1.Clinical analysis of the lie delivery in promoting natural delivery functionsmothly
Clinical Medicine of China 2016;32(2):120-122
Objective To investigate the effect of lie delivery in promoting natural delivery functionsmoothly.Methods One hundred and sixty pregnant women hospitalized and deliveried in the Maternal and Child Care Service Centre of Shijiazhuang from June 2013 to June 2014 were randomly divided into observation group of lie delivery and control group of bladder lithotomy postion delivery,80 cases in each group,The second stage of labor time,postpartum hemorrhage (2 h > 500 ml),postpartum comfort and neonatal asphyxia (Apgar score ≤ 7 points) of two groups were observed and compared.Results The second stage of labor time of observation group was significantly shorter than that of the control group taking lithotomy position childbirth,and thepostpartum hemorrhage (2.5% vs 7.5%;x2 =3.247,P=0.034),cervical laceration(3.75% vs 21.25%;x2 =4.657,P=0.047) and the incidence of postpartumdiscomfort incidence(16.25% vs 50.0%;x2 =18.357,P =0.008) were less than that in the control group,the differences between two groups were statistically significant (P<0.05).Fetal distress (2.50% vs 8.75%;x2 =4.672,P =0.030),neonatal asphyxia rate(1.25% vs 7.50%;x2 =4.142,P =0.035) of two groups have statistical significance (P < 0.05).Conclusion The parturient labor process in lying position to take,can effectively shorten the birth process,reduce the incidence of fetal distress and neonatal asphyxia.
2.Problems and Countermeasures in the Ethical Review of Scientific Research Projects
Jianwei SHANG ; Jinzhou TIAN ; Xuechun TANG ; Jiuli ZHAO ; Yixin FAN ; Hongfang LIU
Chinese Medical Ethics 2017;30(3):336-338
Through analyzing the problems of time,selection mode,research plan,and tracking review in the ethical review of scientific research projects,this paper put forward the corresponding countermeasures:standardized application procedures,diverse selection mode,standardized research plan,and strict tracking review.It aimed to improve the quality of ethical review of scientific research projects and improve the ethical review system.
3.Discussion on Ethical Censorship of New Medical Technology
Jianwei SHANG ; Yixin FAN ; Jiuli ZHAO ; Xuechun TANG ; Yongtao ZHANG ; Hongfang LIU
World Science and Technology-Modernization of Traditional Chinese Medicine 2017;19(8):1267-1271
Since the Beijing health and family planning commission promulgated the new medical technology management system,we have accepted and reviewed 14 key medical technologies in Beijing,such as resection of the skull base tumor (intracranial tumor outside communication),resection of intracranial important functional areas and large vascular malformation,renal vascular reconstruction technique,the technique of artificial joint replacement,coronary interventional diagnosis and treatment technology,etc.Through the existing laws and regulations requirements from medical new technology,the ethical review way,submit materials requirements and ethical review focus is analyzed,and combining with the experiences of our hospital in the medical technical review,aims to explore suitable for medical technology ethical review specification.