目的:探讨中医情志护理对腹式子宫次全切除术围术期生理应激的临床影响。方法:选择本院收治的子宫疾病患者100例,随机分为观察组和对照组,对照组50例患者给予常规围术期护理,观察组50例患者在对照组护理的基础上给予辨证施护、以情胜情...目的:探讨中医情志护理对腹式子宫次全切除术围术期生理应激的临床影响。方法:选择本院收治的子宫疾病患者100例,随机分为观察组和对照组,对照组50例患者给予常规围术期护理,观察组50例患者在对照组护理的基础上给予辨证施护、以情胜情、安神静志等中医情志护理。比较两组患者的护理效果。结果:观察组麻醉诱导时收缩压、舒张压、心率均低于对照组,差异有统计学意义(P<0.05);观察组麻醉诱导时、术后3 d的ACTH和皮质醇水平均低于对照组,差异有统计学意义(P<0.05);观察组术前30 min、术后3 d HAMA评分显著低于对照组,差异有统计学意义(P<0.05)。结论:中医情志护理减轻了腹式子宫次全切除术围术期生理应激反应,缓解了术前焦虑情绪,值得临床重视。展开更多
Objective:To investigate the localization and aetiological factors associated with urinary fistulae at the University Teaching Hospital in Benin-City, Nigeria. Methods: Records on 96 patients treated by the authors at...Objective:To investigate the localization and aetiological factors associated with urinary fistulae at the University Teaching Hospital in Benin-City, Nigeria. Methods: Records on 96 patients treated by the authors at the gynaecological ward of the University of Benin Teaching Hospital, Benin-City, Nigeria between January 1997 and December 2006 were analyzed. Information extracted and analyzed included data on socio-biological, demographic, and obstetric event of the antecedent pregnancy. Results: The average age of patients with vesico-vaginal fistula(VVF) was 34 years with a mean parity of 3. The various mean values for patients' height, weight and body mass index (BMI) were 1.58m, 58.29kg and 24.13 respectively. The majority (92.7%) of fistulas are obstetric in origin. While 5.21% were due to total abdominal hysterectomy and 2.08% due to post irradiation for advanced gynecological malignancy. 53(55.21%) patients had obstetric operative interventions (Forceps or vacuum extraction, and or caesarean section). Caesarean section contributed 23.96% to the total figure. Juxta-cervical fistula was the most frequent, next mid vagina and followed by vesico-uterine (32. 98%, 24.4% and 19.15% respectively).Conclusion: Obstetric surgical intervention by care providers is a major cause of VVF formation with particular reference to Caesarean section. Vesico-uterine fistulas are on the increase.展开更多
文摘目的:探讨中医情志护理对腹式子宫次全切除术围术期生理应激的临床影响。方法:选择本院收治的子宫疾病患者100例,随机分为观察组和对照组,对照组50例患者给予常规围术期护理,观察组50例患者在对照组护理的基础上给予辨证施护、以情胜情、安神静志等中医情志护理。比较两组患者的护理效果。结果:观察组麻醉诱导时收缩压、舒张压、心率均低于对照组,差异有统计学意义(P<0.05);观察组麻醉诱导时、术后3 d的ACTH和皮质醇水平均低于对照组,差异有统计学意义(P<0.05);观察组术前30 min、术后3 d HAMA评分显著低于对照组,差异有统计学意义(P<0.05)。结论:中医情志护理减轻了腹式子宫次全切除术围术期生理应激反应,缓解了术前焦虑情绪,值得临床重视。
文摘Objective:To investigate the localization and aetiological factors associated with urinary fistulae at the University Teaching Hospital in Benin-City, Nigeria. Methods: Records on 96 patients treated by the authors at the gynaecological ward of the University of Benin Teaching Hospital, Benin-City, Nigeria between January 1997 and December 2006 were analyzed. Information extracted and analyzed included data on socio-biological, demographic, and obstetric event of the antecedent pregnancy. Results: The average age of patients with vesico-vaginal fistula(VVF) was 34 years with a mean parity of 3. The various mean values for patients' height, weight and body mass index (BMI) were 1.58m, 58.29kg and 24.13 respectively. The majority (92.7%) of fistulas are obstetric in origin. While 5.21% were due to total abdominal hysterectomy and 2.08% due to post irradiation for advanced gynecological malignancy. 53(55.21%) patients had obstetric operative interventions (Forceps or vacuum extraction, and or caesarean section). Caesarean section contributed 23.96% to the total figure. Juxta-cervical fistula was the most frequent, next mid vagina and followed by vesico-uterine (32. 98%, 24.4% and 19.15% respectively).Conclusion: Obstetric surgical intervention by care providers is a major cause of VVF formation with particular reference to Caesarean section. Vesico-uterine fistulas are on the increase.
