ObjectiveTo discuss the effect of patient controlled epidural analgesia on recovery and serum prolactin of parturient after undergoing cesarean section.MethodsEighty-six cases with cesarean section patients were classified into two groups by random digits table,which observation group with 43 cases were used patient controlled epidural analgesia,and control group with 43 cases were used intramuscular pethidine.The analgesic effect and serum prolactin between the two groups were compared.ResultsThe good rate in observation group was 79.1％(34/43 ),significantly higher than that in control group [20.9％( 9/43 ) ](P ＜ 0.05 ).Compared with pre-operation,the level of prolactin in observation group was significantly increased [ ( 542.17 ± 46.75 ) μ g/L vs.( 351.13 ± 20.92 ) μ g/L] ( P ＜ 0.05 ).Moreover,the level of prolactin in observation group after operation was significantly higher than that in control group[ (362.12 ± 24.33)μ g/L ] ( P ＜ 0.05 ).The colostrum time in observation group was ( 15.21 ± 3.26 ) h which was shorter than that in control group [ (21.16 ± 4.78) h ] (P ＜ 0.05).ConclusionThe analgesic effect of patient controlled epidural analgesia on parturient after undergoing cesarean section is good,which can help patients recovery and improve the level of serum prolactin,which can be applied in clinic.

Objective To evaluate the administration of dinoprostone suppositories in induced labor for full-term pregnancy women with hypertensive disorders.Methods One hundred and nine full-term pregnant women admitted in Jiaxing Maternal and Child Health Care Hospital from February 2010 to December 2011 were included in the study.The subjects included 43 cases with pregnant hypertension (group A),36 cases with mild preeclampsia (group B),30 cases with severe preeclampsia (group C),and 30 full-term normal puerpera were also included (group D).Dinoprostone suppositories were placed in the vagina for induction.The cesarean delivery rate and perinatal prognosis were compared among the four groups.Results The cesarean delivery rate in group C was higher than other 3 groups; there was no significant difference among groups A,B and D.The rates of fetal distress and postpartum hemorrhage in group C were higher than those in other 3 groups; there were no significant differences in rates of fetal distress and postpartum hemorrhage among group A,B and D,while there was no difference in rate of neonatal asphyxia among all groups.Conclusion Dinoprostone is effective and safe in inducing labor for full-term pregnancy women with hypertensive disorders.

Humans ; Reference Standards ; Thyroid Neoplasms ; therapy

Carcinoma, Papillary ; diagnosis ; pathology ; therapy ; Humans ; Practice Guidelines as Topic ; Thyroid Neoplasms ; diagnosis ; pathology ; therapy

Objectives: To investigate the surgical and audiological outcome of Bonebridge (BB) at tertiary centres in Malaysia. Study Design: Prospective, intra-subject repeated measurements of which each subject is his/her own control, from year 2012 to 2016 at two tertiary referral centres.

Objective To explore the nutritional status of vitamin D among healthy adults lived in Fuling district of Chongqing .Methods A total of 718 healthy adults aged 23-90 years old undergoing the physical examination in the physical ex‐amination center of our hospital from March 2012 to December 2013 were selected and divided into the 23-44 years old group and the ≥45 years old group .The tandem mass spectrometer was adopted to detect the level of serum 25(OH) vitamin D for evaluating the nutritional status of vitamin D .Results The proportions of lack ,insufficiency ,normal and excess of vitamin D in the 23 -44 years old group were 80 .79% ,19 .21% ,0% and 0% respectively ;which in the ≥45 years old group were 77 .91% ,18 .20% ,3 . 89% and 0% respectively .The average level of serum 25(OH) vitamin D in 23-44 years old group was lower than that in the ≥45 years old group ,the difference was statistically significant (P=0 .002 ,t=1 .98) .In these two groups ,the difference in serum 25 (OH) vitamin D level between males and females had no statistical significance (P>0 .05) .Conclusion The healthy adults in Ful‐ing district are lack of vitamin D in different degrees .

Serum prealbumin (PAB) and plasm free amino acids were determined in normal and zinc deficient preschool children. In zinc deficient children, the prealbumin level was much lower than normal;cystine and .proline were higher but most of other amino acids and essential amino acids, branched chain amino acids, essential amino acids/total amino acids, branched chain amino acids/nonbranched chain amino acids were signifcantly lower than those of normal children.

Since continuous renal replacement therapy(CRRT) is a continuous treatment,extracorporeal anticoagulation is an important measure to ensure the success of CRRT.We briefly describe the basic principles,modes and monitoring objectives of anticoagulation in CRRT.Besides,heparin anticoagulation,anticoagulation without heparin and regional citrate anticoagulation(RCA)are presented in details.We emphasize that anticoagulation mode should be individualized,and the correct selection of anticoagulation mode and intensive clinical monitor are essential to prevent complications.

OBJECTIVE To investigate multidrug-resistant bacteria infection in newborn department,for rationally use of antibiotic. METHODS A total of 1927 patients in newborn department scientific were investigated for their multidrug-resistant bacteria infection. RESULTS There were no statistical differences of multidrug resistance bacteria infection in the four seasons. From 1927 newborn patients,128 patients were with multidrug-resistant bacteria infection,the positive rate was 6.64%,83.59% origin of Society area,in 128 patients children of multidrug resistance bacteria infection,happen infection were 134 example 86.57% were respiratory tract infection,70.83% resistance bacteria including Klebsiella pulmonary,appear multidrug resistance bacteria infection previous 62.28% were use antibiotic. CONCLUSIONS Newborn deartment The multidrug resistance bacteria infection is related to occurved in newborn department abuse and unrationaly use of antibiotics. Its should be strengthened to supervise and manage.

Objective To search for the technique of increased safety and diminished blood loss through laparoscopic hysterectomy. Methods A technique for dissecting the pelvic retroperitoneum and identifying the ureters and uterine arteries was used in the right pelvic side wall. The left side was used a non-anatomical approach. Visualization of the right ureter necessitate opening the peritoneum of the right pelvic side wall. A technique of identification and dissection the right ureter and the uterine vessels retroperitoneal at the initiation of laparoscopic hysterectomy was used. First, the obliterated hypogastric arteries were identified retroperitoneally. Second,the paravesical and the pararectal spaces are developed. Finally, the ureter and the uterine vessels were easily identified from the pararectal space. Once the retroperitoneal dissection had been completed and vital structures identified, hysterectomy be carried out. Results WT Fifty patients underwent this procedure. Right pelvic side wall versus left mean operation time was 33 min versus 22 min, and the mean blood loss was 12 versus 30 ml. It took 21 min on average to identify the right ureter and the uterine vessels retroperitoneal. Conclusion Identification and dissection of the ureter and the uterine vessels retroperitoneal is an acquired skill. This technique increases safety and diminishes blood loss. The uterine arteries and the uterosacral ligament are confidently desiccated once the path of the ureter near is identified. A non-anatomical approach to laparoscopic hysterectomy may be easier to learn, but it is neither very versatile nor safe.