简介:【摘要】目的:比较新型一次性包皮环切缝合器与传统包皮环切术治疗包皮过长、包茎的疗效。方法:随机抽取 80例本院 自2016年 10月到 2018年 10月收治的 包皮过长、包茎患者,根据不同的治疗方法将其分为对照组(
简介:【摘要】目的:探讨观察孟鲁司特钠与布地奈德福莫特罗粉吸入剂联合治疗支气管哮喘的临床疗效。方法:选取 2017年 1月 ~2019年 12月期间治疗的支气管哮喘患者 88例为观察对象 ,随机分为观察组和对照组各 44例,对照组患者给予孟鲁司特钠片治疗 ;观察组患者给予孟鲁司特钠与布地奈德福莫特罗粉联合治疗,对两组患者的临床治疗效果进行对比分析。结果:治疗后观察组 RR明显低于对照组, FCV、 FEV1和 PEF对比观察组明显高于对照组( p<0.05)。观察组总有效率为 93.18%明显高于对照组的 75.00%。结论:布地奈德福莫特罗粉与孟鲁司特钠联合治疗支气管哮喘,有效缓解症状,改善肺功能,提高总有效率,值得临床推广应用。
简介: 【摘 要】 目的:对比腹腔镜下子宫全切残端经阴道缝合术与开腹子宫全切术的效果。方法:以 2017年 3月至 2019年 12月在本院行子宫全切术治疗的 40例患者作为对象展开研究,根据手术方式将患者分为对照组( n=20,采用开腹子宫全切术治疗)和观察组( n=20,采用腹腔镜下子宫全切残端经阴道缝合术治疗)。比较两组患者手术相关情况,同时对患者随访 6个月,比较两组术后并发症发生率,并采用健康调查简表( SF-36)评价患者术前、术后的生活质量评分。结果:观察组的术中出血量明显少于对照组,阴道排液时间、肛门排气时间、住院时间明显短于对照组( P<0.05) ;而两组的手术时间比较差异无统计学意义( P>0.05)。对患者随访 6个月后发现,观察组的残端出血、残端息肉、膀胱阴道瘘、切口愈合不良发生率均明显低于对照组 ;且观察组术后各生活质量评分均显著高于术前和对照组( P<0.05)。结论:腹腔镜下子宫全切残端经阴道缝合术相比开腹子宫全切术具有创伤小、出血少、恢复快等优势,可有效缩短患者术后康复时间,减少并发症的发生,提高患者预后生活质量。 【关键词】 腹腔镜 ;子宫全切术 ;阴道残端 ;开腹 ;经阴道缝合 [Abstract] Objective: To compare the effect of laparoscopic total hysterectomy and open hysterectomy. Methods: 40 patients with hysterectomy in our hospital from March 2017 to December 2019 were selected and divided into control group (n = 20, treated with open hysterectomy) and observation group (n = 20, treated with laparoscopic vaginal suture). The operation related conditions of the two groups were compared, and the patients were followed up for 6 months, the incidence of postoperative complications was compared between the two groups, and the quality of life scores of patients before and after operation were evaluated by SF-36. Results: the intraoperative blood loss of the observation group was significantly less than that of the control group, and the vaginal discharge time, anal exhaust time and hospitalization time were significantly shorter than those of the control group (P < 0.05); however, there was no significant difference in the operation time between the two groups (P > 0.05). After 6 months of follow-up, it was found that the incidence of stump bleeding, stump polyps, vesicovaginal fistula and poor wound healing in the observation group were significantly lower than those in the control group; and the quality of life scores in the observation group were significantly higher than those before operation and in the control group (P < 0.05). Conclusion: compared with open hysterectomy, laparoscopic total hysterectomy with transvaginal suture has the advantages of less trauma, less bleeding and faster recovery, which can effectively shorten the recovery time of patients, reduce the occurrence of complications, and improve the prognosis and quality of life of patients.
简介:摘 要:目的:针对初产妇接受会阴侧切产后影响盆底功能的程度进行初步探讨。方法:收集 2017年 1月— 2018年 1月期间的 40例分娩初产妇有关资料,根据初产妇是否接受会阴侧切而分为两组,每组各有 20例初产妇。对两组初产妇产后 42日发生压力性尿失禁的比率、正常盆底肌力的比率、发生盆腔脏器脱垂的比率、会阴疼痛率及性功能障碍率等情况进行比较。结果:在盆底肌力正常率方面,研究组初产妇比对照组初产妇低一些。在会阴疼痛率及性功能障碍率等方面,研究组初产妇比对照组初产妇高一些,两组初产妇之间存在的差异具有统计意义( P<0.05)。但对两组初产妇产生压力性尿失禁及盆腔脏器脱垂等症状的比率进行比较,两组初产妇产生的差异不具有统计意义( P>0.05),但具有可比性。结论:初产妇接受会阴侧切产后影响其盆底功能,可产生盆底功能障碍,应尽可能在临床中减少使用率。
简介:摘要:目的:探讨在胃镜下行胃息肉电切术中,行综合护理的效果。方法:2018年10月—2019年4月收治的胃镜下行胃息肉电切术患者100例,按照护理方式不同平均分为对照组和观察组,各50例。其中对照组给予常规护理,观察组给予综合护理。统计两组患者SAS、SDS评分、住院天数、健康知识得分以及满意度。结果:两组在SAS、SDS评分上对比,观察组分值更低,差异有统计学意义(P<0.05);两组在住院天数上对比,观察组时间更短,差异有统计学意义(P<0.05);两组在健康知识得分上对比,观察组得分更高,差异有统计学意义(P<0.05);两组在患者满意度上对比,观察组满意人数更多,差异有统计学意义(P<0.05)。结论:在胃镜下行胃息肉电切术中,行综合护理比常规护理疗效果更为显著,患者负面情绪更少,满意度更高。