1.Influence of drip velocity of nitrate on blood pressure of patients with coronary heart disease
Ruilan YANG ; Zhenhuan REN ; Huimin REN ; Miaomiao LI ; Qiaoling MAO ; Xiying YAN ; Xiaoyun YUE
Chinese Journal of Practical Nursing 2012;28(20):19-21
Objective To discuss the relationship of drip velocity of nitrate on blood pressure while treating coronary disease,in order to provide appropriate drip velocity for clinical treatment.Methods 155 patients with coronary disease using nitrate to lower blood pressure were selected.They were divided into the nitro glycerin group(85 cases) and the isosorbide mononitrate group( 70 cases) according to difference of medication.The velocity of drugs was adjusted on basis of blood pressure changes.The blood pressure changes at different drip velocities were observed and compared.Results The systolic pressure and the diastolic pressure between two groups showed no difference at 20 drops/min,but the results were the opposite at 30 drops/min.The systolic pressure and the diastolic pressure in the nitro glycerin group showed evident changes at different drip velocities,but in the isosorbide mononitrate group,these changes were not so significant.9 patients in the nitro glycerin group had headache during treatment,no headache occurred in the isosorbide mononitrate group.Conclusions Intravenous use of nitrate at a velocity of 20 drops/min is relative secure.The risk of hypotension will increase if the medication speed increases.lsosorbide mononitrate has little influence on blood pressure.
2.Study on the risk factors of pelvic organ prolapse by evidence-based medicine
Qiaoling MAO ; Quan ZHOU ; Feng HUANG ; Jinfen ZHA ; Fen HUANG ; Manzhen ZUO
Journal of Chinese Physician 2018;20(4):625-628
Pelvic organ prolapse (POP) is a common pelvic floor dysfunction disease caused by multiple factors in female.The main clinical manifestation is pelvic organ protrusion to the vaginal cavity.This disease not only affects the health and the quality of life of women and but also affects their mental health.At present,with the improvement of people's quality of life,reducing the occurrence of POP has become a urgent problem.Therefore,understanding its risk factors is the foundation for our research and development of prevention strategies.The risk factors of POP are summarized based on the principle of evidence-based medicine,which provides scientific basis for the prevention of POP.
3.Progress of adverse pregnancy outcomes in polycystic ovary syndrome patients
Feng HUANG ; Quan ZHOU ; Qiaoling MAO ; Fen HUANG ; Wenfei ZHENG ; Manzhen ZUO
Journal of Chinese Physician 2018;20(5):793-796
Polycystic ovary syndrome (PCOS) is a common disease that lead to endocrine disorders and infertility in women of child-bearing age.A large number of studies have shown that the pathogenesis of PCOS is related to insulin resistance (IR),hyperandrogenism and high body mass index.At present,remarkable progress has been made in the study of conception methods and the reduction of multiple pregnancies in PCOS patients.However,there is relatively little research on the adverse pregnancy outcomes after conception.Therefore,this study will use evidence-based medicine to make a review of complications in maternal.For instance,pregnancy-induced hypertension syndrome (PIH),gestational diabetes mellitus (G DM),miscarriage,premature delivery and so on.This study provides an overall basis for early prevention and intervention in clinical work through discussing the pathophysiology of PCOS,the risk factors of its occurrence and development,and the management strategies of pre-pregnancy and gestation period.