1.Effect of misoprostol combined with psychological intervention on induced abortion
Chinese Journal of Biochemical Pharmaceutics 2017;37(9):339-340
Objective To study and analyze the psychological intervention methods and effects of mifepristone combined with misoprostol in the treatment of abortion. Methods 200 cases of intrauterine pregnancy were selected from Hangzhou Red Cross Hospital from March 2015 to August 2016. They were randomly divided into the control group and the experimental group, 100 cases in each group. The patients in the experimental group were treated with mifepristone combined with misoprostol, which eliminated the negative emotions such as anxiety and restlessness, and paid close attention to the psychological status of the patients. Patients in the control group were treated with local medication of lidocaine. The clinical effects of the two groups were compared and analyzed. Results after the corresponding treatment, the effective rate of analgesia in the experimental group was 38.0%, and the effective rate was 52.0%. The effective rate of the control group was 16.0%, and the effective rate was 49%. The analgesic effect of the experimental group was significantly higher than that of the control group, and the difference was statistically significant (P<0.05). After treatment, the effective rate of cervical dilatation in the experimental group was 45.0%, and the effective rate was 51%. The degree of cervical dilatation in the experimental group was significantly better than that in the control group, and the amount of bleeding during operation was significantly less than that in the control group, and the difference was statistically significant (P<0.05). Conclusion Misoprostol and mifepristone combined with psychological intervention can greatly improve the clinical effect of artificial abortion and alleviate the pain of patients, it has the significance of further popularization and application.
2.Clinical efficacy of LEEP knife combined with chitosan cervical antibacterial film in the treatment of chronic cervicitis and its psychological intervention
Chinese Journal of Biochemical Pharmaceutics 2017;37(8):300-301
Objective To investigate and analyze the clinical efficacy of LEEP knife combined with chitosan cervical antibacterial membrane in the treatment of chronic cervicitis and to observe the psychological intervention. Methods 100 cases of Chronic Cervicitis Patients in our hospital from January 2015 to October 2016 were selected as the research object. They were randomly divided into the control group and the experimental group, each group had 50 cases. Patients in the control group were treated with LEEP knife surgery, and no drugs were used after the operation. The patients in the experimental group were treated with LEEP knife combined with chitosan and cervical antibacterial membrane. Psychological intervention was carried out, and the mental health of the patients was paid close attention to, and communication and communication with patients were strengthened. The therapeutic effects of the experimental group and the control group were compared and analyzed. Results After the corresponding treatment, the effective rate of the experimental group and the control group was 100.0%. The cure rate of the control group was 80.0%, significantly lower than that of the experimental group(96.0%), the difference was statistically significant (P<0.05). After treatment, the SAS score of the experimental group was (40.1±6.2) points, and the SDS score was (38.4±7.9) points. The scores of SAS in the control group were (49.6±7.2) points, and the SDS score was (48.2±8.5) points. There were three cases of complications in the experimental group, the incidence of complications was significantly lower than that of the control group (20.0%), The difference was statistically significant (P<0.05). Conclusion The clinical effect of LEEP knife combined with chitosan cervical antibacterial membrane in the treatment of chronic cervicitis treated with psychological intervention, high cure rate, low probability of complications, significantly improve patients' negative emotions, has clinical significance.
3.Association of frailty with anxiety and depression in patients on maintenance hemodialysis
Hongmei LIU ; Huahong ZHOU ; Xiangjiu CHEN ; Guobao HONG ; Xiongbin WU ; Yanjuan LIANG ; Chunting LI ; Meidi ZHENG ; Yueqin LAI ; Fanna LIU
The Journal of Practical Medicine 2024;40(18):2612-2617
Objective To investigate the current status of frailty in patients on maintenance hemodialysis(MHD),and explore the correlation of frailty with anxiety and depression.Methods General information,clinical data and blood biochemical data of 101 cases who underwent MHD in Department of Nephrology,Shunde Hospital Affiliated to Jinan University from January 2023 to January 2024 were collected.FRAIL scale was applied to evaluate the frailty of the patients,and they were accordingly classified into frailty group and non-frailty group(including pre-frail and non-frail participants).Anxiety and depression were evaluated by GAD-7 and PHQ-9 scale.Univariate analysis and logistic regression were used to explore the association of frailty with anxiety,depression and other possible influencing factors.Results Among the 101 cases,29 cases(28.71%)were includedin frailty group and 72 cases(71.29%)in non-frailty group.There were 42 patients with depression(41.58%)and 25 with anxiety(24.75%).In the frailty group,the prevalence of depression was 65.52%and that of anxiety 55.17%.There were significant differences in age,grip strength,exercise,stroke and coronary heart disease,anxiety and depression,ferritin and CRP between the two groups(P<0.01).Multivariate regression analysis showed that depression,anxi-ety,no exercise,stroke and high ferritin concentration were independent risk factors for frailty in MHD patients(P<0.05).Conclusion In patients on MHD,frailty is closely associated with depression,anxiety,and lack of exercise,and stroke as well as high ferritin concentration are independent risk factors for frailty.