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With three representative types of gynecological diseases (dysmenorrhea, pelvic inflammation, polycystic ovary syndrome) as examples, the application methods of meridian and acupoint diagnosis for gynecological diseases treated with acupuncture and moxibustion are discussed. During clinical diagnosis and treatment, it is recommended to examine the patient's leg segment along the three yin meridians of foot, aiming to explore the positive reactions of the meridians and acupoints (color, shape, skin temperature, sensory abnormalities, etc.). Acupuncture and moxibustion treatment at this positive reaction place can improve the clinical efficacy. Meridian and acupoint diagnosis could provide basis for meridian syndrome differentiation, thus guiding the selection of acupoint prescriptions; it is also helpful to clarify the deficiency, excess, cold and heat of the disease nature, thus guiding the selection of acupuncture and moxibustion methods. In addition, it is an auxiliary method to estimate the prognosis and outcome of the disease.
Subject(s)
Female , Humans , Moxibustion , Meridians , Acupuncture Points , Acupuncture Therapy , Foot , Genital Diseases, Female/therapyABSTRACT
Objetivo: Identificar a frequência das infecções do trato reprodutivo em mulheres atendidas em uma unidade de atenção primária à saúde, na região da Zona da Mata de Pernambuco. Método: Trata-se de um estudo retrospectivo, documental, de corte transversal, realizado com 361 registros de mulheres na faixa etária dos 14 aos 87 anos. Para a análise, procedeu-se à distribuição das frequências absolutas representados por tabelas através do programa estatístico EpiInfo versão 7.1.5.2. Pesquisa aprovada pelo Comitê de Ética em Pesquisa, com CAAE no 54417916.2.0000.5208. Resultados: A Gardnerella vaginalis (16,62%) foi o agente microbiológico mais frequente que os demais causadores de infecções do trato reprodutivo; os microrganismos foram mais prevalentes na faixa etária de 25-34 anos. Conclusão: Sob o ponto de vista dos benefícios do cuidado à saúde da mulher, na atenção primária, incentiva-se a atuação profissional no sentido de promover ações de educação em saúde visando a conscientização de mulheres das diversas faixas etárias, sobre a relevância das ITR's.
Objective: To identify the frequency of reproductive tract infections in women treated in a primary health care unit in the Pernambuco forest zone. Method: This is a retrospective, documental, cross-sectional study, conducted with 361 records of women aged 14 to 87 years. For the analysis, the absolute frequencies represented by tables were distributed through the statistical program EpiInfo version 7.1.5.2. The research was approved by the Research Ethics Committee, with CAAE No. 54417916.2.0000.5208. Results: Gardnerella vaginalis (16.62%) was the most frequent microbiological agent from all the other causes of reproductive tract infections; microorganisms were more prevalent in the 25-34 age group. Conclusion: From the point of view of the benefits of women's health care, in primary care, professional action is encouraged to promote health education actions aimed at raising awareness of women of various age groups about the relevance of ITR's.
Subject(s)
Primary Health Care , Women's Health , Reproductive Tract InfectionsABSTRACT
Objective@#To understand the prevalence of gynecologic diseases among married female workers.@*Methods@#The data of married female workers who underwent occupational health examination in a physical examination center from January to December 2017 were collected. The relationship between the detection of common gynecological diseases, age and occupational types examined by gynecological routine, TCT, breast B-mode ultrasound, uterus and appendix B-mode ultrasound were analyzed.@*Results@#Among the 1142 female workers, the total detection rate of reproductive tract infections was 67.25% (768/1142), the total detection rate of breast-related diseases was 75.22% (859/1142) ; the total detection rate of gynecological tumors and benign lesions was 14.71% (168/1142). The detection rate of breast hyperplasia was the highest 67.08% (766/1142), followed by vaginitis 51.66% (590/1142). Among the abnormalities detected in breast-related diseases, gynecological tumors and benign lesions, the highest detection rate was found in public institutions (85.66% and 27.13%), and the lowest was found in factory workers (70.24% and 7.89%). With the increase of age, the detection rate of breastrelated diseases (breast hyperplasia, breast cyst), gynecological tumors, benign lesions (uterine myoma), and Nessler's cyst abnormalities in married female workers increased (χ2trend=7.647、21.653、107.411、53.802, P<0.05), while the detection rate of columnar epithelium of cervix decreased (χ2trend=7.404, P<0.05). There was no significant difference in the total detection rate of reproductive tract infectious diseases (vaginitis, cervical polyps, cervical hypertrophy) among married famale workers of different ages (P<0.05) .@*Conclusion@#The common gynecological diseases of married female workers are affected by many factors such as age and occupation. Health examination and health education should be carried out regularly to reduce the incidence of gynecological diseases among female workers according to different ages and occupations.
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To explore the clinical efficacy of "regulate (triple warmer) acupuncture" in the treatment of gynecological diseases. To discuss the pathogenesis of and gynecological diseases, and to briefly analyze the theory of "regulate acupuncture", the method of selecting acupoints and operating methods. In order to use the "regulate " as the rule, Baihui (GV 20), Danzhong (CV 17), Zhongwan (CV 12), Tianshu (ST 25), Qihai (CV 6), Guanyuan (CV 4), Zhongji (CV 3), Zigong (EX-CA 1), Xuehai (SP 10), Sanyinjiao (SP 6), were selected as the main acupoints to cooperate with syndrome differentiation for the treatment of gynecological diseases, such as infertility, perimenopausal syndrome. "Regulate acupuncture" is effective in the treatment of infertility and perimenopausal syndrome, which is worthy of clinical promotion and application.
Subject(s)
Female , Humans , Acupuncture Points , Genital Diseases, Female , Therapeutics , Moxibustion , Treatment OutcomeABSTRACT
Objective@#To investigate the reproductive health status of female workers in the machinery industry and to analysis the effect of workload on their reproductive health.@*Methods@#5 732 female mechanical workers were selected and investigated by the Female Workers' Reproductive Health Questionnaire, which was printed by the occupational health and poisoning control institute of China CDC to collect the information about the reproductive health status of from March to December in 2016.@*Results@#The rate of abnormal menstruation was 27.15%, and the rate of gynecological diseases of female workers was 34.39%. The menstruation abnormality and gynecological diseases rate of female workers with high workload was higher than that female workers with low workload (both P<0.01) . High workload was the independent the risk factor associated with the menstruation abnormality (OR=1.88, 95%CI: 1.54~2.31, P<0.01) and gynecological diseases (OR=1.97, 95% CI: 1.61~2.40, P<0.01) .@*Conclusion@#The workload has a large impact on the reproductive health status of female workers.
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Objective To analyze clinical differential diagnostics and medication law of CAI Lian-xiang of treating gynecological diseases from theChong-Ren;To provide references for clinical medication. Methods Medical cases of gynecological diseases treated by differential diagnostics from“Chong-Ren”from December 2013 to January 2015 in out-patient department of Xiyuan Hospital of CACMS by CAI Lian-xiang were collected. Excel2007 was used to establish the database, and the frequency and correlation analysis were made on the differentiation, treatment principles, treatment methods, medicine and medical combination by using the large data intelligent analysis system of Chinese medicine diagnosis and treatment. The results were confirmed with CAI Lian-xiang's academic thought and clinical experience. Results Totally 103 medical cases, 277 diagnosis times, 277 prescriptions and 92 kinds of Chinese materiamedica were included. Although different types of gynecological diseases from theChong-Ren treatment of specific treatment were different, all were related to liver, spleen and kidney;prescription contained 22 high-frequency medicines (>50 times), and the first three medicines were Cuscutae Semen 178 times (64.3%), Angelicae Sinensis Radix 167 times (60.3%), Paeonize Radix 158 times (57.0%). The association analysis results showed 9 combination of Tiaochongren medicine combination group, 11 Qiangchongren meidcine combination group, 4 Zichongren medicine combination group, and 4 Guchuanrenmediicne combination group. Conclusion CAI Lian-xiang believes that gynecological diseases are closely related to “Chong-Ren”, and treatment from“Chong-Ren”focuses on the adjustment and nourishment of liver, spleen and kidney. The data miningresults of medication law is accordance with the relevant academic thoughts, which can provide references for clinic.
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Objective To analyze the effect of different methods of anesthesia maintenance on clinical efficacy and postoperative recovery in elderly patients with gynecological diseases undergoing laparoscopic surgery.Methods A total of 80 elderly patients with gynecological diseases scheduled for laparoscopic surgery were enrolled in this study in our hospital from January 2015 to December 2016.All the patients were randomly divided into two groups of anesthesia maintenance:an intravenous anesthesia alone (n=40) and a combined intravenous and inhaled anesthesia (n =40).The pre-and post-anesthesia changes in arterial blood gas,blood pressure,heart rate and cognitive function,and postoperative complications were analyzed and compared between the two groups.Results There were no significant differences between the two groups in the times of palinesthesia,extubation and talking (all P＞ 0.05).After anesthesia,the levels of arterial blood gas,the blood pressure and the heart rate were relatively stable in both groups,and their differences between the two groups were without statistically significant (all P ＞ 0.05).While,the postoperative cognitive function recovered more rapidly in patients receiving intravenous anesthesia alone for anesthesia maintenance than in those receiving a combined intravenous and inhaled anesthesia,especially at 6 h after extubation.The Mini-mental State Examination (MMSE) score was significantly higher in patients receiving intravenous anesthesia alone (28.8 ± 0.5) than in patients receiving a combined intravenous and inhaled anesthesia (25.1 ±0.6),with statistically significant difference (P＜ 0.05).In addition,there was no statistical difference between the two groups in the incidence of complications.Conclusions As anesthesia maintenance,both an intravenous anesthesia alone and a combined intravenous and inhaled anesthesia can ensure a successfully laparoscopic surgery for gynecological diseases in elderly patients.However,the impact on cognitive function after laparoscopic surgery is smaller in the maintenance of intravenous anesthesia alone than in a combined intravenous and inhaled anesthesia in elderly patients.Intravenous anesthesia alone can be used in elderly patients to receive laparoscopic surgery as routine anesthesia maintenance.
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[Objective] To explore and analyze the diagnosis and treatment of gynecological diseases with blood stasis from the Medical Treasures of the Golden Chamber.[Methods] Through learning the book closely and referring to relevant articles,we analyze pathogenesis,symptoms,treatment principle and so on,so that we can conclude ZHANG Zhongjing's features of treating gynecological diseases with blood stasis better.[Results] ZHANG Zhongjing summarized the etiology and pathogenesis of gynecological diseases with blood stasis in five aspects:qi-stagnation,blood-insufficiency,cold,heat and water.In order to cure the diseases,he not only paid more attention to the relationship between qi and blood,but also put first thing of using regulating qi and blood as the treatment principle.[Conclusion] Medical Treasures of the Golden Chamber creates the treatment based on syndrome differentiation in gynecological diseases.Studying the ZHANG Zhongjing's features of treating gynecological diseases with blood stasis is significant to guide the clinical treatment.
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Objective To evaluate the clinical effect of laparoscope and open surgery for treatment of gynecological diseases. Methods 620 female patients with gynecological diseases were divided into two groups randomly (Group A: n = 310, Group B: n = 310). Group A was treated by laparoscopic surgery, Group B was treated by open abdominal surgery. The clinical effects of laparoscope and open abdominal surgery were compared between the two groups. Results Group A had better results in intraoperative blood loss, recovery time of intestine and stomach function, get out of bed time and hospitalization time than that in group B, there were significant difference (P 0.05). Conclusions Laparoscopic surgery has better effects for treatment of gynecological diseases than open abdominal surgery.
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Objective]To explore and analyze its original implication of the eighth article in Chapter 22 from Jinkui Yaolve. [Methods]Through learning the Jinkui Yaolve closely and referring to the explanations of masters of generations,base on the original text to analyze and elaborate the etiology, pathogenesis, syndromes and therapeutic principles with regard to miscellaneous gynecological diseases.[Results] The eighth item is the general program of miscellaneous gynecological diseases,its principal pathogenic factors include deficiency, stale chills and stagnation of Qi.Moreover,the deficiency plays a leading role in the pathogenesis.Through exploring deeply,I hold that the pulmonary abscess is actually the pulmonary asthenia in the second sentence.When the pathogenic factors attack the body,the triple energizers manifest different symptoms and signs.There is no difference between male and female on the conditions which is confined to the upper warmer and the middle warmer.Such symptoms as pulmonary asthenia,chill colic,hypochondriac pain and abdominal pain,aching at the Guanyuan aera below the navel, asthenic fever,scaly dry skin etc.Their special dissertation distributes in other chapters of Jinkui Yaolve.Yet,the symptoms in the lower warmer which are only seen in the female,owing to deficiency-cold,blood-stasis and stagnation.[Conclusion] In history, Jinkui Yaolve firstly puts forward pulse syndrome complex and treatment of miscellaneous gynecological diseases,the core ideas on miscellaneous gynecological diseases of Zhang Zhongjing also have reference significance for the present.
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Point Zigong is an empirical point for acupuncture treatment of gynecological diseases. Now it is widely applied to clinical treatment and has a marked therapeutic effect. The therapeutic effect of point Zigong stimulation on gynecological diseases is closely related to the anatomical position, morphostructure specificity and action effect of the acupoint. In the present study on this acupoint, the single acupoint is seldom applied and the mechanism is not completely clear. It is needed to conduct a thoroughstudy in the future.
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Sonodynamic therapy in many treatment methods of tumors, is a relatively new approach. Sonodynamic therapy as a treatment method is developed on the basis of photodynamic therapy. Compared to the lightwave, the ability to penetrate mammalian tissue of ultrasound is stronger. So sonodynamic therapy is a more promising therapeutic area. Many scholars have explored the clinical applications of sonodynamic therapy, and progress has been made in many areas. Because the female genitalia is connected the outside of body, it is more conducive that Sonodynamic therapy play a partial role. Sonodynamic therapy has some progress in the application of gynecology, and we hope it would have more progress in the treatment of endometrial disease.
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The present paper has reviewed and researched on 112 gynecological records from volume 17 ofZhang-Yuqing’s medical records, and has found that there were 9 common methods of treating gynecological diseases, namely dredging and regulatingqi and blood, adjusting qi to nourish ying, soothing the liver wood, harmonizing the liver and spleen (stomach), tonifying spleen and kidney, nourishing liver and kidney, regulating vital and conception vessels, eliminating dampness and phlegm, and nourishing Yin and clearing away heat.The treatment of gynecological diseases reflects the holistic concept and dialectical concept, and the valuable experience still has a high theoretical value, as well as clinical value, which is worth exploring and discussing.
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Objective To detect the serum levels of carbohydrate antigen 125(CA125)and squamous cell carcinoma antigen (SCC-Ag)in patients with different gynecological diseases ,and to investigate the clinical significance of serum CA125 and SCC-Ag in the diagnosis of gynecological diseases .Methods The levels of CA125 and SCC-Ag in serum were detected by chemiluminescence method in 272 hospitalized patients of gynecological and 20 health examination women(normal control group) .Results The serum level and the positive rate of CA125 were increased in different disease groups ,which were significantly increased in endometriosis , adenomyosis ,and cervical cancer groups and were significantly different from the normal control group(P<0 .01) .The serum level and positive rate of SCC-Ag in cervical cancer group were significantly higher than normal control group(P<0 .01) .Conclusion Serum CA125 can be used as an indicator of gynecological disease screening ,and serum SCC-Ag is a specific tumor marker of cervi-cal cancer .
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[Objective] To dicuss the application of contraray treatment from“Yel ow Emperor’s Internal Classics”in gynecological diseases, hoping to guide the clinic. [Method] By reviewing the articles concerning contrary treatment in “True Large Theory.Yel ow Emperor’s Internal Classics”, take clinical recipe cases as examples, such as stimulating the menstrual flow and water circulation for long menstruation; dispel ing wind to relieve exterior syndrome for night sweat in menstruation;dismounting for morbid leucorrhea;reinforcing spleen for pregnant digestion;tonifying Qi for pregnant constipation;warm drugs for sore throat, etc. Meanwhile, it sums up the application rules of the contrary treatment in gynecological diseases. [Result] The gynecological dis-eases can be cured by contrary therapy based on differentiation of signs, i.e.treating diarrhea with purgative,treating obstruction with tonics, treating heat with warm, al with good cure effect proved by practice.[Conclusion] To treat gynecological diseases with contrary therapy is the demonstration of search-ing for primary cause in treatment;we shal further dig out, inherit and develop it and make it better serve the clinic.
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[Objective]To investigate the preventive gynecological examination, prevention of gynecological diseases diagnosis, treatment, and explore effec-tive prevention measures. [Methods]4824 women selected from 2011 January to 2012 December in our hospital have routine screening, the relevant medi-cal personnel make one by one inquiry, fil in the form of unified formulation, make breast and genitourinary tract examination, malignant examination, further pathological organization examination, carry the statistical analysis to check results. [Results] The detection of gynecological patients 2039 in the 4824 census, 42.3% of the total, have lobular hyperplasia, breast chronic cervicitis, vaginitis and myoma of uterus disease among the top four. The inci-dence of disease of other department of gynaecology rate is smal , mainly in the adnexal masses, pelvic effusion. The breast lobular hyperplasia, chronic cer-vicitis, vaginitis disease are associated with age, often at 22~30 years old, decrease with age. Uterine fibroids in 22~30 years old have the lowest rate, but increase with the growth of the age, down to 2.84% or even lower in postmenopausal women. [Conclusion] To check the preventive gynecological dis-eases, clinical emphasis on prevention, from the census to achieve early discovery, early diagnosis, early treatment are an important task of prevention and treatment of various gynecological diseases and breast diseases, but also an important means of health care for women.
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Objective To investigate the complications of gynecological laparoscopies and its related fac-tors. Methods The clinical data of 8700 cases with laparoscopic surgeries from August 2003 to August 2008 were retrospectively analyzed. Results Complications occurred in 259 cases,with a overall complication rate of 2.98%, the serious complication occurred in 37 cases(0.43%), and surgical treatment was needed in 21 cases. The compli-cations included: 129 complications related to puncture and pneumoperitoneum(including subcutaneous emphysema and abdominal wall congestion) ,20 related to bleedings, 17 related to injuries ,26 related to postoperative infections. Conclusion Operative gynecologic laparoscopy-induced complications were associated with operation difficulty, so great attention should be paid. In order to reduce the risks of laparoscopic surgery, indications should be selected cor-rectly,and procedures should be operated carefully.
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It introduces the model of Yinyang Taiji Eight Diagrams figure established by Pro.Xia Guicheng under acquired Eight Diagrams theory in Yi Classic,explains the essence of menstrual cycle evolution,hoping to guide the more effective diagnosis and treatment of gynecological incretory diseases,such as abnormal productive rhythm.
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This article introduced three proved cases of gynecological disease: amenorrhea, climacteric syndrome and breast nodules, which were treated by HE Sai-ping doctor. He insisted that the gynecological diseases could be treated based on spleen and liver, of which regulating qi-blood was the therapeutic core.
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This paper reports the effects of common marine medicinal animals and their clinical applications in gynecological diseases for the fist time in Nanji Archipelago National Marine Nature Reserve of Zhejiang Province. The results show that pharmacological effects of 93 species, which belong to 5 phyla, of marine medicinal animals are obvious in clinical applications of gynecological diseases. According to pharmacological effects, marine medicinal animals in clinical applications can be divided into twelve groups: 1. drugs for leukorrha-gia; 2. drugs for anemia and uterine bleeding; 3. drugs for intermenstrual flow or metror-rhagia; 4. oxytocic drug; 5. lactogenic drugs,- 6. drugs for menoxenia; 7. drugs for pregnancy hypertension; 8. drugs for postpartum hemorrhage; 9. drugs for postpartum constipation; 10. drugs for mastitis; 11. drugs for amenorrhoea; 12. emmenagogue;