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Analyzing the Application Value and Detection Rate of Combined Abdominal and Vaginal B-Scan Ultrasound in Diagnosing Acute Abdomen in Obstetrics and Gynecology 腹阴道联合b超在妇产科急腹症诊断中的应用价值及检出率分析
Pub Date : 2023-09-26 DOI: 10.26689/aogr.v1i2.5405
Meiping Hua
Objective: To analyze the diagnostic value of combined abdominal and vaginal B-scan ultrasound in obstetricsand gynecology acute abdomen. Methods: A total of 80 patients with suspected obstetric and gynecological acute abdomen admitted from February 2021 to October 2023 were recruited. All patients underwent abdominal and vaginal B-scan ultrasound examinations, and the pathological results were compared to explore the joint diagnostic value. Results: Obstetric and gynecological acute abdomen was confirmed in 68 cases through pathology, 53 cases through abdominal B-scan ultrasound, 60 cases through vaginal B-scan ultrasound, and 67 cases through combined abdominal and vaginal B-scan ultrasound. The combined abdominal and vaginal B-scan ultrasound had significantly higher diagnostic efficiency than that of abdominal B-scan ultrasound alone and vaginal B-scan ultrasound alone (P < 0.05). The accuracy of combined abdominal and vaginal B-scan ultrasound in diagnosing obstetric and gynecological acute abdomen is higher than that ofabdominal B-scan ultrasound alone and vaginal B-scan ultrasound alone (P < 0.05). Conclusion: The diagnosis of acute abdomen in obstetrics and gynecology by combined abdominal and vaginal B-scan ultrasound may improve the diagnostic efficiency, enhance the accuracy of acute abdomen classification in obstetrics and gynecology, and have high consistency with pathological results.
目的:分析腹阴道联合b超对妇产科急腹症的诊断价值。方法:选取2021年2月至2023年10月收治的80例疑似妇产科急腹症患者。所有患者均行腹部及阴道b超检查,并对病理结果进行比较,探讨关节的诊断价值。结果:经病理确诊妇产科急腹症68例,经腹部b超确诊53例,经阴道b超确诊60例,经腹阴道联合b超确诊67例。腹部和阴道联合b超的诊断效率明显高于单独腹部和阴道b超(P <0.05)。腹部和阴道联合b超诊断妇产科急腹症的准确性高于单独腹部和阴道b超(P <0.05)。结论:腹阴道联合b超诊断妇产科急腹症可提高诊断效率,提高妇产科急腹症分型的准确性,与病理结果一致性高。
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引用次数: 0
Clinical Research on Aromatherapy Combined with Acupoint Massage on Promoting Natural Childbirth of Primipara 芳香疗法结合穴位按摩促进初产妇自然分娩的临床研究
Pub Date : 2023-09-26 DOI: 10.26689/aogr.v1i2.5296
Yali Kong
Objective: To discuss and analyze the clinical research of aromatherapy combined with acupoint massage onpromoting natural childbirth of primipara. Methods: A total of 100 primiparas who gave birth in the obstetrics department of our hospital from May 2022 to May 2023 were recruited and divided into the experiment group (n = 50) and the reference group (n = 50). The experiment group received a nursing that includes aromatherapy and acupoint massage, and the reference group received routine midwifery nursing. Bad mood, pain degree, sleep quality, labor time, and satisfaction were compared between the two groups. Results: Before nursing, there was no statistically significant difference in all the observation indicators between the two groups (P > 0.05). After nursing, the anxiety, depression, and other negative emotions, pain degrees, sleep quality, and satisfaction degree of the experiment group were significantly better than those in the reference group (P < 0.05). The duration of labor in the experiment group was shorter than that of the reference group (P<0.05). Conclusion: Aromatherapy combined with acupoint massage can promote the natural delivery of primipara, and it is worthy of wide application and promotion.
目的:探讨和分析芳香疗法结合穴位按摩促进初产妇自然分娩的临床研究。方法:选取2022年5月~ 2023年5月在我院产科分娩的初产妇100例,分为实验组(n = 50)和参照组(n = 50)。实验组给予包括芳香疗法和穴位按摩在内的护理,参照组给予常规助产护理。比较两组患者的不良情绪、疼痛程度、睡眠质量、劳动时间和满意度。结果:护理前,两组患者各项观察指标比较,差异均无统计学意义(P >0.05)。护理后,实验组患者的焦虑、抑郁等负面情绪、疼痛程度、睡眠质量、满意度均显著优于对照组(P <0.05)。实验组产程明显短于对照组(p < 0.05)。结论:芳香疗法结合穴位按摩可促进初产妇自然分娩,值得广泛应用和推广。
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引用次数: 0
Examining the Impact of the Whole-Process Companionship and Responsible Midwifery Model on Delivery Outcomes 检查全程陪伴和负责任助产模式对分娩结果的影响
Pub Date : 2023-09-26 DOI: 10.26689/aogr.v1i2.5385
Fang Yan
Objective: To explore and analyze the impact of the whole-process companionship and responsible midwiferymodel on delivery outcomes. Methods: 200 women who were about to give birth admitted to Lianyungang Maternal and Child Health Hospital’s Obstetrics and Gynecology Department from May 2021 to May 2023 were recruited and divided into whole process and ordinary groups by flipping a coin, with 100 cases in each group. The whole process group implemented the whole process companionship and responsible midwifery model, while the ordinary group implemented the conventional midwifery model. The duration of labor, delivery outcomes, psychological status, postpartum bleeding volume, and incidence of adverse neonatal outcomes were compared between groups. Results: All three stages of labor in the whole process group were significantly shorter than those in the ordinary group (P < 0.05). The natural delivery rate and cesarean section rate in the whole process group were significantly better than those in the ordinary group (P < 0.05). The difference was not statistically significant after comparing the lateral incision rate between the whole process group and the ordinary group (P > 0.05). Before the intervention, the anxiety and depression scores between the groups weresimilar (P > 0.05); after the intervention, the anxiety and depression scores in the whole process group were significantly lower than in the ordinary group (P < 0.05). The amount of postpartum hemorrhage and the incidence of adverse neonatal outcomes in the whole process group were significantly better than those in the ordinary group (P < 0.05). Conclusion: The whole-process companionship and responsible midwifery model has specific positive significance for delivery outcomes, and this midwifery model deserves to be widely used and promoted in clinical practice.
目的:探讨和分析全程陪伴负责任助产模式对分娩效果的影响。方法:招募2021年5月至2023年5月在连云港市妇幼保健院妇产科住院的200例即将分娩的产妇,采用抛硬币法分为全过程组和普通组,每组各100例。全程组实施全程陪伴负责助产模式,普通组实施常规助产模式。比较两组分娩时间、分娩结局、心理状态、产后出血量、新生儿不良结局发生率。结果:全过程组产程及产程均明显短于普通组(P <0.05)。全过程组自然分娩率、剖宫产率均显著优于普通组(P <0.05)。全手术组与普通组侧切率比较,差异无统计学意义(P >0.05)。干预前,两组之间的焦虑和抑郁得分相似(P >0.05);干预后,全程组焦虑、抑郁得分显著低于普通组(P <0.05)。全流程组产后出血数量及新生儿不良结局发生率均显著优于普通组(P <0.05)。结论:全程陪伴负责任助产模式对分娩效果有特定的积极意义,值得在临床推广应用。
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引用次数: 0
Examining Clinical Application Value of Uterine Compression Suture in the Treatment of Postpartum Hemorrhage 探讨子宫压迫缝合在产后出血治疗中的临床应用价值
Pub Date : 2023-09-26 DOI: 10.26689/aogr.v1i2.5396
Wei Zhang
Objective: To observe and explore the clinical effect of uterine compression sutures in treating postpartumhemorrhage. Methods: 56 patients with postpartum hemorrhage were diagnosed and treated from January 2020 to December 2022. According to the coin toss method, they were divided into the conventional group (given routine hemostatic treatment) and the research group (given uterine compression suture), with 28 cases in each group. The hemostatic efficiency, postoperative recovery time, postoperative bleeding volume, and complication rate were compared between the two groups. Results: The hemostatic efficiency of the research group was higher than that of the conventional group (P < 0.05); the hemostasis time, total hospitalization time, lochia excretion promotion time, and time for the menstrual cycle to return to normal in the research group were shorter than those of the conventional group (P < 0.05); the bleeding volume at 2 hours and 24 hours after surgery in the research group was lower than that in the conventional group (P < 0.05); the total incidence of complications such as fever, uterine adhesions, incisional bleeding, and fluid dark areas in the research group was lower than that in the conventional group (P < 0.05). Conclusion: The hemostatic effect of the uterine compression suture is accurate. It stops bleeding quickly and can significantly reduce the amount of perioperative bleeding. It can also reduce postoperative complications and speed up recovery with a specific reference value.
目的:观察和探讨子宫压迫缝合术治疗产后出血的临床效果。方法:对2020年1月~ 2022年12月诊断并治疗的56例产后出血患者进行分析。按抛硬币法分为常规组(给予常规止血治疗)和研究组(给予子宫压迫缝合),每组28例。比较两组止血效率、术后恢复时间、术后出血量、并发症发生率。结果:研究组止血效率明显高于常规组(P <0.05);研究组止血时间、总住院时间、恶露排泄促进时间、月经周期恢复正常时间均短于常规组(P <0.05);研究组术后2 h、24 h出血量均低于常规组(P <0.05);研究组发热、子宫粘连、切口出血、液体暗区等并发症的总发生率低于常规组(P <0.05)。结论:子宫压迫缝合止血效果准确。它能迅速止血,并能显著减少围手术期出血量。还可以减少术后并发症,加快恢复,具有一定的参考价值。
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引用次数: 0
The Intervention Effect of Full-Responsibility Midwifery in Conjunction with Guided Labor Accompaniment on Maternal Birth Outcome 全责任助产结合引产陪伴对产妇分娩结局的干预效果
Pub Date : 2023-09-26 DOI: 10.26689/aogr.v1i2.5362
Hongjuan Zhu
Objective: To investigate and analyze the intervention effect of full responsibility midwifery with guided labor accompaniment on maternal birth outcomes. Methods: 68 cases of labor and delivery from January 2021 to December 2022 in Yancheng Dafeng People’s Hospital were selected and grouped into the study group (n = 34) and the control group (n = 34). The pregnant women in the control group were in full-responsibility midwifery nursing intervention, and the pregnant women in the study group were in full-responsibility midwifery with guided labor accompaniment. The duration of labor, the rate of spontaneous delivery, the incidence of adverse pregnancy outcomes, and satisfaction with nursing care between the two groups were recorded and evaluated. Results: The duration of labor in the study group was lower than that in the control group (P < 0.05); the rate of spontaneous delivery in the study group was higher than that in the control group (P < 0.05); the incidence of adverse pregnancy outcomes in the study group was lower than that in the control group (P < 0.05); and the nursing care satisfaction in the study group was higher than that in the control group (P < 0.05). Conclusion: Full-responsibility midwifery with guided labor accompaniment can shorten the duration of labor, increase the rate of spontaneous delivery, reduce the incidence of adverse pregnancy outcomes, and achieve higher satisfaction of maternal care, which is of value for popularization and application.
目的:探讨和分析全责任助产引导产程对产妇分娩结局的干预效果。方法:选择2021年1月~ 2022年12月在盐城市大丰人民医院产分娩的产妇68例,分为研究组(n = 34)和对照组(n = 34)。对照组孕妇采用全责任助产护理干预,研究组孕妇采用全责任助产指导产程陪同。记录并评价两组患者的产程、自然分娩率、不良妊娠结局发生率及护理满意度。结果:研究组产程时间明显低于对照组(P <0.05);研究组自然分娩率高于对照组(P <0.05);研究组不良妊娠结局发生率低于对照组(P <0.05);研究组护理满意度高于对照组(P <0.05)。结论:全程助产指导产程陪同能缩短产程,提高顺产率,降低不良妊娠结局发生率,产妇护理满意度较高,具有推广应用价值。
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引用次数: 0
The Clinical Anesthesia Effect of Remifentanil Combined with Propofol in Laparoscopic Cholecystectomy in the Elderly 瑞芬太尼联合异丙酚在老年腹腔镜胆囊切除术中的临床麻醉效果
Pub Date : 2023-09-26 DOI: 10.26689/aogr.v1i2.5293
Li Fan
Objective: To explore and analyze the effect of remifentanil combined with propofol for anesthesia in patients undergoing laparoscopic cholecystectomy, and to explore its clinical application value. Methods: A total of 64 patients who underwent laparoscopic cholecystectomy were selected and randomly divided into two groups, with 32 patients in each group. The anesthesia used in the control group was propofol combined with fentanyl, whereas the observation group was propofol combined with remifentanil and fentanyl. Medical staff routinely performed thyroidectomy on the patients after receiving anesthesia. After the treatment was completed, the researchers recorded the adverse reactions of the patients and the anesthesia effect during laparoscopic cholecystectomy and analyzed the anesthesia effect of the patients. Results: After the operation, the excellent and good rates of anesthesia in the observation group were significantly higher (P < 0.05). Pain in the observation group was significantly lower (P < 0.05). The clinical indicators after receiving anesthesia were significantly better in the observation group (P < 0.05). During the operation period, the two groups had different degrees of adverse reactions, while the incidence of adverse reactions in the observation group was relatively lower (P < 0.05). Conclusion: Patients in the observation group showed better anesthesia and lower pain levels during surgery, higher excellent and good rates of anesthesia, lower VAS scores, and better anesthesia indicators. Therefore, remifentanil-propofol combined anesthesia can be used as an effective anesthesia option in laparoscopic cholecystectomy, which improves the anesthesia effect during the operation and the postoperative pain control of patients and has clinical application value.
目的:探讨和分析瑞芬太尼联合异丙酚在腹腔镜胆囊切除术患者中的麻醉效果,并探讨其临床应用价值。方法:选择行腹腔镜胆囊切除术的患者64例,随机分为两组,每组32例。对照组采用异丙酚联合芬太尼麻醉,观察组采用异丙酚联合瑞芬太尼和芬太尼麻醉。医务人员在麻醉后常规对患者行甲状腺切除术。治疗完成后,记录患者在腹腔镜胆囊切除术中的不良反应及麻醉效果,并对患者的麻醉效果进行分析。结果:术后观察组麻醉优良率、优良率均显著高于对照组(P <0.05)。观察组患者疼痛明显减轻(P <0.05)。观察组麻醉后临床指标明显优于对照组(P <0.05)。手术期间,两组患者均有不同程度的不良反应发生,但观察组不良反应发生率相对较低(P <0.05)。结论:观察组患者术中麻醉效果较好,疼痛程度较低,麻醉优良率较高,VAS评分较低,麻醉指标较好。因此,瑞芬太尼-异丙酚复合麻醉可作为腹腔镜胆囊切除术的有效麻醉选择,提高术中麻醉效果和患者术后疼痛控制,具有临床应用价值。
{"title":"The Clinical Anesthesia Effect of Remifentanil Combined with Propofol in Laparoscopic Cholecystectomy in the Elderly","authors":"Li Fan","doi":"10.26689/aogr.v1i2.5293","DOIUrl":"https://doi.org/10.26689/aogr.v1i2.5293","url":null,"abstract":"Objective: To explore and analyze the effect of remifentanil combined with propofol for anesthesia in patients undergoing laparoscopic cholecystectomy, and to explore its clinical application value. Methods: A total of 64 patients who underwent laparoscopic cholecystectomy were selected and randomly divided into two groups, with 32 patients in each group. The anesthesia used in the control group was propofol combined with fentanyl, whereas the observation group was propofol combined with remifentanil and fentanyl. Medical staff routinely performed thyroidectomy on the patients after receiving anesthesia. After the treatment was completed, the researchers recorded the adverse reactions of the patients and the anesthesia effect during laparoscopic cholecystectomy and analyzed the anesthesia effect of the patients. Results: After the operation, the excellent and good rates of anesthesia in the observation group were significantly higher (P < 0.05). Pain in the observation group was significantly lower (P < 0.05). The clinical indicators after receiving anesthesia were significantly better in the observation group (P < 0.05). During the operation period, the two groups had different degrees of adverse reactions, while the incidence of adverse reactions in the observation group was relatively lower (P < 0.05). Conclusion: Patients in the observation group showed better anesthesia and lower pain levels during surgery, higher excellent and good rates of anesthesia, lower VAS scores, and better anesthesia indicators. Therefore, remifentanil-propofol combined anesthesia can be used as an effective anesthesia option in laparoscopic cholecystectomy, which improves the anesthesia effect during the operation and the postoperative pain control of patients and has clinical application value.","PeriodicalId":269611,"journal":{"name":"Advances in Obstetrics and Gynecology Research","volume":"44 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134960293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Examining the Influence of Accompanying Midwifery with Position Guidance on Delivery Outcomes 观察伴随助产与体位指导对分娩结果的影响
Pub Date : 2023-09-26 DOI: 10.26689/aogr.v1i2.5383
Hong Sun
Objective: To explore and analyze the influence of accompanying midwifery with position guidance on deliveryoutcomes. Methods: A total of 68 puerpera who were admitted to Dafeng People’s Hospital from April 2021 to April 2023 were recruited, grouped using odd and even number draw methods, and divided into cooperation and regular groups with 34 cases in each group. The patients in the cooperation group cooperated with the process of accompanying midwifery and position guidance, whereas the patients in the regular group had routine midwifery intervention. The delivery outcome, the duration of each labor process, the psychological state, and the amount of postpartum hemorrhage were compared between the groups. Results: The delivery outcomes of vaginal delivery and cesarean section in the cooperation group were significantly better than those in the regular group (P < 0.05). The difference was not statistically significant when comparing the cooperation group with the regular group through a lateral vaginal incision (P > 0.05). The duration of each labor process in the cooperation group was significantly shorter than in the regular group (P < 0.05). Before the intervention, the HAMD and HAMA scores of the two groups were insignificant (P > 0.05); but the HAMD and HAMA scores of the cooperation group were significantly lower than the regular group after the intervention (P < 0.05). The amount of postpartum bleeding in the cooperation group was markedly lower than that in the regular group (P < 0.05). Conclusion: Accompanying midwifery and position guidance throughout the delivery process can improve delivery outcomes and increase the natural delivery rate.
目的:探讨和分析伴产体位指导对分娩效果的影响。方法:选取2021年4月至2023年4月在大丰市人民医院住院的产妇68例,采用单双号抽签法分组,分为合作组和常规组,每组34例。合作组患者配合陪产过程及体位指导,常规组患者进行常规助产干预。比较两组产妇分娩结局、各产程持续时间、心理状态及产后出血量。结果:配合组阴道分娩和剖宫产分娩结局均显著优于常规组(P <0.05)。合作组与常规组经阴道外侧切口比较,差异无统计学意义(P >0.05)。合作组各劳动过程持续时间显著短于常规组(P <0.05)。干预前,两组HAMD和HAMA评分均不显著(P >0.05);干预后,合作组的HAMD和HAMA得分显著低于常规组(P <0.05)。配合组产后出血量明显低于常规组(P <0.05)。结论:全程助产及体位引导可改善分娩效果,提高自然分娩率。
{"title":"Examining the Influence of Accompanying Midwifery with Position Guidance on Delivery Outcomes","authors":"Hong Sun","doi":"10.26689/aogr.v1i2.5383","DOIUrl":"https://doi.org/10.26689/aogr.v1i2.5383","url":null,"abstract":"Objective: To explore and analyze the influence of accompanying midwifery with position guidance on deliveryoutcomes. Methods: A total of 68 puerpera who were admitted to Dafeng People’s Hospital from April 2021 to April 2023 were recruited, grouped using odd and even number draw methods, and divided into cooperation and regular groups with 34 cases in each group. The patients in the cooperation group cooperated with the process of accompanying midwifery and position guidance, whereas the patients in the regular group had routine midwifery intervention. The delivery outcome, the duration of each labor process, the psychological state, and the amount of postpartum hemorrhage were compared between the groups. Results: The delivery outcomes of vaginal delivery and cesarean section in the cooperation group were significantly better than those in the regular group (P < 0.05). The difference was not statistically significant when comparing the cooperation group with the regular group through a lateral vaginal incision (P > 0.05). The duration of each labor process in the cooperation group was significantly shorter than in the regular group (P < 0.05). Before the intervention, the HAMD and HAMA scores of the two groups were insignificant (P > 0.05); but the HAMD and HAMA scores of the cooperation group were significantly lower than the regular group after the intervention (P < 0.05). The amount of postpartum bleeding in the cooperation group was markedly lower than that in the regular group (P < 0.05). Conclusion: Accompanying midwifery and position guidance throughout the delivery process can improve delivery outcomes and increase the natural delivery rate.","PeriodicalId":269611,"journal":{"name":"Advances in Obstetrics and Gynecology Research","volume":"58 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135719479","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Efficacy Analysis of Misoprostol Tablets for Painless Abortion 米索前列醇片用于无痛人流的疗效分析
Pub Date : 2023-09-26 DOI: 10.26689/aogr.v1i2.5376
Minchao Chen
Objective: To analyze the application value of misoprostol tablets in painless abortion. Methods: 40 patients who received painless abortion from January 2022 to August 2023 were randomly divided into two groups; those who received misoprostol tablets before the operation were included in group A, and those who did not use misoprostol tablets before the operation were included in group B. Differences in cervical laxity, cervical dilatation time, uterine aspiration time, surgical blood loss, complications, and satisfaction were recorded. Results: The excellent and good rate of cervical dilation in group A was higher than that in group B (P < 0.05); the dilatation time, uterine suction time, surgical blood loss, and other indicators in group A were better than those in group B (P < 0.05); the complication rate after abortion in group A was lower than that of group B (P < 0.05); satisfaction rate in group A was higher than that of group B (P < 0.05). Conclusion: Oral administration of misoprostol tablets before painless abortion can relax the cervix, shorten the dilation time of the cervix, reduce intraoperative bleeding, and have higher patient satisfaction.
目的:分析米索前列醇片在无痛人流中的应用价值。方法:选取2022年1月~ 2023年8月行无痛人流手术的患者40例,随机分为两组;术前服用米索前列醇片者为A组,术前未服用米索前列醇片者为b组。记录两组患者宫颈松弛度、宫颈扩张时间、子宫抽吸时间、手术出血量、并发症及满意度的差异。结果:A组宫颈扩张优良率明显高于B组(P <0.05);A组扩张时间、子宫吸引时间、手术出血量等指标均优于B组(P <0.05);A组流产后并发症发生率低于B组(P <0.05);A组满意率高于B组(P <0.05)。结论:无痛人流前口服米索前列醇片可使宫颈松弛,缩短宫颈扩张时间,减少术中出血,患者满意度较高。
{"title":"Efficacy Analysis of Misoprostol Tablets for Painless Abortion","authors":"Minchao Chen","doi":"10.26689/aogr.v1i2.5376","DOIUrl":"https://doi.org/10.26689/aogr.v1i2.5376","url":null,"abstract":"Objective: To analyze the application value of misoprostol tablets in painless abortion. Methods: 40 patients who received painless abortion from January 2022 to August 2023 were randomly divided into two groups; those who received misoprostol tablets before the operation were included in group A, and those who did not use misoprostol tablets before the operation were included in group B. Differences in cervical laxity, cervical dilatation time, uterine aspiration time, surgical blood loss, complications, and satisfaction were recorded. Results: The excellent and good rate of cervical dilation in group A was higher than that in group B (P < 0.05); the dilatation time, uterine suction time, surgical blood loss, and other indicators in group A were better than those in group B (P < 0.05); the complication rate after abortion in group A was lower than that of group B (P < 0.05); satisfaction rate in group A was higher than that of group B (P < 0.05). Conclusion: Oral administration of misoprostol tablets before painless abortion can relax the cervix, shorten the dilation time of the cervix, reduce intraoperative bleeding, and have higher patient satisfaction.","PeriodicalId":269611,"journal":{"name":"Advances in Obstetrics and Gynecology Research","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134957904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effect of Carboprost Tromethamine Combined with Uterine Strap Suture in the Treatment of Patients with Postpartum Hemorrhage Caused by Uterine Atony 卡前列素联合子宫带缝合治疗子宫张力不全所致产后出血的疗效观察
Pub Date : 2023-09-26 DOI: 10.26689/aogr.v1i2.5361
Hongying Liu, Hongmei Zhou
Objective: To explore and analyze the effect of carboprost tromethamine combined with uterine strap suturein the treatment of postpartum hemorrhage caused by uterine atony. Methods: A total of 90 patients with postpartum hemorrhage due to uterine atony who were admitted to the Obstetrics Department of Dazhou Women and Children’s Hospital from July 2020 to July 2023 were included in the study. They were grouped by odd and even numbers, and divided into the surgery group (n = 45) and the drug group (n = 45). The surgery group was treated with carboprost tromethamine and uterine strap suture, and the drug group was treated with carboprost tromethamine. The total effective rate, blood coagulation index, fibrinolytic function level, bleeding, and hemoglobin changes were compared between the two groups. Results: The total effective rate of the surgery group was significantly higher than that of the medication group (P < 0.05). Before treatment, the blood coagulation indicators were insignificant between the groups (P > 0.05); after treatment, the blood coagulation indicators in the surgery group were significantly better than those in the drug group (P < 0.05). Before treatment, the levels of fibrinolytic functions were insignificant between the groups (P > 0.05); aftertreatment, the levels of fibrinolytic functions in the surgery group were significantly better than those in the drug group (P < 0.05). The 2 h and 24 h blood loss and hemoglobin changes in the surgery group were significantly lower than those in the drug group (P < 0.05). Conclusion: Carboprost tromethamine combined with strap sutures can effectively control postpartum hemorrhage caused by uterine atony.
目的:探讨和分析卡前列素联合子宫带缝合治疗子宫紧张性产后出血的效果。方法:选取2020年7月至2023年7月在达州市妇女儿童医院产科住院的90例因子宫张力所致产后出血患者作为研究对象。按奇数、偶数分组,分为手术组(n = 45)和药物组(n = 45)。手术组应用丙三胺卡前列素联合子宫带缝合,药物组应用丙三胺卡前列素。比较两组患者的总有效率、凝血指数、纤溶功能水平、出血量及血红蛋白变化。结果:手术组总有效率显著高于给药组(P <0.05)。治疗前,两组间凝血指标差异无统计学意义(P >0.05);治疗后,手术组凝血指标明显优于药物组(P <0.05)。治疗前,两组患者纤溶功能水平差异无统计学意义(P >0.05);治疗后,手术组纤溶功能水平明显优于药物组(P <0.05)。手术组2 h、24 h出血量及血红蛋白变化明显低于药物组(P <0.05)。结论:卡前列素联合带状缝合可有效控制子宫张力所致产后出血。
{"title":"Effect of Carboprost Tromethamine Combined with Uterine Strap Suture in the Treatment of Patients with Postpartum Hemorrhage Caused by Uterine Atony","authors":"Hongying Liu, Hongmei Zhou","doi":"10.26689/aogr.v1i2.5361","DOIUrl":"https://doi.org/10.26689/aogr.v1i2.5361","url":null,"abstract":"Objective: To explore and analyze the effect of carboprost tromethamine combined with uterine strap suturein the treatment of postpartum hemorrhage caused by uterine atony. Methods: A total of 90 patients with postpartum hemorrhage due to uterine atony who were admitted to the Obstetrics Department of Dazhou Women and Children’s Hospital from July 2020 to July 2023 were included in the study. They were grouped by odd and even numbers, and divided into the surgery group (n = 45) and the drug group (n = 45). The surgery group was treated with carboprost tromethamine and uterine strap suture, and the drug group was treated with carboprost tromethamine. The total effective rate, blood coagulation index, fibrinolytic function level, bleeding, and hemoglobin changes were compared between the two groups. Results: The total effective rate of the surgery group was significantly higher than that of the medication group (P < 0.05). Before treatment, the blood coagulation indicators were insignificant between the groups (P > 0.05); after treatment, the blood coagulation indicators in the surgery group were significantly better than those in the drug group (P < 0.05). Before treatment, the levels of fibrinolytic functions were insignificant between the groups (P > 0.05); aftertreatment, the levels of fibrinolytic functions in the surgery group were significantly better than those in the drug group (P < 0.05). The 2 h and 24 h blood loss and hemoglobin changes in the surgery group were significantly lower than those in the drug group (P < 0.05). Conclusion: Carboprost tromethamine combined with strap sutures can effectively control postpartum hemorrhage caused by uterine atony.","PeriodicalId":269611,"journal":{"name":"Advances in Obstetrics and Gynecology Research","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134958106","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Study on the Efficacy of Low-Dose Mifepristone in the Treatment of Endometriosis 小剂量米非司酮治疗子宫内膜异位症的疗效研究
Pub Date : 2023-09-25 DOI: 10.26689/aogr.v1i2.5257
Xiafen Chao
Objective: To explore and analyze the efficacy of low-dose mifepristone in the treatment of endometriosis. Methods: 56 patients with endometriosis who were diagnosed and treated in the gynecology department of the People’s Hospital of Danyang between August 2020 to December 2022 were recruited and divided into the study group (n = 28) and control group (n = 28). The study group was treated with low-dose mifepristone, and the control group was treated with regular-dose mifepristone. The effective rate of medication, hormone levels, bone density, and adverse reactions were compared between the groups. Results: There was a statistically significant difference (P < 0.05) in the effective rates of medication between the study group and the control group. Before treatment, the hormone levels were not statistically significant between the groups (P > 0.05); after treatment, the hormone levels in the study group were significantly better than those in the control group (P < 0.05). Before treatment, there was no significant difference in bone mineral density between the groups (P > 0.05); after treatment, bone density in the study group was higher than that in the control group (P < 0.05). The incidence of adverse reactions in the study group was significantly lower than that in the control group (P <0.05). Conclusion: Low-dose mifepristone has a significant curative effect in the treatment of endometriosis, the hormone level and bone density are better, and there are few adverse drug reactions. This treatment is worthy of widespread promotion and application.
目的:探讨和分析小剂量米非司酮治疗子宫内膜异位症的疗效。方法:选取2020年8月至2022年12月丹阳市人民医院妇科诊治的子宫内膜异位症患者56例,分为研究组(n = 28)和对照组(n = 28)。实验组采用小剂量米非司酮治疗,对照组采用常规剂量米非司酮治疗。比较两组患者用药有效率、激素水平、骨密度及不良反应。结果:两组间差异有统计学意义(P <研究组与对照组用药有效率差异有统计学意义(0.05)。治疗前,两组间激素水平差异无统计学意义(P >0.05);治疗后,研究组激素水平明显优于对照组(P <0.05)。治疗前,两组间骨密度差异无统计学意义(P >0.05);治疗后,研究组骨密度高于对照组(P <0.05)。研究组不良反应发生率显著低于对照组(P <0.05)。结论:小剂量米非司酮治疗子宫内膜异位症疗效显著,激素水平和骨密度较好,药物不良反应少。这种治疗方法值得广泛推广应用。
{"title":"Study on the Efficacy of Low-Dose Mifepristone in the Treatment of Endometriosis","authors":"Xiafen Chao","doi":"10.26689/aogr.v1i2.5257","DOIUrl":"https://doi.org/10.26689/aogr.v1i2.5257","url":null,"abstract":"Objective: To explore and analyze the efficacy of low-dose mifepristone in the treatment of endometriosis. Methods: 56 patients with endometriosis who were diagnosed and treated in the gynecology department of the People’s Hospital of Danyang between August 2020 to December 2022 were recruited and divided into the study group (n = 28) and control group (n = 28). The study group was treated with low-dose mifepristone, and the control group was treated with regular-dose mifepristone. The effective rate of medication, hormone levels, bone density, and adverse reactions were compared between the groups. Results: There was a statistically significant difference (P < 0.05) in the effective rates of medication between the study group and the control group. Before treatment, the hormone levels were not statistically significant between the groups (P > 0.05); after treatment, the hormone levels in the study group were significantly better than those in the control group (P < 0.05). Before treatment, there was no significant difference in bone mineral density between the groups (P > 0.05); after treatment, bone density in the study group was higher than that in the control group (P < 0.05). The incidence of adverse reactions in the study group was significantly lower than that in the control group (P <0.05). Conclusion: Low-dose mifepristone has a significant curative effect in the treatment of endometriosis, the hormone level and bone density are better, and there are few adverse drug reactions. This treatment is worthy of widespread promotion and application.","PeriodicalId":269611,"journal":{"name":"Advances in Obstetrics and Gynecology Research","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135816677","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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Advances in Obstetrics and Gynecology Research
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