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摘要目录

中国计划生育学杂志

2009年 17卷 7期

刊出日期 2009-07-21

论文
国务院办公厅

第一条 为了加强流动人口计划生育工作,寓管理于服务之中,维护流动人口的合法权益,稳定低生育水平,根据<中华人民共和国人口与计划生育法>,制定本条例.第二条 本条例所称流动人口,是指离开户籍所在地的县、市或者市辖区,以工作、生活为目的异地居住的成年育龄人员.但是,下列人员除外:(一)因出差、就医、上学、旅游、探亲、访友等事由异地居住、预期将返回户籍所在地居住的人员;(二)在直辖市、设区的市行政区域内区与区之间异地居住的人员.

2009 Vol. 17 (7): 388- [摘要]( 59 HTML (1 KBPDF (0 KB)  ( 5 )

国家人口计生委流动人口服务管理司

<流动人口计划生育工作条例>(以下简称<条例>)经2009年4月29日国务院第60次常务会议审议通过,以国务院令第555号予以公布,自2009年10月1日起施行.为切实贯彻落实好<条例>精神,进一步提高流动人口计划生育服务管理工作水平,提出如下意见.

2009 Vol. 17 (7): 391- [摘要]( 48 HTML (1 KBPDF (0 KB)  ( 3 )

王博识

上世纪80年代,随着我国计划生育工作的开展和基本国策的确立,国家和各省计划生育科研机构应运而生.实行计划生育30多年来,全国计划生育科研机构在人类生育调控技术的基础研究和应用研究等方面取得了重要成果,成为我国人口和计划生育科学研究领域重要的研究力量,并在新技术推广应用、科技人才培养、基层技术指导等方面发挥了不可替代的支撑和引领作用,为实现人口控制目标、统筹解决人口问题做出了重要贡献.

2009 Vol. 17 (7): 395- [摘要]( 51 HTML (1 KBPDF (0 KB)  ( 141 )

吕冬梅;郭颖志;顾忠伟

目的:合成系列具有功能侧基,用于偶联抗癌药或避孕疫苗等生物活性物质的生物医用聚酯-聚氨基酸共聚物,用做靶向肿瘤治疗或免疫避孕的药物控制释放载体.方法:合成功能性单体3-苄氧羰基乙基吗啉-2,5-二酮(BEMD),在辛酸亚锡的作用下通过开环聚合与ε-己内酯共聚,经催化氢化反应脱除苄氧保护基团,获得功能侧基为羧丙基的聚(ε-己内酯)-CO-(乙醇酸-alt-L-谷氨酸)(PCGG)共聚物.核磁共振氢谱、凝胶渗透色谱、差示扫描量热仪、水接触角测定等手段表征共聚物;3T3成纤维细胞初步考察共聚物的细胞毒性.结果:所得单体的纯度在99.7%以上;共聚物的共聚组成与单体投料比基本一致,随着BEMD投料比的增加,共聚物的分子量减小;随着BEMD在共聚物中共聚组成的增加,聚合物熔点降低,亲水性增强;短期的体外细胞毒性考察表明所得聚合物均无细胞毒性.结论:通过调控不同聚合条件可合成具有不同物理性能的PCGG共聚物,有望在共聚物的羧基侧基上偶联抗癌药或避孕疫苗等生物活性分子,用做靶向肿瘤治疗或免疫避孕的药物载体.

Abstract:
Objective:To synthesize a series of biomedical polyester-co-poly (amino acid) copolymers with functional side groups for conjugation of anti-cancer drugs or bioactive agents such as contraceptive polypoptides, which would be used as controlled release drug carriers for targeted oncotherapy or immunocon-traception. Methods:Functional cyclic monomer of 3-[(benzyloxycarbonyl) ethyl] morpholine-2,5-di-one (BEMD) was synthesized and then copolymerized with ε-caprolactone through ring-opening polymeri-zation catalyzed by stannous octoate. After removing the protective benzyloxy groups via catalytic hydrogena-tion, poly(ε-caprolactone)-co-[(glycolic acid)-alt-(L-glutamic acid)]s (PCGG) with functional side carboxylic groups were obtained and characterized by means of <'1>H-NMR, GPC, DSC and water con-tact angle measurement. The cytotoxicity of the copolymers was evaluated by culturing the 3T3 cells on their films in vitro within short period. Results:The purity of BEMD was beyond 99.7%. The mole fraction of the BMED units in the eopolyners was nearly equal to the monomer feed molar ratio and the molecular weight of the eopolymers was decreased with the increasing of the amount of BMED in the copolymerization. The crys-tal melting temperature of the copolymers was decreased with the increasing of the content of L-glutamic acid and inversely the hydrophilieity was increased. No cytotoxicity of the copolymers was found in the in vitro evaluated period. Conclusion:PCGG copolymers with different physical properties could be synthesized by varying different polymerization parameters. The side carboxylic groups of the copolymers could be used to conjugate anti-cancer drugs for targeted oncotherapy or contraceptive polypoptides for immunocontraception.

2009 Vol. 17 (7): 397- [摘要]( 45 HTML (1 KBPDF (0 KB)  ( 123 )

张树成;贺斌;王尚明;张长勇;陈两华;刘永军;张斌

目的:研究五子衍宗和金匮肾气两种经典补肾中药的作用机理.方法:利用白消安小鼠无精子症动物模型,给予两种中药单一和联合灌胃给药78天(2个生精周期),以造模后自然恢复、二甲基亚砜溶媒和正常动物为3种对照.结果:两种中药对睾丸生精能力影响的明显不同表现为,五子衍宗主要作用于睾丸的生精上皮细胞,金匮肾气主要作用于睾丸的间质细胞.结论:两种经典补肾中药均具有较强的、明确的促进生精功能恢复的作用.

Abstract:
Objective:To investigate the reinforcing kidney mechanisms of Wuziyanzong pills and Jinkuishenqi pills. Meth-ods:Azooapennia mice caused by busulfan were selected as animal models. Wuziyanzong pills and Jinkuishenqi pills were treated by intragastric administration for 78 days (2 spormatogenesis cycles) and compared respectively with the three control groups of mice with spontaneous recovery, mice treated with DMSO (solvent control) and normal mice. Results:The effects of the two pills on spormatogenesis function were significantly different. Wuziyanzong pills mainly affected on spermatogenic epithelium of testis, and Jinkuishenqi pills mainly affected on testicular interstitial ceils. Conclusion:The two classic Chinese herbs have corroborative and stronger effects on spermatogenesis functional recovery.

2009 Vol. 17 (7): 401- [摘要]( 66 HTML (1 KBPDF (0 KB)  ( 149 )

巴磊;李瑛;杨明明;周健;潘丽

目的:评价病征筛查用于宫内节育器(IUD)使用者生殖道感染(RTI)的效果.方法:对江苏省10884名使用IUD的育龄妇女RTI感染情况进行横断面调查.结果:RTI感染率为52.55%,经年龄、文化程度和活产数调整,苏中和苏北地区IUD使用者中RTI感染风险分别是苏南地区的1.08倍(95%CI=1.02~1.14)和1.42倍(95%CI=1.32~1.53).感染RTI的IUD使用者在苏中、苏北地区有症状/体征的风险分别是苏南地区的3.80倍(95%CI=3.32~4.35)和4.71倍(95%CI=3.91~5.67).卡方趋势性检验结果表明,随着体征种类增加,IUD使用者中RTI阳性比例呈现升高趋势(P<0.0001).苏南、苏中和苏北3个地区IUD使用者RTI病征筛查方法灵敏度分别为54.70%、82.11%和85.04%,阳性预测值分别为60.82%、65.39%和81.92%.结论:苏南苏中苏北地区IUD使用者中各类RTI感染情况不同;IUD使用者中RTI人群有症状/体征比例存在显著地区差异;RTI体征筛查优于症状筛查;各地应用RTI的病征筛查方法应因地制宜.

Abstract:
Objective:To evaluate the effects of syndrome screening used for reproductive tract infection (RTI) among the women with intrauterine devices (IUD). Methods:The RTI situations of 10,884 repro-ductive women with IUD in Jiangsu province were investigated using cross-sectional study. Results:The o-verall RTI infection rate reached 52.55%. The risks of RTI among IUD users in central and northern Jiangau were respectively 1.08 times (95% CI:1.02-1.14) and 1.42 times (95 CI%:1.32-1.53) higher than southern Jiangsu after the adjustment of age, educational level and parity. The risk of positive symptoms/signs among IUD users infected RTI in central and northern Jiangau were respectively 3.80 times (95% CI:3.32-4.35) and 4.71 times (95CI%:3.91-5.67) higher than southern Jiangau. The trend chi-square test indicated that the positive rate of RTI presented an increasing trend with the increasing of sign types(P<0.0001 ). The sensitivities of syndrome screening among IUD users with RTI in southern, central and northern Jiangsu were respectively 54.70%, 82.11% and 85.04%, and the positive predictive values were 60.82%, 65.39% and 81.92%, respectively. Conclusions:The situations of various RTI among IUD users in southern, central and northern Jiangsu are different. Signifieandy regional differences are showed on the positive rates of symptom/signs among IUD users with RTI. For RTI, sign screening is superior to symptom screening. Screening of RTI should be individually chosen in different conditions.

2009 Vol. 17 (7): 405- [摘要]( 34 HTML (1 KBPDF (0 KB)  ( 137 )

李新芝;唐景霞;张翼华;郭恒;牛强;张景玉;吕凤莲;唐美娥;郭淑霞

目的:了解新疆生产建设兵团1971~2006年间孕产期保健状况.方法:采取分层整群、四阶段、概率比例随石河子大学医学院预防医学系(832000)机抽样方法,调查员入户面对面问卷调查.结果:共调查有活产已婚育龄妇女6624人,2001年以来,产前检查率、孕早期(妊娠≤12周)检查率、师直≥8次产前检查率、团场≥5次产前检查率、住院分娩率分别达到了86.60%、66.64%、58.70%、65.19%、82.01%,在家分娩率降到14.10%,而产后访视率仅为32.01%.育龄妇女的分娩时期、民族、受教育程度、生育史、家庭年收入、职业与是否参加产前检查有关.结论:近几年孕产期保健状况有明显改善,但产前检查率、孕早期检查率和产后访视率偏低,应特别加强对文化程度低、从事农业、少数民族孕妇的健康教育,普及孕产期卫生保健知识,规范产后访视,提高孕产期保健服务质量和服务利用率.

Abstract:
Objective:To investigate the situations of maternal health care among repreduetive aged women in Xinjiang preduc-tion and eonstruction corps from 1971 to 2006. Methods:Stratified duster, four-stage, and probability proportional random sampling methods were adopted, and face to face questionnaires were conducted by surveyors. Results:6,624 married aged reproductive women with live birth were investigted. Since 2001, the rates of prenatal examination, early pregnancy (≤12weeks) examination, and hospital delivery arrived at 86.60%, 66.64% and 82.01%, respectively. 58.70% of repreductive aged women received ≥8 times of prenatal examinations, and 65.19% with ≥5 times of prenatal examinations. The rate of home delivery dropped to 14. 10 %, while the rate of postpartum review was.only 32.01%. Delivery period, nationalities, ed-ucational level, childbearing history, family annual income, and occupation of reproductive aged women were relevant with the participation in prenatal examination. Conclusion:The status of maternal health care has been improved significantly. Howe-ver the rates of prenatal examinations, early pregnancy ex-amination and postpartum review are relatively low. Health education should be specially strengthened for the rural mi-nority pregnant women with low educational level. The quaff-ties and availabilities of maternal health care service can be improved through the popularization of maternal health care knowledge and the standardization of postpartum review.

2009 Vol. 17 (7): 409- [摘要]( 46 HTML (1 KBPDF (0 KB)  ( 144 )

江海燕;林文龙;吴小娥;黄明荀;李敬荣

目的:了解台州市流动人口避孕知识、态度和行为,为提高流动人口生殖健康水平提供决策依据.方法:采取多阶随机抽样的方法,对台州市5个县、市、区共计1 372名流动育龄人群的人口学特征、避孕方法知情选择及使用情况、避孕知识获取途径和避孕知识了解、态度及行为等进行调查.结果:调查对象平均年龄31.2岁,其中女性占54.7%,男性占45.3%;平均月收入1 200元人民币;文化程度以小学、初中为主,占78.7%;职业以技术工、服务业为主;采取避孕节育措施的以女性为主,宫内节育器占所有避孕措施的40.76%,其次为避孕套(21.59%);获得避孕节育知识的途径以广播电视媒体和报纸杂志为主(84.9%);相关知识回答正确率<80%;男性KAP值高于女性,文化程度是影响KAP得分的主要因素;对计划生育服务机构提供的服务内容的满意度为57.4%.结论:流动人口避孕方法知晓率较低,对避孕、节育知识及生殖健康服务需求强烈.应该加强普及计划生育/生殖健康知识,探索新的长效服务机制,以满足流动人口育龄人群避孕节育/生殖健康的需求.Survey on the Knowledge, Attitudes and Practice of Contraception among Floating Population of Taizhou City in Zhejiang ProvinceJiang Haiyan, Lin Wenlong, Huang MingxunFamily Planning Propaganda and Guidance Sta-tion of Yuhuan County in Zhejiang Province, Taizhou 317600

Abstract:
Objective:To investigate the knowledge, attitudes and practice (KAP) of contraception among the floating popula-tion in Taizhou, and provide evidences for the improvement of reproductive health level for floating population. Methods:Multi - stage random sampling method was adopted and 1,372 reproductive aged persons were selected from the floating population of 5 counties/cities/districts in Taizhou. The demographic characteristics, informed choices and utilizations of contraceptive methods, obtaining ways of contraceptive knowledge, and KAP of these cases were surveyed in this study. Results:The mean age of these objects (females:54.7%, males:45.3% ) was 31.2 years old. The average monthly income was 1,200 RMB. The educational level was mainly primary and junior middle school (78.7%). Skilled labor and service - oriented worker were the main occupations. Contraception takers were mainly females, and the application rates of IUD and condoms were 40. 76% and 21.59%, respectively. The main ways of obtaining contraceptive knowledge were broadcast, TV programs, newspapers and magazines (84.9%). The correct rate of answering questions about contraception was < 80%. KAP scores of males were higher than females, and educational level was a major influencing factor of KAP scores. Satisfaction on services provided by family planning service agencies was 57.4%. Conclusion:The popularization of family planning/reproductive health knowledge and the exploration of new long - term service mechanisms should be strengthened to meet the needs of repro-ductive aged persons among floating population for their relatively low awareness rate of contraceptive knowledge and strong de-mands on contraception knowledge and reproductive health services.

2009 Vol. 17 (7): 413- [摘要]( 45 HTML (1 KBPDF (0 KB)  ( 135 )

王海英

目的:了解近3年顺义区围产儿出生缺陷发生情况及其特征,分析不同户籍类型对出生缺陷发生可能产生的影响,探寻降低该地区出生缺陷发生的干预措施.方法:根据各医院报表汇总资料,在顺义区出生的围产儿中发生缺陷儿进行回顾性统计分析.结果:2006~2008年顺义区出生18 950例围产儿,缺陷儿283例,缺陷发生率有逐年上升趋势,但无统计学差异.3年中出生缺陷前4位疾病均为先天性心脏病、指趾畸形、唇(腭)裂和神经管畸形.2006年本区常住与流动人口出生缺陷发生率有显著性差异.常住人口出生缺陷儿孕母文化程度和经济水平均高于流动人口.三年来流动人口神经管畸形的发生高于常住人口.常住人口>35岁孕妇出生缺陷有增高趋势.结论:户籍类型和孕母年龄对出生缺陷有一定的影响,应采取相应干预措施以降低该区缺陷儿的出生率.

Abstract:
Objective:To investigate the occurrence and characteristics of perinatal birth defects in Shunyi district of Beijing from 2006 to 2008, analyze the potential influences of different types of household registration on the occurrence of perinatal birth defects, and explore intervention measures to lower the level of birth defects. Methods:Retrospective statistical analysis was performed among the infants with birth defects according to the data collected from each hospital of Shunyi district. Re-suits:283 cases with birth defects were identified from 18,950 infants in Shunyi district from 2006 to 2008. The incidences of birth defects showed an upward trend year after year, but there were no statistical differences. The top four birth defect disea-ses during the past 3 years were congenital heart disease, finger and toe deformities, cleft lip and palate, and neural tube de-fects. There was significant difference of the ineidenee of birth defects between local and floating population in 2006. The ma-ternal educational level and economic income of local infants with birth defects were higher than that of floating population. The incidences of neural tube defects among floating population were higher than local population during the past 3 years. The incidence of birth defects showed an increasing trend among local pregnant women ( >35 years old). Conclusion:The types of household registration and maternal age have certain impacts on perinatal birth defects. Corresponding intervention measures should be taken to lower the incidences of birth defects in this district.

2009 Vol. 17 (7): 416- [摘要]( 45 HTML (1 KBPDF (0 KB)  ( 136 )

李秋梅;孙丽芬

资料:某女,32岁,因宫内妊娠27周剧吐要求引产入院.G2P1,停经40d开始呕吐,每天数十次持续至今,且逐渐加重,不思饮食.体重由60kg降为45kg.经不定期间断住院,给予生理盐水、林格氏液、10%葡萄糖、脂肪乳等补充液体能量,及纠正电解质紊乱和酸中毒治疗至今,呕吐无缓解,故要求引产终止妊娠.

2009 Vol. 17 (7): 418- [摘要]( 31 HTML (1 KBPDF (0 KB)  ( 125 )

李练兵;崔蓉;丁裕斌;吕静;张丹妍;王典;李新生;杨皓;王应雄;马明福

目的:抢救性收集遗传性白内障家系资源,初步建立白内障遗传资源库.方法:利用本市出生缺陷监测网络系统,开展遗传性白内障调查以及家系成员患病状况调查,并经过专科检查、遗传学表型和系谱分析确认遗传性白内障家系.抽取患者和正常家庭成员外周血,提取DNA.结果:鉴定检查2个家系,共25人,其中遗传性白内障患者7人,系谱分析确认该病在这两个家系中的遗传方式均为常染色体显性遗传;收集到散发病例25个.外周血提取基因组DNA,质量经琼脂糖凝胶电泳确认带纹明显、清晰,效果佳.提取DNA样本储存-80℃冰箱.结论:成功地获得到2个遗传性白内障家系的详细背景资料、血样及基因组DNA,初步建立遗传性白内障遗传资源库.为全基因组扫描,寻找该病的易感基因及其初步定位奠定基础.

Abstract:
Objective:To conserve the resources of hereditary cataract pedigrees and initially establish its ge-netic resource. Methods:Hereditary catarct and sickness status of family member were investigated using the monitoring network system for birth defects in our city. And hereditary cataract pedigrees were confirmed through special examination, genetic phenotype and pedigree analysis. Peripheral blood samples were col-lected from patients and normal family members, and then DNA samples were extracted. Results:2 parenta-ges (25 cases) were identified and 7 cases were confirmed as hereditary cataract. Pedigree analysis showed that autosomal dominant inheritance was the mode of inheritance in these 2 parentages. 25 sporadic cases were collected in this study. Genomic DNA was extracted from peripheral blood, and the qualities of DNA were detected using agarose gel electrophoresis (AGE). DNA samples were then conserved at -80℃. Con-clusion:Detailed background information, blood samples and genomic DNA of 2 hereditary cataract pedi-grees are obtained successfully, and hereditary cataract genetic resource is established initially. The progress of this study may lay foundation for genome- wide scanning, searching for predisposing genes and its initial localization.

2009 Vol. 17 (7): 419- [摘要]( 51 HTML (1 KBPDF (0 KB)  ( 3 )

李军

目的:回顾性分析本院33年来妊娠10-16周住院引流产病例,评价终止10~16周妊娠的方法.方法:随机选择本院1975~2007年妊娠10~16周住院引流产妇女515例,对其一般情况、引流产方法、引流产时间及效果进行分析.结果:随着年代递近,引产者年龄变轻、未产妇比例增长(P<0.01);妊娠时间和孕产次缩短(P<0.01).终止10~16周妊娠的引产方法从原始的天花粉结晶蛋白引产、水囊引产、钳刮术和依沙吖啶引产逐渐转变为米非司酮配伍前列腺素引产,后者产程短、引产成功率高、出血量较少.水囊和依沙吖啶引产方法失败率较高;天花粉引产时间最长;水囊钳刮方法产后出血发生率最高.结论:终止10~16周妊娠以米非司酮配伍前列腺素引产方法更安全有效,其清宫率比较高,尚需进一步探讨.

Abstract:
Objective:To retrospoctively analyze the hospitalized abortion cases with 10 - 16 weeks gestation from 1975 to 2007, and evaluate the methods of termination of 10 - 16 weeks pregnancy. Methods:515 hospitalized abortion cases with 10 - 16 weeks gestation were selected randomly from 1975 to 2007. The general state of health, methods, time and effects of in-duced labor were analyzed. Results:With the era growing, the age of abortion applicants became younger, the rate of ipa-ra was higher ( P <0.01 ), the average gestational weeks and parity were shorter ( P <0.01 ). The methods of pregnancy ter-mination transformed from original trichosanthin, water bag, curettage and ethacridine induced labor into mifepristone with prostaglandin induction of labor, which had advantages of shorter labor, higher success rate and less amount of intrapartum hemorrhage. The failure rates of water bag and ethacridine induced labor were relatively higher, the intraportum of trichosan-thin induced labor was the longest, and the incidence of postpartum hemorrhage in water bag curettage was the highest. Con-clusion:The mifepristone with prostaglandin induction of labor is a safer and more effective for termination of 10 - 16 weeks pregnancy with its higher rate of uterine curettage, while its related mechanisms are needed further exploration.

2009 Vol. 17 (7): 421- [摘要]( 44 HTML (1 KBPDF (0 KB)  ( 145 )

刘向云;杨荣富;徐滢雯;谢琛静;王玖玖;胡文娟;蒋秀蓉;孙祖越

目的:探索简捷细胞培养方法并观察该方法对癌细胞特性的影响.方法:将复苏的OC-3-VGH卵巢癌细胞株不经洗涤直接移至细胞培养瓶,加入10ml RPMI-1640培养液,放入培养箱,余同传统方法,观察细胞生长情况;取细胞悬液,以细胞数4×106/ml,0.2ml/只接种至BALB/c雌性裸小鼠皮下,2个月后处死,取肿瘤组织制片,并与传统培养方法结果进行比较.结果:两种方法培养的细胞均生长活跃,皮下接种7d左右,裸鼠长出肿瘤,组织学检查未见明显差异.结论:改良细胞培养方法减少了传统方法的繁琐步骤,方便细胞培养.

Abstract:
Objective:To explore a modified cell culture method and observe its influences on characteristics of cell line OC-3-VGH of ovarian cancer. Methods:Resuscitated cells of ovarian cancer cell line OC-3-VGH were moved to cell culture bottle directly without washing, and put into incubaton after adding lOml RPMI - 1640 nutrient solution. The other processes were consistent with the traditional method, and the situation of cell growth was observed. Cell suspension (4 × 10<'6>/ml) was taken out and inoculated to BALB/c female nude mice (0.2ml per mouse). All mice were executed after 2 months, and tumor tis-sues were taken out. Tissue sections were prepared and compared with the traditional culture method. Results:Active cell growths were presented in the 2 cell culture methods. Tumor tissues were observed almost at the 7th day after hypodermic inoc-ulation. And there were no significant differences in histological examination. Conclusion:The modified cell culture method of this study is more convenient for cell culture than traditional method with its simple procedures.

2009 Vol. 17 (7): 424- [摘要]( 51 HTML (1 KBPDF (0 KB)  ( 213 )

于秋红

目的:观察各民族女大学生服用中药汤剂和中成药治疗脾肾虚型崩漏患者的疗效差异.方法:选取60名中央民族大学各民族女大学生患有月经不调,属脾肾虚型崩漏者,分成两组给予月经周期中药治疗,其中一组采用中药汤剂治疗,另一组采用中成药治疗.结果:经过3个月经周期治疗,中药汤剂治疗组痊愈50%,显效30%,有效13.3%,无效6.7%,总有效率93.3%;血红蛋白治疗前9.79gs/L,治疗后11.86g/L.中成药治疗组痊愈26.7%,显效20%,有效43.3%,无效10%,总有效率90%;中药汤剂治疗组血红蛋白增加幅度为2.07 g/L,中成药组为0.92g/L.结论:中药汤剂治疗组治愈率高,症状改善明显,患者体质恢复快,血红蛋白提升快,治疗效果好且疗效巩固.

Abstract:
Objective:To observe the differences of clinical effects of traditional Chinese medicine decoction and Chinese pa-tent medicine on uterine bleeding with spleen and kidney asthenia among female college students of different nationalities. Methods:60 female students suffered from irregular menses caused by uterine bleeding with spleen and kidney asthenia were selected from Minzu university of China. All cases were divided into 2 groups. One group was treated using traditional Chinese medicine decoction, and the other group was treated with Chinese patent medicine. Results :After 3 menstrual cycles of treat-ment, the recovery rate of the traditional Chinese medicine decoction group was 50% , with 30% of marked effectiveness, 13. 3% of positive effects, and 6. 7% of inefficiency. The total effective rate was 93.3%. The index of hemoglobin trans-formed from 9.79g/L to 11.86g/L after treatment. The recovery rate of the Chinese patent medicine group was 26.7%, with 20% of marked effectiveness, 43.3% of positive effects, and 10% of inefficiency. The total effective rate was 90%. The in-crease of hemoglobin in the traditional Chinese medicine decoction group (2.07g/L) was higher than the Chinese patent medi-cine group (0.92g/L). Conclusion:Traditional Chinese medicine decoction should be recommended for its better therapeutic efficacy and stable clinical effects such as high recovery rate, significant improvement of symptom, rapid recovery of physical fitness and swift promotion of hemoglobin.

2009 Vol. 17 (7): 426- [摘要]( 36 HTML (1 KBPDF (0 KB)  ( 5 )

云南白药集团股份有限公司

近年来,药品安全性事件频繁发生,国际上如罗非昔布因严重不良反应而在全球撤市、非街体抗炎药因潜在致心血管不良事件被规定在说明书中实行黑框警告等.国内也发生了如:泅县的甲肝疫苗事件、凯杰舒引起严重不良事件、穿唬宁引起儿童血小板下降事件、莲必治引起急性肾功能损伤事件、苯甲醇引起小儿臀肌挛缩症、"齐齐哈尔第二制药厂"假药事件、鱼腥草注射液等7个品种的严重过敏反应事件、"欣弗"事件等,这些从各个方面都提示药品上市后仍然存在用药风险问题.

2009 Vol. 17 (7): 428- [摘要]( 40 HTML (1 KBPDF (0 KB)  ( 4 )

钱希莲;贾翠娟

纵隔子宫属子宫发育异常,为放置宫内节育器(IUD)的禁忌证.笔者尝试给纵隔子宫妇女放置爱母功能性IUD(MCuIUD),取得良好效果,现报告如下.

2009 Vol. 17 (7): 429- [摘要]( 35 HTML (1 KBPDF (0 KB)  ( 135 )

杜乃哲;耿六顺;宋小会;张香改

输卵管不通或通而不畅是原发和继发不孕的主要原因之一,占不孕症的30%~40%.多继发于盆腔感染之后[1],临床治疗效果多不理想.笔者自2001年1月~2007年1月采用输卵管通液联合中药灌肠及微波理疗综合治疗盆腔炎性输卵管不通110例,并进行疗效观察,报告如下.

2009 Vol. 17 (7): 430- [摘要]( 39 HTML (1 KBPDF (0 KB)  ( 6 )

周桂芳;张海燕;韩玉萍

上世纪60年代后期,Zipper和Tietze等研制出含铜宫内节育器(IUD).通过Cu2+改变宫腔内环境影响孕卵着床,并且Cu2+具有杀精作用和细胞毒性作用,因此明显提高了IUD的避孕效果,但也产生了置器后月经过多的问题.为了减少放置含铜IUD后的出血,国内先后研制了含孕激素、含抗纤溶药物和抗前列腺素药物的IUD[1].

2009 Vol. 17 (7): 431- [摘要]( 34 HTML (1 KBPDF (0 KB)  ( 140 )

孙秀丽;尚艳红

剖宫产瘢痕妊娠(CSP)是指孕囊、受精卵或胚胎着床于剖宫产术后切口瘢痕上,属于异位妊娠的一种,是一种较罕见的剖宫产远期并发症,常因误诊行人工流产术而引起大出血,甚至切除子宫.近几年来,随着剖宫产率的增高,此病的发生率也呈上升趋势.本文总结本院自2000年1月~2007年6月诊治的26例CSP病例,以期为临床早期诊断、早期处理提供依据.

2009 Vol. 17 (7): 433- [摘要]( 34 HTML (1 KBPDF (0 KB)  ( 127 )

卜律花

应用多维元素和非甾体的前列腺素合成酶抑制剂(IMC)对280例少精弱精患者进行临床治疗效果观察,报告如下.一、对象与方法1.对象280例男性少精弱精症患者,精子计数均<20×106/ml,精子活动度<30%;平均年龄29.4(23~40)岁,平均不育时间3.7(1~6)年.

2009 Vol. 17 (7): 434- [摘要]( 39 HTML (1 KBPDF (0 KB)  ( 155 )

郭秋云

终止10~16周妊娠,由于子宫及胎儿均较大,处理起来比较棘手.虽然一些研究证明,用米非司酮配伍米索前列醇流产效果肯定[1,3],但宫颈坚硬者宫颈口扩张较慢,服药后至胎儿排出时间相对较长,笔者使用一次性宫颈扩张棒效果显著.现报告如下.

2009 Vol. 17 (7): 435- [摘要]( 34 HTML (1 KBPDF (0 KB)  ( 130 )

金利婷;李建华

无痛人工流产术避免了疼痛给受术者带来的恐惧,但术前宫颈条件是手术操作顺利与否的重要前提,尤其是初孕妇女.为提高手术成功率,减少术后并发症,笔者观察无痛人工流产术前行宫颈准备的临床效果,报告如下.

2009 Vol. 17 (7): 436- [摘要]( 29 HTML (1 KBPDF (0 KB)  ( 134 )

杨吉芬

我站自2006年1月~2008年12月共做胎儿畸形终止妊娠手术84例,为提高畸形胎儿产前诊断水平,本文对此总结分析如下.一、对象与方法1.对象本站及下乡做生殖健康服务检查的孕妇,孕10~36周,年龄23~37岁,其中1胎54例,2胎30例,均居住在山区.

2009 Vol. 17 (7): 437- [摘要]( 31 HTML (1 KBPDF (0 KB)  ( 146 )

党艳丽;张文颖;杜建新;陆野燕;王彦平;解放军

资料:某女,34岁,既往体健.因人工流产术后2个月,间断性阴道流血10d,经量多,晕厥2次,于2008年12月7日人院.平素月经规律,初潮15岁,经期4d,周期30d,经量中等,无痛经.GSP1,2003年5月14日自然分娩一男婴,人工流产4次.2003年放置IUD,于2007年3月取出.

2009 Vol. 17 (7): 438- [摘要]( 32 HTML (1 KBPDF (0 KB)  ( 136 )

闫木菊;刘淑荣;关利佳

资料:某女,23岁,已婚,因停经2+个月,阴道不规则流血伴下腹痛20d,加重1d,于2008年4月14日入院.既往体健,婚后1年多未孕,无手术史.入院查体:BP 16.0/10.7kPa(1mmHg=0.133kPa),P 84次/min,一般情况可.妇科检查:已婚外阴,阴道畅,少许血性分泌物,宫颈光滑,轻举痛,后穹窿略饱满,子宫后位,轻压痛,大小不清,左附件区增厚,未触及明显包块.

2009 Vol. 17 (7): 439- [摘要]( 33 HTML (1 KBPDF (0 KB)  ( 137 )

王增杰;周敏

多囊卵巢综合征(PCOS)是育龄妇女常见的一种内分泌代谢异常性疾病,是排卵障碍性不孕的主要原因[1,2],国外报道群体中患病率为5%~10%.常见的临床表现有不孕、多毛、肥胖及月经紊乱等,其远期并发症如:Ⅱ型糖尿病、高血压、心血管疾病等的发生明显早于、高于对照群体,严重威胁女性的健康和生命质量[2].

2009 Vol. 17 (7): 440- [摘要]( 24 HTML (1 KBPDF (0 KB)  ( 136 )

童哲峰

为贯彻落实全国人口和计划生育队伍职业化建设工作会议精神,明确今后一个时期职业化建设的工作思路和目标任务,2009年5月10日~6月2日,陕西省计划生育技术指导所承办了三期"全省生殖健康咨询师师资培训班".省人口计生委党组书记、副主任何振基出席开班仪式并讲话.

2009 Vol. 17 (7): 442- [摘要]( 20 HTML (1 KBPDF (0 KB)  ( 2 )

左文莉

孕卵着床于子宫既往剖宫产瘢痕处称之子宫剖宫产瘢痕妊娠(CSP).1978年Larsen及Solomon首次报告了1例CSP,并提出了这一概念[1],CSP是一种极少见的异位妊娠,事实上是一种特殊的子宫肌层妊娠[2,3].

2009 Vol. 17 (7): 443- [摘要]( 31 HTML (1 KBPDF (0 KB)  ( 139 )

白玉玲

近日,新疆地(县、市)人口和计划生育科技管理干部培训班在国家人口计生委南京人口国际培训中心举办,来自全疆14个地(州、市)人口计生委科技处(科)长、指导所所长和11个自治区级标准化规范化服务站建设试点县(市)人口计生委的负责人共计37人参加了为期10天的培训.

2009 Vol. 17 (7): 446- [摘要]( 15 HTML (1 KBPDF (0 KB)  ( 5 )

王聪;汝小美

艾滋病预防与生殖健康/计划生育服务相结合国际合作项目交流会(关注流动人口)于2009年3月在山西省太原市举行,国家人口计生委国际合作司、流动人口管理和服务司以及全球基金三轮中国艾滋病项目、联合国人口基金、联合国艾滋病规划署代表出席了会议,来自19个省31个项目点的代表参加交流.

2009 Vol. 17 (7): 446- [摘要]( 14 HTML (1 KBPDF (0 KB)  ( 3 )

韩丽晖;范光升;程利南;李坚

中华医学会计划生育学分会第七次全国学术会议于2009年3月25~27日在江西省南昌市召开,来自全国各地的200余名学者参加了此次学术会议.会议共收到交流论文200余篇,学术交流涉及基础研究、终止妊娠、避孕药具、男女节育手术、生殖健康、不孕不育和辅助生殖技术及等方面.

2009 Vol. 17 (7): 447- [摘要]( 24 HTML (1 KBPDF (0 KB)  ( 5 )

叶丽君

近日,福建省制定了<计生技术服务队伍人员准入规范>.①要认真落实<国家人口计生委关于进一步加强基层人口和计划生育服务体系建设的意见(试行)>要求,合理配置县乡计划生育服务站(所)计生技术人员.

2009 Vol. 17 (7): 448- [摘要]( 21 HTML (1 KBPDF (0 KB)  ( 3 )

杨晓波

为了拓展黑龙江省人口学研究的深度与广度,建立国际人口学研究的交流和对接,黑龙江省计划生育科研所于2009年5月18日举行主题为"人口研究的前沿与挑战"国际学术研讨会,特邀澳大利亚国立大学人口社会研究所终身教授赵中维博士为主讲人.

2009 Vol. 17 (7): 448- [摘要]( 25 HTML (1 KBPDF (0 KB)  ( 3 )