简介:【摘要】目的:阐述病历质量中存在的缺陷,并对其如何改进提供具体的对策。方法:抽选2020年1月份--2020年9月份的620份妇产科病历作为研究目标,分析病历出现的问题,并加以改进。结果:620份病历中总计出现病历质量缺陷情况342例,占比为55.16%。结论
简介:【摘要】 目的 探讨胃肠减压引流不畅的原因,寻找有效的解决方法,保证胃肠减压持续有效。方法 对 22例胃肠减压患者进行观察,发现 10例患者出现引流不畅,逐一查找原因 ,采取相应措施。结果 : 10例患者经采取相应措施后,胃肠减压引流通畅,保证了胃肠减压持续有效。结论 选择合适型号的胃管,延长插管长度 10~ 13cm,增加胃管冲洗,妥善固定胃管及负压器,保持负压器的负压功能。有利于保持胃肠减压引流通畅,达到治疗目的,减轻病人痛苦。
简介: [摘要 ] 目的 通过对本地区不育男性不同年龄段精液检测结果的分析,了解男性不育症的病因及精液质量状况。方法 采用人工常规分析结合 SQA精子质量分析系统,对 2017年 7月~ 2018年 12月来我院就诊的 1025例男性不育患者的精液进行检测,并按≤ 30岁及 >30岁两个年龄组对异常结果进行统计分析。 结果 在 1025例精液标本中,各项检查指标均在正常范围的 205例(占 20.00%),其余 820例(占 80.00%)的标本有一项或多项指标异常。两个年龄组测定结果均值均低于正常判定标准的为精子存活率及精子活动力;异常检出率前三位为:精子存活率( 54.83%)、精子活动力( 49.85%)及液化时间异常( 42.34%);两个年龄组比较, >30岁组液化时间异常检出率为 49.27%,明显高于≤ 30岁组的 39.81%,差异有统计学意义( P<0.05),其他各项检查指标的异常检出率两个年龄组比较差异无统计学意义( P>0.05)。 结论 精液常规检测中任何指标异常都可能导致不孕,除液化时间外年龄对其他检测指标无明显影响,精子存活率降低、活动力下降及液化时间异常是本地区男性不育的主要原因。 [关键词 ] 男性;不育;精液检测;年龄;异常检出率 [Abstract] Objective To analyze the semen test results of different age groups of infertile men in this area, so as to understand the etiology and semen quality of male infertility. Methods the semen of 1025 male infertile patients who came to our hospital from July 2017 to December 2018 was detected by using the artificial routine analysis combined with SQA sperm quality analysis system, and the abnormal results were statistically analyzed according to the age groups of ≤ 30 and > 30. Results among the 1025 semen samples, 205 (20.00%) were in the normal range, and 820 (80.00%) had one or more abnormalities. The results of the two age groups were lower than the normal criteria for sperm survival rate and sperm motility; the top three abnormal detection rates were: sperm survival rate (54.83%), sperm motility (49.85%) and abnormal liquefaction time (42.34%); compared with the two age groups, the abnormal detection rate of liquefaction time in the > 30-year-old group was 49.27%, significantly higher than 39.81% in the ≤ 30-year-old group, with statistical differences There was no significant difference between the two age groups (P > 0.05). Conclusion any abnormality in semen routine test may lead to infertility. Age has no significant effect on other test indexes except liquefaction time. The main reasons of male infertility in this area are the decrease of sperm survival rate, motility and liquefaction time.