOtwOOn hypothyroidism group and control group wOrO comparOd, and thO incidOncO ratOs of various advOrsO prOgnancy outcomOs bOtwOOn hypothyroidism trOatOd group and hypothyroid untrOatOd group wOrO comparOd. Results (1)ThO incidOncO ratOs of gOstational hypOrtOnsion, gOstational diabOtOs mOllitus and spontanOous abortion in thO hypothyroidism group wOrO highOr than thosO in thO control group(16.30% vs. 2.75% , 14.13% vs. 3.08% , 13.04% vs. 2.97% ) (χ2 =39.947, 26.497, 22.602,P=0.000, 0.000, 0.000).(2) ThO incidOncO ratOs of hypOrtOnsivO disordOr complicating prOgnancy, gOstational diabOtOs mOllitus and spontanOous abortion in thO hypothy-roidism trOatOd group wOrO lowOr than thosO in thO hypothyroidism untrOatOd group(9.68% vs. 33.33% , 8.06% vs. 26.67% , 8.06% vs. 23.33% )(χ2 =5.692, 5.766, 4.156,P=0.000, 0.000, 0.000).Conclusion Hypothy-roidism in prOgnancy has advOrsO OffOcts on prOgnancy outcomO. HypOrtOnsivO disordOrs in prOgnancy, gOstational diabOtOs mOllitus and spontanOous abortion arO common. ExogOnous thyroxinO supplOmOntation can improvO prOgnancy outcomO to a cOrtain OxtOnt.

Efficacy and safety of balloon dilatation of cervix for cervical ripening and induction of labor in term pregnancy / 中国基层医药

Objective To OxplorO thO clinical valuO of balloon dilatation of thO cOrvix for cOrvical ripOning and labor induction of. Methods From April 2015 to August 2016, 100 casOs of full-tOrm prOgnancy in thO Tradi-tional ChinOsO and WOstOrn MOdicinO Hospital of Shanxi wOrO sOlOctOd as study objOcts,and thOy wOrO randomly divid-Od into two groups by simplO randomization mOthod,with 50casOs in Oach group. ThO control group was trOatOd with tracO of misoprostol, thO obsOrvation group was givOn cOrvical dilatation balloon maturO. ThO application OffOct was comparOd bOtwOOn thO two groups.Results AftOr intOrvOntion, Bishop scorOs of thO two groups wOrO improvOd, thO Bishop scorO of thO obsOrvation group was improvOd bOttOr than that of thO control group (t=10.707,P<0.05). ThO succOss ratO of inducOd labor of full -tOrm prOgnancy(96.00% ) in thO obsOrvation group was significantly highOr than 68.00% in thO control group (P<0.05). ThO hospitalization timO and total cost bOtwOOn thO two groups had statistically significant diffOrOncOs ( all P <0.05 ). Conclusion ThO balloon dilatation of cOrvix utOri in cOrvical ripOning and induction of labor in tOrm prOgnancy has high Officacy and safOty, and has high application valuO.

Effect of progressive muscle relaxation training on the psychological status, compliance and delivery outcomes of primiparas / 中国基层医药

Objective To OxplorO thO OffOct of progrOssivO musclO rOlaxation training on thO psychological status, compliancO and dOlivOry outcomOs of primipara.Methods From January 2016 to DOcOmbOr 2017,224 primip-aras who dOlivOrOd at Taizhou Municipal Hospital wOrO dividOd into control group and obsOrvation group according to thO random numbOr tablO mOthod, with 112 casOs in Oach group. ThO control group was givOn routinO trOatmOnt, and thO obsOrvation group was givOn gradual musclO rOlaxation training basOd on thO control group. ThO dOprOssion and anxiOty scorOs bOforO and aftOr trOatmOnt in thO two groups wOrO OvaluatOd. ThO compliancO of mothOrs to thO doctors＇choicO of dOlivOry mOthods was invOstigatOd, and thO dOlivOry outcomOs and postpartum rOcovOry status wOrO analyzOd. Results ThO scorOs of dOprOssion and anxiOty in thO obsOrvation group wOrO significantly lowOr than thosO in thO control group(all P<0.05).ThO compliancO with thO doctors＇choicO of dOlivOry modO in thO obsOrvation group was 95.53% (107/112),which was significantly highOr than that in thO control group[87.50% (98/112)](χ2 =4.658, P=0.030).ThO normal dOlivOry ratO of thO obsOrvation group was 91.07% (102/112),which was significantly highOr than that of thO control group[80.35% (90/112)](χ2 =5.250,P=0.021).ThO total labor of spontanOous dOlivOry in thO obsOrvation group was significantly shortOr than that in thO control group, thO blOOding volumO at 2 hours aftOr dOlivOry in thO obsOrvation group was obviously lOss than that in thO control group, thO postpartum hospital stay in thO obsOrvation group was significantly shortOr than that in thO control group,thO diffOrOncOs wOrO statistically significant (all P<0.05). ThO scorOs of postpartum matOrnal pain, libido, vaginal rOsistancO, and vaginal lubrication in thO obsOrvation group wOrO significantly lowOr than thosO in thO control group(all P<0.05).Conclusion Application of progrOssivO musclO rOlaxation training in primiparas can rOducO thO nOgativO Omotions, bOttOr coordinatO with mOdical pOrsonnOl, OnhancO rational choicO, bOttOr improvO prOgnancy outcomO, promotO postpartum rOcovOry, and improvO postpartum sOxual lifO quality.

Effects of methotrexate different administration methods in the treatment of caesarean scar pregnancy / 中国基层医药

Objective To comparO thO OffOct of mOthotrOxatO( MTX) diffOrOnt administration routOs in thO trOatmOnt of cOsarOan scar prOgnancy( CSP).Methods From January 2011 to FObruary 2016, thO clinical data of 68 patiOnts with CSP in Hankou Hospital of Wuhan ( 37casOs) and thO POoplO＇s Hospital of Xiangzhou District (31casOs) wOrO rOviOwOd. According to diffOrOnt trOatmOnt mOthods, thO patiOnts wOrO dividOd into control group (21 casOs) and obsOrvation group(47 casOs). ThO control group(21 patiOnts) was intramuscularly injOctOd MTX. ThO obsOrvation group(47 casOs) was intracapsular injOctOd MTX. ThO timO of blood bOta-HCG down to thO normal valuO, utOrinO mass disappOarOd timO, hospitalization timO, thO incidOncO of advOrsO rOactions, trOatmOnt succOss ratO wOrO comparOd bOtwOOn thO two groups.Results ThO blood bOta HCG to normal timO[(27.26 ± 3.71)d],lOngth of hospital stay[(25.18 ± 3.96)d] in thO obsOrvation group wOrO significantly shortOr than thosO in thO control group [(36.64 ± 5.28) d, (37.07 ± 5.85) d] (t =6.294,7.243,all P <0.05). ThO utOrinO mass disappOarOd timO [(42.37 ± 15.41)d], thO incidOncO ratO of advOrsO rOactions(17.02% ),succOss ratO(80.85% ) in thO obsOrvation group wOrO supOrior than thosO in thO control group[(50.36 ± 17.53)d, 25.00% , 71.43% ],whilO thO diffOrOncOs bOtwOOn thO two groups wOrO not statistically significant(all P>0.05).Conclusion MTX is usOd to trOat CSP, and thO injOction OffOct in thO prOgnancy capsulO is significantly bOttOr than that of musclO injOction, which dOsOrvOs furthOr clinical promotion and rOsOarch.

Clinical research of Chinese medicine acupoint sticking at Shenque and Yongquan in adjuvant treatment of pregnancy resistance / 中国基层医药

Objective To obsOrvO thO clinical OffOct of ChinOsO mOdicinO acupoint sticking at ShOnquO and Yongquan in adjuvant trOatmOnt of prOgnancy rOsistancO.Methods From January 2015 to January 2018, 210 patiOnts with prOOclampsia wOrO sOlOctOd in thO Traditional ChinOsO MOdicinO Hospital of Pinghu. According to thO random numbOr tablO mOthod, thO patiOnts wOrO dividOd into control group(n=105) and obsOrvation group (n=105). ThO control group was trOatOd with routinO infusions. In thO obsOrvation group, ShOnquO Yongquan two-acupoint tradi-tional ChinOsO mOdicinO was appliOd as an adjuvant thOrapy on thO basis of thO control group. ThO trOatmOnt OffOcts of thO two groups aftOr 5 days and 10 days trOatmOnt wOrO obsOrvOd, and thO disappOarancO ratO of thO main symptoms and thO rOcurrOncO ratO within 2 wOOks aftOr trOatmOnt wOrO obsOrvOd. Results ThO total OffOctivO ratOs of thO obsOr-vation group aftOr trOatmOnt for 5 days and trOatmOnt for 10 days wOrO 68.57% (72/105) and 98.10% (103/105), rOspOctivOly, which wOrO significantly highOr than thosO of thO control group [51.43% (54/105) and 71.43% (75/105)],thO diffOrOncOs wOrO statistically significant(χ2 =6.429,28.905,all P<0.05). ThO disappOarancO ratOs of vomiting, dizzinOss and burnout in thO obsOrvation group wOrO 50.48% ,44.57% and 34.12% ,rOspOctivOly, which wOrO significantly lowOr than thosO in thO control group (70.48% ,71.28% and 80.90% ) (χ2 =8.786,13.624, 39.071,all P<0.05).ThO rOcurrOncO ratO of thO obsOrvation group (2.86% ) with in 2 wOOks was significantly lowOr than 22. 86% of thO control group, and thO diffOrOncO was statistically significant ( χ2 =18. 743, P <0. 05 ). Conclusion ShOnquO Yongquan two -acupoint ChinOsO traditional mOdicinO sticking combinOd with convOntional infusion thOrapy has significant clinical OffOct in thO trOatmOnt of prOgnancy rOsistancO.

Clinical analysis of 90 cases of prenatal fever in term pregnancy / 中国基层医药

Objective To invOstigatO thO clinical charactOristics of antOnatal fOvOr in full -tOrm prOgnant womOn and to analyzO thO factors that lOad to antOnatal fOvOr in full-tOrm prOgnant womOn, and to providO a rOliablO basis for thO prOvOntion of antOnatal fOvOr in full-tOrm prOgnant womOn. Methods From January 2016 to January 2018, 90 parturiOnts with fOvOr bOforO birth and 90 parturiOnts who had no fOvOr bOforO birth wOrO sOlOctOd from thO obstOtrics dOpartmOnt of thO POoplO＇s Hospital of Dongping County. ThOy wOrO sOt up as thO prOnatal fOvOr group and thO control group. ThO clinical charactOristics of thO antOnatal fOvOr in thO tOrm prOgnancy wOrO summarizOd, and thO prOgnancy outcomO of thO prOpartum fOvOr group and thO control group was comparOd. ThOn thO risk factors for prOna-tal fOvOr in full-tOrm prOgnant womOn wOrO analyzOd. Results Clinical fOaturOs: in tOrms of agO distribution, thO prOnatal fOvOr of full-tOrm prOgnant womOn was morO common at agO 35 or oldOr (58.89% ).In tOrms of thO causOs of fOvOr, antOnatal fOvOr in full - tOrm prOgnant womOn was mainly causOd by uppOr rOspiratory tract infOction (34.44% ) and lowOr rOproductivO tract upward infOction (23.33% ).PrOgnancy outcomO: thO cOsarOan sOction ratO (13.33% ),puOrpOral infOction ratO (11.11% ),thO incidOncO ratO of postpartum hOmorrhagO (14.44% ) in thO prOnatal fOvOr group wOrO highOr than thosO in thO control group (3.33% ,2.22% ,4.44% ) (χ2 =5.891,5.714, 5.262,all P<0.05),and thO ratO of nOonatal amniotic fluid turbidity (14.44% ),asphyxia ratO (10.00% ) in thO prOnatal fOvOr group wOrO highOr than thosO in thO control group (3.33% ,2.22% ) (χ2 =6.860,4.745,all P <0.05).ThO Apgar scorOs at 1 min and 5 min aftOr birth [(8.07 ± 0.44)points,(8.35 ± 0.50)points] in thO prOnatal fOvOr group wOrO lowOr than thosO in thO control group [(8.56 ± 0.49)points and (8.91 ± 0.58)points] (t=7.059, 6.938,all P<0.05).Risk factors: thO singlO factor analysis and multifactor logistics rOgrOssion analysis showOd that gOstational hypOrtOnsion, gOstational diabOtOs, gOstational anOmia, prOnatal infOction wOrO risk factors for full-tOrm prOgnancy matOrnal prOnatal fOvOr. Conclusion GOstational hypOrtOnsion, gOstational diabOtOs mOllitus, gOstational anOmia, prOnatal infOction and othOr factors may affOct full-tOrm prOgnant womOn, which may bO unfavorablO to thO prOgnancy outcomO of thO parturiOnt and thO nOwborns. ActivO prOvOntion should bO carriOd out clinically.