Objective To investigate patients in gynecological endocrinology clinic with the following three pieces of information: how did they provide their symptom information, how did they understand diagnostic and therapeutic information, and what was their attitude towards the visit, and to get to know about the situation and problems in doctor-patient communication, so as to aim directly at improving the efficiency of diagnosis and treatment. Methods A total of 403 patients, who visited Prof. HAN Zi-yan’s clinic in the hospital from April to August 2010, were evaluated using self-edited Assessment on Doctor-patient Communication in Gynecological Endocrinology Outpatient Clinic. Results a) As to the situation of patients providing symptom information as well as understanding diagnostic and therapeutic information, when doctor asked, only 29% (118/403) of patients could narrate their treatment history clearly, and 38% (152/403) could tell their examination history exactly. After doctors’ explanation, only 21% (86/403) understood their examination results correctly, and 27% (108/403) understood management and therapeutic advice. The result of correlation analysis showed the accuracy of patients in providing disease information and accepting diagnostic and therapeutic information was higher in patients aged from 21 to 40 rather than those younger than 20, in patients well- educated rather than those with little education at the primary school, and in patients who were also engaged in medical work, All differences were significant (all Plt;0.05); and b) As to patients’ attitude towards visit, 55% (222/403) of patients hoped to get more attention from doctor, and 37.5% (151/403) overly expected the visit. Conclusion In the professor’s gynecological endocrinology outpatient clinic, many patients can’t clearly provide their treatment and examination history, neither understand exam situation and therapeutic advice at that visit, which are influenced by their age, education and occupation. In addition, psychological needs of patients should be concerned, too
目的 探討妊娠期甲型H1N1流感的臨床特點。 方法 對烏魯木齊市婦幼保健院2009年11月-2010年1月收治的妊娠期甲型H1N1流感臨床資料進行回顧性分析。 結果 同期住院非甲流孕產婦1 856例，確診甲型H1N1流感52例，發病率2.7%。妊娠期甲型H1N1流感的發熱時限及不同孕期與病程時限均無相關關系。使用磷酸奧司他韋(達菲)治療23例，較未使用此藥物患者病程顯著縮短[(4.79±2.04) d比(7.26±3.77) d，Plt;0.05]。合并肺炎6例，病程較無合并癥患者顯著延長[(9.83±4.70) d比(5.37±2.54) d，Plt;0.05]。 結論 妊娠期甲型H1N1流感應予以高度重視，在早預防、早診斷及早治療的基礎上，提早預防合并癥的發生。明確診斷后及早使用磷酸奧司他韋可縮短療程。
目的 探討3種不同助孕方案在≥40歲婦女體外受精-胚胎移植（IVF-ET）周期中的臨床效果。 方法 回顧性分析2010年8月－2012年2月期間，于四川大學華西第二醫院生殖中心行IVF-ET助孕、年齡≥40歲婦女共245個周期的臨床資料，排除一側卵巢缺如患者3例，余242個周期根據助孕方案不同分為3組：拮抗劑組（GnRH-A方案組）44個周期、長方案組109個周期及短方案組89個周期，比較3種方式助孕的臨床效果。 結果 3組均無早發黃體生成素峰；長方案組應用促性腺激素（Gn）的時間最長，應用Gn數量最多，獲得最高的獲卵數及獲胚數（P＜0.05）；3組的受精率、優胚率、冷凍胚胎數、周期取消率、卵巢過度刺激綜合征發生率、早期流產率均無統計學意義（P＞0.05），短方案組的種植率及臨床妊娠率最低（P＜0.05）。 結論 GnRH-a長方案在≥40歲婦女的IVF-ET周期中具有較好的臨床結局，在≥40歲婦女IVF-ET周期中具有與長方案相似的結局，并且可以減少Gn使用量，提高卵泡及胚胎質量，短方案組對≥40歲婦女臨床效果較差。
Objective To understand the influence of organisational support and professional identity of hospital infection prevention and control (HIPC) practitioner in public hospitals. Methods HIPC practitioner of the public medical institutions secondary level and above in Neijiang City, Sichuan Province were used as the research object. A questionnaire survey was used to analyze their organizational support and professional identity in May 2022, to compare the differences in organizational support and professional identity among HIPC practitioner with different positions, working ages, and majors, and analyze the correlation between organizational support and professional identity among HIPC practitioner. Results A total of 90 valid questionnaires were retrieved from investigation. The average scores for organizational support and professional identity among HIPC practitioner were (3.409±0.625) and (2.518±0.504) points. Among them, the organizational support of intermediate professional title personnel [(3.155±0.785) points], personnel with 5-10 years of service [(3.071±0.696) points], and clinical physicians [(3.342±0.860) points] were the lowest; the professional identity of personnel with intermediate professional titles [(2.357±0.477) points], those with more than 10 years of service[(2.431±0.454) points], and other professionals [(2.471±0.260) points] were the lowest. The Pearson correlation analysis results showed that there was a positive correlation between organizational support and professional identity (r=0.490, P<0.05), self-identity and work support (r=0.364, P<0.05), and environmental identity and relationship interests (r=0.698, P<0.05). Conclusions Due to the low level of organizational support, there is a decrease in professional identity and significant job burnout, which in turn leads to an increase in the turnover rate of infection control professionals. Therefore, it is necessary to enhance the sense of organizational support for specialized personnel in infection control to promote their professional identity and stabilize the infection control team. Suggest providing necessary support at the organizational level and self-improvement at the individual level.
【摘要】 目的 探討各種不同體外受精（IVF）助孕方案對子宮腺肌病伴不孕癥患者的療效。 方法 對2006年1月-2009年6月進行IVF助孕治療的子宮腺肌病伴不孕癥患者63例的臨床資料進行回顧性分析。根據是否應用長效促性腺激素釋放激素激動劑（GnRH-a）及啟動促性腺激素（Gn）時間分為超長方案、長效GnRH-a后長或短方案、常規長方案3組，對IVF助孕療效進行分析。 結果 3種治療方案的Gn刺激天數、Gn總量、獲卵數、不良反應發生率和流產率比較無統計學意義（Pgt;0.05）；3種治療方案的周期取消率為20.0%、7.7%、30.0%，比較有統計學意義（χ2=5.74，Plt;0.05），方案2的周期取消率低于方案1和方案3，有統計學意義（χ2=7.21，Plt;0.05）；3種治療方案的繼續妊娠率為23.0%、37.0%、15.3%，有統計學意義（χ2=11.31，Plt;0.05），方案2的繼續妊娠率高于方案1和方案3，有統計學意義（χ2=8.52，Plt;0.05）。 結論 與超長方案和常規長方案相比，子宮腺肌病伴不孕癥患者采用長效GnRH-a治療后長方案或短方案行IVF助孕治療，妊娠率升高，周期取消率降低。【Abstract】 Objective To investigate the effect of different in vitro fertilization (IVF) treatment protocols on infertile women with adenomyosis. Methods Sixty-four infertile women with adenomyosis who had IVF treatment cycles from January 2006 to June 2009 were retrospectively analyzed. According to administration of long course gonadotropin-releasing hormone agonist (GnRH-a) and the start time of gonadotropin (Gn), all participants were divided into three groups: the first group with ultra-long term protocol, the second group with long or short term protocol after administration of long course GnRH-a and the third group with routine long term protocol. Results There were no differences among the three groups with regard to days of Gn administration, amounts of Gn administration, numbers of retrieved oocytes, prevalence of poor response and miscarriage (Pgt;0.05). The cancelation rates of the three groups were 20.0%、7.7% and 30.0% respectively. There were significant differences in cancelation rates among the groups (χ2=5.74, Plt;0.05), and the cancelation rate in the second group was significantly lower than the other groups (χ2=7.21, Plt;0.05). The ongoing pregnancy rates of the groups were 23.0%、37.0% and 15.3% respectively. There were significant differences in ongoing pregnancy rates among three groups (χ2=11.31, Plt;0.05), and the ongoing pregnancy rate in the second group was significantly higher than the other groups (χ2=8.52, Plt;0.05). Conclusion Compared with the ultra-long term and routine long term protocol of IVF treatment in infertile woman with adenomyosis, the ongoing pregnancy rate might be higher and the cancelation rate might be lower in the long or short term protocol after administration of long course GnRH-a.