简介:目的探讨齐拉西酮与奎硫平治疗首发精神分裂症的疗效及安全性。方法将63例首发精神分裂症患者随机分为两组,研究组32例,口服齐拉西酮治疗,对照组31例,口服奎硫平治疗,观察8周。于治疗前及治疗第1周、2周、4周、8周末采用阳性与阴性症状量表、副反应量表评定临床疗效及不良反应。结果两组治疗后阳性与阴性症状量表总分及各因子分均较治疗前有显著性下降(P均〈0.01),同期两组间评分均无显著性差异(P均〉0.05)。治疗8周末,研究组显效率75.0%,有效率87.5%,对照组分别为71.0%,87.1%,两组间无显著性差异(P〉0.05)。两组不良反应均轻微,研究组主要表现为失眠、锥体外系反应等,对照组主要表现为体质量增加等。结论齐拉西酮与奎硫平治疗首发精神分裂症疗效均显著,对阴性、阳性症状及一般精神病理均有效,且起效快,安全性高,依从性好。
简介:【摘要】目的:研究脑器质性精神障碍患者在治疗过程中采用喹硫平与奥氮平治疗的效果。方法:选取2020年1月~2020年12月我院收治的脑器质性精神障碍患者112例进行分析,按治疗方式差异性将患者平均分为对照组(奥氮平)和观察组(喹硫平),对比治疗效果。结果:患者各项精神量表结果方面,两组患者均具有显著改善,但观察组更加优于对照组,差异明显(P
简介: [摘要 ]目的:研究Ⅲ度子宫脱垂合并阴道膨出患者应用经阴道全子宫全阴道切除术的临床疗效。方法:随机抽取 29例我院妇产科收治的Ⅲ度子宫脱垂合并阴道膨出患者,将接受经阴道全子宫全阴道切除术的患者纳入观察组( n=16),将接受经阴道全子宫切除术联合修补治疗的患者纳入对比组( n=13)。结果: 2组患者出血量差异不存在统计学意义( t=0.7260, p=0.0524),观察组患者排气时间短于对比组,差异存在统计学意义( t=13.2502, p=0.0118),住院时间短于对比组,差异存在统计学意义( t=16.2930, P=0.0259)。观察组患者并发症总发生率为 18.75%,对比组并发症总发生率为 46.15%,观察组并发症总发生率明显较对比组患者低, 2组差异存在统计学意义( x2=17.8732, p=0.0159)。结论:Ⅲ度子宫脱垂合并阴道膨出患者应用经阴道全子宮全阴道切除术可缩短患者术后恢复时间且具有更高的应用安全性。 [关键词 ]经阴道全子宫全阴道切除术 ;Ⅲ度子宫脱垂 ;阴道膨出 [Abstract] Objective: To study the clinical effect of transvaginal hysterectomy in patients with third degree uterine prolapse and vaginal prolapse. Methods: 29 patients with third degree uterine prolapse and vaginal prolapse were randomly selected. The patients who received transvaginal hysterectomy were included in the observation group (n = 16), and the patients who received transvaginal hysterectomy and repair were included in the control group (n = 13). Results: there was no significant difference in the amount of bleeding between the two groups (t = 0.7260, P = 0.0524), the exhaust time of the observation group was shorter than that of the control group, the difference was statistically significant (t = 13.2502, P = 0.0118), the length of stay was shorter than that of the control group, and the difference was statistically significant (t = 16.2930, P = 0.0259). The total incidence of complications was 18.75% in the observation group and 46.15% in the control group. The total incidence of complications in the observation group was significantly lower than that in the control group. The difference between the two groups was statistically significant (x2 = 17.8732, P = 0.0159). Conclusion: transvaginal hysterectomy can shorten the recovery time of patients with third degree uterine prolapse and vaginal prolapse.
简介:摘要目的探讨甲状腺全切术与甲状腺次全切术治疗双侧结节性甲状腺肿患者的临床效果。方法抽选双侧结节性甲状腺肿患者122例,依据患者住院时间先后分为观察组(61例)以及对照组(61例)。观察组患者实施甲状腺次全切术,对照组患者则实施甲状腺全切术,对比两组患者手术效果以及相关手术指标的差异。结果观察组患者治疗有效率98.4%,对照组患者治疗有效率100%,差异不显著(P>0.05)。观察组患者在手术时间、住院时间上均少于对照组,差异显著(P<0.05)。观察组患者并发症发生率6.6%,对照组患者并发症发生率21.3%,差异显著(P<0.05)。结论甲状腺次全切术相较于甲状腺全切术,其在治疗双侧结节性甲状腺肿上拥有更好的手术指标以及预后效果。
简介: [摘要 ]目的:研究Ⅲ度子宫脱垂合并阴道膨出患者应用经阴道全子宫全阴道切除术的临床疗效。方法:随机抽取 29例我院妇产科收治的Ⅲ度子宫脱垂合并阴道膨出患者,将接受经阴道全子宫全阴道切除术的患者纳入观察组( n=16),将接受经阴道全子宫切除术联合修补治疗的患者纳入对比组( n=13)。结果: 2组患者出血量差异不存在统计学意义( t=0.7260, p=0.0524),观察组患者排气时间短于对比组,差异存在统计学意义( t=13.2502, p=0.0118),住院时间短于对比组,差异存在统计学意义( t=16.2930, P=0.0259)。观察组患者并发症总发生率为 18.75%,对比组并发症总发生率为 46.15%,观察组并发症总发生率明显较对比组患者低, 2组差异存在统计学意义( x2=17.8732, p=0.0159)。结论:Ⅲ度子宫脱垂合并阴道膨出患者应用经阴道全子宮全阴道切除术可缩短患者术后恢复时间且具有更高的应用安全性。 [关键词 ]经阴道全子宫全阴道切除术 ;Ⅲ度子宫脱垂 ;阴道膨出 [Abstract] Objective: To study the clinical effect of transvaginal hysterectomy in patients with third degree uterine prolapse and vaginal prolapse. Methods: 29 patients with third degree uterine prolapse and vaginal prolapse were randomly selected. The patients who received transvaginal hysterectomy were included in the observation group (n = 16), and the patients who received transvaginal hysterectomy and repair were included in the control group (n = 13). Results: there was no significant difference in the amount of bleeding between the two groups (t = 0.7260, P = 0.0524), the exhaust time of the observation group was shorter than that of the control group, the difference was statistically significant (t = 13.2502, P = 0.0118), the length of stay was shorter than that of the control group, and the difference was statistically significant (t = 16.2930, P = 0.0259). The total incidence of complications was 18.75% in the observation group and 46.15% in the control group. The total incidence of complications in the observation group was significantly lower than that in the control group. The difference between the two groups was statistically significant (x2 = 17.8732, P = 0.0159). Conclusion: transvaginal hysterectomy can shorten the recovery time of patients with third degree uterine prolapse and vaginal prolapse.
简介:目的探讨甲状腺全切术与次全切除术用于双侧结节性甲状腺肿的疗效分析。方法选取本院自2011年3月至2015年1月收治双侧结节性甲状腺肿患者150例,随机分为对照组和观察组,每组75例。对照组给予甲状腺次全切除术,观察组给予甲状腺全切除术。比较两组患者手术情况、甲状旁腺以及喉返神经暴露情况、术后并发症的发生情况。结果本次研究显示:两组经治疗,观察组术中出血量(32.26±1.89)ml、手术时间(75.31±2.62)分钟、住院时间(15.73±1.36)天,与对照组相比,差异具有统计学意义(P〈0.05)。观察组术中甲状腺暴露患者74例,暴露比例98.67%,喉返神经暴露患者74例,暴露比例98.67%,与对照组相比,差异具有统计学意义(P〈0.05)。术后观察组喉返神经损伤发生率1.33%,甲状旁腺功能不全发生率8.00%,结节复发率1.33%,与对照组相比,差异具有统计学意义(P〈0.05)。结论使用甲状腺全切除术治疗双侧结节性甲状腺肿,能减少术中出血以及住院时间,增加术中喉返神经及甲状旁腺暴露,降低术后并发症。手术术士仍有进一步研究的意义。
简介:背景:围全膝关节置换期疼痛处理一直是临床所关注的重点问题,寻找安全有效的镇痛方式,成为关节外科医生的重要任务之一。目的:比较硬膜外镇痛和股神经阻滞镇痛在患者全膝关节置换后镇痛、康复的效果,探索相关的多模式联合镇痛方案。方法:随机选取行单侧膝关节置换的患者40例,按照镇痛方案的不同分为硬膜外镇痛组和股神经阻滞镇痛组,每组20例。患者在连续硬膜外麻醉下进行单侧膝关节置换并进行术前宣教和塞来昔布给药。置换后硬膜外镇痛组通过留置导管连接0.2%罗哌卡因、2mg/L芬太尼止痛泵镇痛;股神经阻滞镇痛组通过股神经阻滞导管间断注射0.2%罗哌卡因镇痛。观察全膝关节置换后患者6,12,24h和2—7d每天的疼痛程度,以及2-7d每天的膝关节活动度。结果与结论:全膝关节置换后2-7d,2组患者每天的静息痛和活动痛的目测类比评分均呈下降的趋势,股神经阻滞镇痛组患者的疼痛程度小于硬膜外镇痛组患者。置换后2-7d,股神经阻滞镇痛组和硬膜外镇痛组患者膝关节活动度都逐渐升高,股神经阻滞镇痛组患者膝关节活动度大于硬膜外镇痛组。结果说明虽然硬膜外镇痛和股神经阻滞镇痛都能缓解全膝关节置换术后疼痛,但股神经阻滞镇痛在全膝关节置换后近期的运动镇痛效果优于硬膜外镇痛,能加快患者关节功能的康复,且多模式联合镇痛方案能有效控制疼痛。
简介:摘要:目的:就全科护理干预在老年高血压患者的血压水平和自我管理疾病能力方面的干预影响及效果进行研究与观察。方法:选取我院收治的老年高血压患者 60例,分为两组,对照组行常规护理,观察组实施全科护理干预,分析两组护理后患者血压及并发症情况。结果:两组干预前血压无显著差异( P> 0.05),干预后均有改善,观察组干预后舒张压( DBP)与收缩压( SBP)均明显低于对照组,差异有统计学意义( P< 0.05)。结论:在对老年高血压患者进行全科护理干预后,老年患者在用药、病情了解程度、自我管理能力以及血压水平方面的指数都趋于正常,由此可见该全科护理具有较高的临床意义,是值得推广与深入研究的护理方式,对提升老年高血压病患者的身体健康水平具有重要作用。