妊高征合并脑血管病7例临床分析

目的：探讨妊高征合并脑血管病的原因,如何早期诊断治疗。方法：通过回顾分析7例妊高征合并脑血管病住院病从临床资料。结果：7例妊高征合并脑血管病患者均无作系统产前检查、治疗;头痛、呕吐并抽搐、意识障碍、肢体乏力为主要症状;头颅CT检查后可确诊;及时终止妊娠（剖宫产）,积极治疗妊高征配以相应药物治疗为主要措施,产妇1例死亡,胎儿7例均存活。结论：预防妊高征并发脑血管病的主要措施是产前定期系统检查,系统治疗妊高征,发现可疑病例及早行头颅CT检查,明确诊断后及时终止妊娠,积极治疗妊高征配以内科相应治疗措施,减低胎儿及孕妇死亡率。     

妊娠高血压综合征眼底检查的临床意义

妊娠高血压综合征 (简称妊高征 )是产科孕妇的常见并发症 ,多见于初产妇、双胎、羊水过多及高血压、肾病者。本文对我院产科 1990～ 2 0 0 2年收治的 4 0 6例进行了眼底检查 ,根据眼底改变并结合临床表现分析如下。1　临床资料1.1　一般资料　 4 0 6例孕妇年龄 18～ 4 0岁 ,平均 2 9岁 ,其中初产妇 32 6例 ,占 80 .3%。国内统一分类法[1]属轻度妊高征 92例 (2 2 .7% )、中度妊高征 194例 (47.8% )、重度妊高征 12 0例 (2 9.6 % )。眼底的改变参考高血压动脉硬化视网膜改变分级法分为 4级。Ⅰ级 :视网膜动脉变细 ,管径粗细不匀 ,A :V =2 :3…     

正常孕妇及妊高征患者外周血T细胞亚群分析

目的:检测正常孕妇及妊高征患者外周血T淋巴细胞亚群变化,了解病人细胞免疫功能状况。方法:采用间接免疫荧光法检测正常孕妇和妊高征患者体内CD3~ 、CD4~ 、CD8~ 细胞水平,并取正常未孕妇女作为对照。结果:(1)与正常未孕妇女相比,正常孕妇体内存在CD8~ 细胞比例增高,CD4~ 细胞比例和CD4~ /CD8~ 比值下降;(2)妊高征患者随病情加重,CD8~ 细胞逐渐降低,而CD4~ 细胞和CD4~ /CD8~ 比值呈现逐渐升高的趋势,重度患者各项指标接近正常未孕妇女水平。结论:正常孕妇呈现相对免疫抑制状态,与之相比,妊高征患者细胞免疫功能失调,这与妊高征病情直接相关。     

妊娠期补充钙剂在防治妊高征及胎儿宫内发育迟缓中的作用

目的:观察妊娠期补充钙剂的效果及对妊娠的影响。方法:将236例20～32周的孕妇随机分为用药组(118例,服用乐力氨基酸螯合钙2g/d)和对照组(118例),分别于服药前检测血钙、尿蛋白,并于观察期间每4周复查1次;每周监测血压、体重、宫高、腹围及双下肢水肿情况;观察缺钙症状发生情况。结果:用药组血钙明显高于对照组(P<0.05),缺钙症状明显低于对照组(P<0.01);妊高征、胎儿宫内迟缓发生率明显低于对照组(P<0.01)。结论:妊娠期补充钙剂有利于减少缺钙症状的发生,降低妊高征、胎儿宫内迟缓的发生率。     

妊高征患者外周血T淋巴细胞亚群的测定

采用单克隆抗体(单抗致敏红细胞),对48例妊高征,20例正常孕妇进行T淋巴细胞亚群CD_3、CD_4、CD_8进行测定,结果表明:与正常孕妇相比,妊高征患者CD_3淋巴细胞数不变,CD_4亚群淋巴细胞未见明显改变,CD_8淋巴细胞明显增高,以重度妊高症差异显著,CD_4/CT_8比值下降。提示:T淋巴细胞亚群的变化对维持正常妊娠不容易。     

扩容及硫酸镁治疗重度妊高征61例临床分析

妊高征是妊娠期特有的疾病,对母子生命威胁很大,其病因目前尚未十分明确,但在病理生理方面,有很多学者研究进展很大,分四方面,即血管高度反应,胎盘缺血缺氧,水钠潴留血容量减少以及血管内凝血。针对病理生理变化,在治疗上有了新的改进。现将我院三年来收治61例重度妊高征病人经扩容、纠正血液     

应用血液流变学预测妊高征的价值

妊娠高血压综合征(简称妊高征)是妊娠妇女特有的疾病,是产科严重并发症之一,严重威胁着孕产妇、胎儿及围产儿的生命安全。因此,对妊高征的预测性诊断已成为多年来产科研究的动向。我院采用血液流变学对120例自孕20—38周的初产妇进行监测,并与测平均动脉压、转身试验相比较,发现血液流变     

妊娠高血压综合征的护理体会

妊娠高血压综合征,简称妊高征,是妊娠20周以后出现高血压、浮肿、蛋白尿等一系列症状的综合征,严重时会出现抽搐、昏迷、心、肾衰竭,医学上称为"子痫".它严重地威胁着母胎生命安全.对近年来住院的多例妊娠高血压患者进行分析.孕产妇全部救治成功,胎儿死亡率86.7%.妊娠高血压疾病经积极预防、合理治疗可有效降低孕产妇及胎儿的死亡率.本文做了具体的总报告.     

HELLP综合征12例临床分析

目的 :探讨治疗HELLP综合征的有效方法 ,减少并发症 ,降低孕产妇及围产儿死亡率。方法 :采用回顾性分析方法 ,对 12例HELLP综合征分析。结果 :HELLP综合征发生率占重度妊高征的 4 .4 6 % ,孕产妇病死率 3.7‰围产儿的病死率 14 .8‰。结论 :加强孕期保健 ,对妊高征做到早诊断早治疗 ,适时终止妊娠 ,以降低并发症。     

重度妊高征剖宫产临床分析

近年来,随着剖宫产率的逐渐上升,其手术指征也有很大变异。妊高征患者,何时手术,以及手术对母儿的影响正在研究,我们对1987年8月～1990年8月在我院住院的130例中、重度妊高征患者处理进行了分析,对此问题进行初步探讨。     

MCP-1在子痫前期患者胎盘组织及血清中的表达及意义

通过比较单核细胞趋化蛋白-1(MCP-1)在正常孕妇和子痫前期患者胎盘及血清中的表达,探讨MCP-1在子痫前期发病机制中的作用。选取30例正常晚孕妇女、30例轻度子痫前期患者和30例重度子痫前期患者进行研究。采用免疫组织化学S P法检测MCP-1在胎盘组织中的表达;采用酶联免疫吸附法(ELISA)检测血清MCP-1水平。结果:子痫前期患者胎盘组织和血清中MCP-1的表达均高于正常妊娠组,差异有统计学意义(P<0.01),且随着病情加重而递增;子痫前期患者胎盘组织MCP-1表达与血清MCP-1水平呈显著正相关(r=0.725,P<0.01)。结果表明,MCP-1在子痫前期患者胎盘与血清中的表达均升高,提示MCP-1在子痫前期的发生、发展中可能起着重要的作用。     

子痫前期的中西医治疗

目的：通过内服中药治疗子痫前期.方法：临床观察采用随机、平行、对照试验的方法,其中治疗组和对照组各选取40例患者进行治疗比较,治疗组以内服中药为主,对照组以内服西药为主.结果：运用中药内服组治愈30例,显效8例,进步2例,无效0例,总有效率为95％;西医组治愈28例,显效7例,进步4例,无效1例,总有效率为87.5％.结论：中药内服对子痫前期有明显的治疗效果.     

苹果的虎皮病及其防治

文章介绍了苹果虎皮病害的发病机理 ,并通过对发病的过程的分析提出了几点相应的防治措施。     

Many women and providers are unprepared for an evidence-based, educated conversation about birth

Findings from recent Canadian studies on the knowledge and beliefs about birth practices among first-time pregnant women and among obstetricians and other birth providers indicate that many women are inadequately informed and many providers deliver non-evidence-based maternity care. Consequently, informed decision making is problematic for pregnant women and their providers. New strategies are needed to inform pregnant women about key procedures and approaches that might be used in birth so they can have an educated, shared discussion with their provider and successfully advocate for their preferred birth experience. In addition, providers can be encouraged to supplement their knowledge with current, evidence-based maternity care practices. To avoid a lack of informed decision making and to ensure that natural, safe, and healthy birth practices are based on current evidence, pregnant women and providers must work together to inform themselves and to add childbirth to the women's health agenda.     

Preventing alcohol-exposed pregnancy among American-Indian youth

Research has determined that the prevention of alcohol-exposed pregnancies (AEP) must occur preconceptually, either by reducing alcohol intake in women planning pregnancy or at risk for becoming pregnant, or by preventing pregnancy in women drinking at risky levels. One such AEP prevention programme with non-pregnant American-Indian (AI) women is the Oglala Sioux Tribe (OST) Changing High-risk alcohOl use and Increasing Contraception Effectiveness Study (CHOICES) Programme, which shows promise in reducing AEP risk in AI women aged 18 or older. A community needs assessment was conducted with key informant interviews and focus groups with an emphasis on how to expand OST CHOICES. To identify relevant inter-related themes, a content analysis was conducted on qualitative feedback from the focus groups and interviews. Altogether, key informant interviews were completed with 25 health and social service professionals. Eight focus groups were held with 58 AI participants, including adult women of child-bearing age, elder women, and adult men. Several sub-themes regarding the prevention of AEP with youth were identified, expanding the OST CHOICES curriculum into the schools, and the role of family and culture within AEP prevention.     

ZPI基因外显子-3多态性与妊娠高血压疾病子痫前期的相关性探讨

目的：探讨蛋白z依赖的蛋白酶抑制物（ZPI）基因外显子-3（exon-3）多态性与妊娠高血压疾病子痫前期的相关性。方法：选择健康孕妇30例、妊娠高血压疾病子痫前期36例,用ELISA竞争法测定其血浆ZPI水平。用直接DNA测序法对ZPI基因exon-3测序。结果：ZPI含量健康妊娠组为（144．32±75．45）pg／mL,妊娠高血压疾病子痫前期组为（137．61±42．95）pg／mL,两组之间无显著性差异（F=0．131,P=0．719）。ZPI基因外显子-3测序结果,发现在exon-3137A〉G、181A〉G、481A〉T存在基因多态性,但这三种基因型频率和等位基因频率分布,两组之间均无统计学差异（均P〉0．05）。结论：ZPI基因exon-3137A〉G、181A〉G、481A〉T存在基因多态性,但与妊娠高血压疾病子痫前期关系不大。     

妇女骨质疏松过程的数值模拟

[目的]进行妇女骨质疏松过程的数值模拟.[方法]应用带有力学调控系统的各向异性骨再造模型结合有限元法进行研究.[结果]在骨量下降初始阶段,下降平缓,绝经后骨量丢失加速,60岁时,骨量下降25.84%~28.63%,80岁时,骨量下降38.50%~40.44%,上述结果与临床观察结果基本一致.[结论]肌力下降是妇女骨质疏松的主要因素,绝经则加快了妇女骨质疏松的过程.本研究可用于指导临床妇女骨质疏松的防治.     

Sources of infant feeding information used by pregnant women

Selecting an infant feeding method is one of the most important decisions a mother-to-be makes. Little information is available to characterize women who plan to use both formula and breast milk. In this study, 89 pregnant women indicated their anticipated feeding method and the sources and initiator of infant feeding information. No differences were found in the type of resources used by women who planned to breastfeed, formula feed, or combination feed. Women in the study were four times more likely to initiate a conversation about infant feeding methods with a family member or friend than with a health care provider. Involving these key individuals in perinatal education classes and support programs is a simple, but powerful, strategy that childbirth educators can use to promote breastfeeding.     

Back pain/discomfort in pregnancy: invisible and forgotten

This paper is a comprehensive literature review of original research on the nature of back pain/discomfort in pregnancy. The causes of back pain/discomfort in pregnancy are reviewed and discussed, and the clinical manifestations and implications are explored. This analysis revealed that approximately 50% of pregnant women experience back pain/discomfort with little or no intervention from their health care providers. Thus, back pain/discomfort in pregnancy seems to be invisible and forgotten in contemporary antenatal care. Evidence-based guidelines are provided for both women and health professionals as a way of increasing attention to the prevention of unnecessary back pain/discomfort during pregnancy.     

襄阳地区妊娠妇女发样微量元素测定分析

应用原子吸收光谱法对襄阳地区112例妊娠妇女发样中Zn、Cu、Fe、Ca、Mg、Mn、Se、Pb八种微量元素含量进行测定,并进行统计学分析．结果表明：襄阳地区妊娠妇女发样中主要以缺乏Ca、Zn2种微量元素为主,妊娠妇女缺zn者高达82．89％,缺Ca者达66．07％,微量元素缺乏现象比较严重．部分妊娠妇女存在多种微量元素缺乏问题．妊娠期妇女应合理补充和平衡微量元素,,保证自身健康和胎儿的正常发育．