1.Analysis of cognition and behavior in postpartum rehabilitation of pelvic floor
Zhengcheng ZHANG ; Caiyun LI ; Jingye MAO ; Lifeng SHI
Chinese Journal of General Practitioners 2015;14(7):548-551
From January 2014 to June 2014,a total of 178 primiparas and biparas scheduled for a 42-day postpartum follow-up visit at our hospital were examined.And their pelvic floor dysfunctions were evaluated according to the surveys of incontinence impact questionnaire,short form (IIQ-7),pelvic floor impact questionnaire-7 (PFIQ-7) and pelvic organ prolapse/urinary incontinence sexual questionnaire (PlSQ.12).And 130 primiparas and 48 biparas lacked an understanding of performance,prevention and treatment for postpartum pelvic floor dysfunction.And two groups showed no significant difference.The selfdiscovery and detection rates of decreased pelvic myodynamic were 9.2% and 14.6% in primiparas versus 10.4% and 16.7% in biparas.The self-discovery and detection rates of pelvic organ prolapse were 0.8% and 2.3% in primiparas versus 0.0% and 8.3% in biparas.And the difference was statistically significant.Most related knowledge came from parents and colleagues in 53.1% (95/178) and doctors and nurses in 15.5% (27/178).Only about 44.4% (12/27) women with prominent symptoms of pelvic floor dysfunction requested treatments.Therefore the related knowledge of postpartum pelvic floor dysfunction should be strengthened.
2. Consensus on standardized diagnosis and treatment for osteoporotic vertebral compression fracture patients during epidemic of corona virus disease 2019
Zhong FANG ; Baorong HE ; Dingjun HAO ; Feng LI ; Liang YAN ; Yanzheng GAO ; Shiqing FENG ; Tiansheng SUN ; Dianming JIANG ; Jiwei TIAN ; Huan WANG ; Yingze ZHANG ; Shunwu FAN ; Yue ZHU ; Yijian LIANG ; Yun TIAN ; Bo LI ; Weimin JIANG ; Jingye WANG ; Xiaohui MAO ; Changsheng ZHU ; Yali LI ; Lijun HE ; Yuan HE ; Qindong SHI ; Shuixia LI ; Jing WANG ; Zijun GAO ; Buhuai DONG ; Honghui YU ; Yonghong JIANG
Chinese Journal of Trauma 2020;36(2):117-123
Since December 2019, the corona virus disease 2019 (COVID-19) caused by the 2019 novel coronavirus (2019-nCoV) has been reported in Wuhan, Hubei Province. Almost 70% of patients susceptible to 2019-nCoV are over age of 50 years, with extremely large proportion of critical illness and death of the elderly patients. Meanwhile, the elderly patients are at high risk of osteoporotic fractures especially osteoporotic vertebral compression fractures (OVCF). During the prevention and control of COVID-19 epidemic, orthopedists are confronted with the following difficulties including how to screen and protect OVCF patients, how to accurately diagnose and assess the condition of OVCF patients with suspected or confirmed COVID-19, and how to develop reasonable treatment plans and comprehensive protective measures in emergency and outpatient clinics. In order to standardize the diagnosis and treatment of patients with OVCF diagnosed with COVID-19, the authors jointly develop this expert consensus. The consensus systematically recommends the standardized emergency and outpatient screening and confirmation procedures for OVCF patients with suspected or confirmed COVID-19 and protective measures for emergency and outpatient clinics. Moreover, the consensus describes the grading and classification of OVCF patients diagnosed with COVID-19 according to the severity of illness and recommends different treatment plans and corresponding protective measures based on the different types and epidemic prevention and control requirements.