Effects of labor analgesia on maternal and neonatal outcome by epidural low concentration of bupivacaine combined with anisodamine / 药物分析学报

Objective To observe the effects of labor analgesia on maternal and neonatal outcome by epidural application of 0.125% bupivacaine combined with anisodamine on the labor stage, and modes of delivery and neonatal Apgar's score. Methods A total of 220 primiparaes with full-term pregnancy, monocyesis and fetal head presentation without any obstetrical or systematic complications were chosen and divided into analgesic group and control group (110 in each group). The mixture of bupivaeaine and anisodamine was injected into the epidural space of the parturients in the analgesic group while those patients in the control group did not receive any analgesics. Results The analgesic effect was satisfactory (91.8 %), and no side effects occurred in the second stage of labor. The instrument delivery rate was lower in the analgesic group, and there was no significant difference between the two groups in neonatal Apgar's score. Conclusion The method is feasible in clinic for labor pain relief without increasing the rate of dystocla and complications of delivery.

A Research on the Social Support and the Quality of Life of Renal Transplant Patients / 中国医学伦理学

Objective: To explore the effect of social support in increasing the quality of life of renal transplant patients by investigating social support and quality of life of renal transplant patients in our hospital.Methods: The patients after renal transplantation more than 3 months were questioned randomly in clinic using the rating scales of SSRS and WHOQOL ~BREF.Results: It showed high social support in patients after renal transplantation,but there was dangerous of low social support in young female.The score of quality of life and physiological domain was lower than routine model.There were not significant differences in the psychological,social and surrounding domains of renal transplant patients compared with the routine model.There was a significantly positive relationship between social support and quality of life of renal transplant patients(P

The Study About Carrying ISO9000series Standard out and Improving the Work Quality in Oprating Room / 中国医学伦理学

Objective:to detect the effect of working qulity in operating room before and after apply ISO9000 series standard.Methods:the questionnaire of the satisfaction comes from the patients to the nurses of the operating room,the examine score chart to the instrumental nurses in the operating room,the examine score chart to the circulating nurse of operating room as the 3 measuring scale to be investigated as the comparation about the effect of the application of the ISO9000 standard.Results:①The degree of the patients satisfation is improved to such an extent after the ISO9000 standards applied.②The checking result of the instrumental nurses and the circulating nurses is also of the obvious difference;what is more,once the nursing matron published the specific checking standards and the checking result,it is liable to the nurses to realize their own faults.③Through this period of the investigation and the research,the application of the ISO9000 quality managing architecture better formalize the nurses work than before,everything is equipped with foundation and standard,thus the working quality is improved.