RESUMEN
Objective To evaluate the effectiveness and safety of the breast stimulation expediting on the cervical ripening and labour.Methods By using the method of prospective,controlled study,according to the digital table,300 primiparas with single viable fetus in longitudinal lie with head,without complicating disease and contraindication of vaginal delivery scored in 38 +5 weeks were randomly separated into the study group with breast stimulation and control group with regular tests except for the breast stimulation.150 cases in the study group were bilateralbreast massaged under the guidance of the hand (handheld temperature wetalternating bilateral breast massage,3 times every day,each time 1 H) ; 150 cases in the control group was routine examination group.The labor,labor cervical maturity gestational age,mode of delivery,birth process and newborn situation in the two groupswere observed.Results There was no significant difference between the two groups of patients about the Bishop score (t =0.73,P ＞ 0.05) before the study;3 and 6 days after the intervention and parturient,Bishop scores in the observation group were higher than those in the control group (t =3.28,5.38,11.27,all P ＜ 0.05).The cervical bishop score increase total efficiency was 100.0％ in the 150 cases of pregnant women of the study group;in the control group,the cervical bishop score increase total efficiency was 66.7 ％ ; there was significant difference between the two groups (x2 =60.00,P ＜ 0.05).The 40 weeks delivery rate of the observation group was 86.0％,there was no case of prolonged pregnancy.The 40 weeks delivery rate of the control group was 56.0％,9 cases of prolonged pregnancy.The 40 weeks delivery rate of the two groups had significant difference (x2 =32.78,P ＜0.05).The observation group vaginal delivery rate was 131 cases (87.3％),which was significantly higher than 92 cases (61.3％) of the control group,there was significant difference (x2 =26.57,P ＜ 0.05).The vaginal delivery total labor of the study group wass (7.92 ± 4.15) h,which was significantly shorter than (12.28 ± 4.18) h of the control group,there was significant difference (t =4.20,P ＜0.05).The study group delivery complications occurred in 5 cases (3.3％),which was significantly lower than 16 cases (10.7 ％) of the control group,there was significant difference (x2 =6.20,P ＜ 0.05).Conclusion The advance of the labour process by breast stimulation was safe and effective.And this method could remarkably decrease the chance of uterine-incision delivery caused by the prolonged or delayed pregnancy,which should be utilized in routine clinical work.
RESUMEN
Objective To observe the effect of sequential selection catheter combined with anisodamine in neurology catheterization patients about urine leakage to seek a new care pathway.Methods 240 cases of hospitalized neurology patients with indwelling catheter for a long time were randomized.The control group received conventional fixed-size catheter.According to the individual patient situation,the observed patients choose smallest model applicable Foley catheter when the initial catheterization,and increase the model sequential in turn periodic replacement of the catheter.The patients with leakage of urine were given anisodamine 10mg intramuscular injection,observe urine leakage rate of patients.Results The urine leakage rate was 6.67％ in the observation group which was significantly lower than 20.83％ in the control group(x2 =10.15,P ＜ 0.05),the intramuscular anisodamine efficient was 32/33 (96.97％).Conclusion Sequential selection catheter can significantly reduce the occurrence of urinary leakage,for patients with leakage of urine,anisodamine intramuscular injection can effectively control the leakage of urine,thereby greatly reducing the patient's pain.