Analysis of clinical curative effect of the therapy of goserelin combined with microwave on postoperative patients of endometriosis / 中国基层医药

Objective To observe the clinical efficacy of therapy of application of goserelin(Zoladex)com-bined with microwave on patients with endometriosis after laparoscopic surgery.Methods 188 patients with endome-triosis were randomly divided into two groups according to the randomized digital table method,with 94 cases in each group,as the observation group(Zoladex combined with microwave therapy group)and the control group(Zoladex treatment group).Among them there were 80 patients with infertility,45 cases in the observed group and 35 cases in the control group.After treatment,the clinical efficacy rate,recurrence rate and pregnancy rate of patients with infertil-ity were compared between the two groups.Results The efficiency of the observation group was significantly higher than that of the control group(80.12% vs.65.31%,χ2 =5.338,P <0.05),and the recurrence rate of the observa-tion group was lower than that of the control group(22.34% vs.38.56%,χ2 =8.325,P <0.05),the difference was statistical significance.The pregnancy rate of patients with infertility in the observation group were significantly higher than that of the control group,and the difference was statistically significant[64.38%(29 /45)vs.44.46%(16 /35)χ2 =4.531,P <0.05].Conclusion As for patients with endometriosis after laparoscopic surgery,the therapy of Zoladex drug treatment assisted with microwave treatment at the same time,could achieve good clinical curative effect and low recurrence rate,and could improve the pregnancy rate of patients with infertility.

Application of PDCA in Clinical Teaching Management in Hospital / 现代医院

Clinical teaching quality directly affects the training of medical talents.It is of great significance for improving the quality of clinical teaching and training medical talents to strengthen clinical teaching management and to carry out clinical teaching research.On the basis of investigation and analysis of clinical teachers, interns and teaching activities in the hospital, the author introduced the PDCA method of the total quality management into the teaching management, and analyzed the effect of its dynamic circulation, to explore a suitable scientific management mode of clinical teaching for the hospital, so as to realizing the continuous optimization of teaching quality.