简介:摘要:认罪认罚从宽制度是一项重大司法制度创新,在推进国家治理体系和治理能力现代化过程中有着重要作用。通过实证研究发现,侦查机关存在认罪认罚从宽过程中存在告知制度设计粗略、“程序从宽”体现不足、嫌疑人认罪认罚判断简单等形式化积弊,因此需要从告知、强制措施适用、认罪认罚判断等多个方面进行完善,方能实现制度设计的初衷。
简介:【摘要】:目的:探讨中 /晚孕期检查在胎儿畸形诊断中的价值。方法:于 2007年 12月至 2020年 1月 ,对我院500例高危妊娠孕妇分别进行孕期中、晚期检查,以妊娠终止后检查结果为诊断金标准,分析中、晚诊断胎儿畸形的灵敏度、特异度、准确率,分析中、晚期诊断结果与诊断金标准的一致性,并比较中、晚期对不同类型胎儿畸形的诊断符合率。结果:参照诊断金标准,晚期诊断胎儿畸形的灵敏度、特异度、准确率均高于中期( P<0.05)。中期诊断结果与诊断金标准之间具有高度一致性,晚期诊断结果与诊断金标准之间仅具有中度一致性。中期对先天性心脏病、四肢发育异常、唇腭裂的诊断符合率均高于晚期( P<0.05)。结论:中期产前检查用于产前胎儿畸形筛查中具有良好的诊断价值,可灵敏检出胎儿畸形,对胎儿畸形类型进行准确鉴别区分。
简介:摘要:目的:探析阴道 B超、腹部 B超在妇产科急腹症诊断中的运用价值。方法:此次实验的研究对象为:于 2018年 6月 -2020年 1月 间收治的妇产科急腹症患者,共120例患者,所有研究对象均接受腹部 B超和阴道 B超对盆腔进行检查,所有患者在诊断完成后,分析相关数据,记录其中存在的问题。结果:在本次实验结果中显示阴道 B超检查的诊断急性盆腔炎、异位妊娠以及宫内占位性病灶、盆腔包块诊断符合率,相较于腹部 B超来说,诊断准确率更高,数据对比差异显著( P< 0.05)。结论:在对妇产科急腹症患者进行诊断时,应用阴道 B超进行诊断,能够清晰显示出患者的盆腔情况,能够提高患者的临床诊断结果,而在实际应用过程中可将腹部 B超联合阴道 B超检查,应用于患者的诊断中,这样能够保证诊断准确率,避免漏诊或误诊的情况。
简介:摘要:众所周知,电气工程自动化技术应用越来越广泛。电气工程自动化技术在我国电气工程发展当中发挥着不可替代的作用,因此,為实现我国电气工程的更好发展。需要对电气自动化技术进行充分利用,发挥其优势与功能,为电气工程当中各环节工作提供更多便利,为我国电气工程的发展提供保障。本文基于电力系统运行中的电气工程自动化技术应用展开论述。
简介: 【摘要】目的 观察左氧氟沙星联合微波治疗慢性盆腔炎的临床疗效。方法 选择我院于 2017年 3月~ 2019年 3月收治的慢性盆腔炎患者共 140例,随机分为研究组及对照组两组,每组 70例,对照组给予替硝唑片及微波治疗,研究组在对照组治疗方案的基础上,再予盐酸左氧氟沙星胶囊口服治疗,两组均治疗 2周。结果 经治疗 2个疗程后,研究组治愈 15例(占 21.43%),显效 34例(占 48.57%),有效 16例(占 22.86%),无效 5例(占 7.1),总有效率为 92.86%;对照组治愈 9例(占 12.86%),显效 22例(占 31.43%),有效 25例(占 35.71%),无效 14例(占 20.00%),总有效率为 80.00%。两组比较,有显著性差异( P<0.05),研究組效果明显优于对照组。结论 左氧氟沙星联合微波治疗慢性盆腔炎,效果较好,值得推广。 【关键词】慢性盆腔炎;左氧氟沙星;微波;疗效观察 [Abstract] Objective To observe the clinical effect of levofloxacin combined with microwave in the treatment of chronic pelvic inflammation. Methods a total of 140 patients with chronic pelvic inflammatory disease admitted to our hospital from March 2017 to March 2019 were randomly divided into two groups: the study group and the control group, with 70 cases in each group. The control group was given tinidazole tablets and microwave treatment. The study group was given levofloxacin hydrochloride capsule oral treatment on the basis of the treatment plan of the control group, and both groups were treated for two weeks. Results after two courses of treatment, 15 cases were cured (21.43%), 34 cases were effective (48.57%), 16 cases were effective (22.86%), 5 cases were ineffective (7.1), the total effective rate was 92.86%; 9 cases were cured (12.86%), 22 cases were effective (31.43%), 25 cases were effective (35.71%), 14 cases were ineffective (20.00%), the total effective rate was 80.00%. There was significant difference between the two groups (P < 0.05). Conclusion levofloxacin combined with microwave is effective in the treatment of chronic pelvic inflammatory disease, which is worth popularizing.
简介: 【摘要】 目的:探讨和分析子宫内膜厚度测量在激素治疗围绝经期功血中的应用价值。方法:收集 2017年 2月 -2019年 6月于笔者所在医院诊断为围绝经期功血的 100例患者作为此次研究的对象,依据入院时间的先后,随机分为两组:研究组(采取测定子宫内膜厚度用于指导激素治疗)和对照组(凭经验进行激素治疗),每组 50例。两组患者均进行 1个疗程( 2个月)的治疗。对治疗前后两组患者卵泡刺激素( FSH)、雌二醇( E2)、黄体生成素( LH)指标及围绝经期功血治疗的效果进行比较。结果:治疗前,两组患者的 FSH、 E2、 LH比较差异无统计学意义( P>0.05)。经过 1个疗程的治疗后,两组患者的相关指标均有所改善,但研究组改善程度优于对照组,比较差异有统计学意义( P<0.05)。经过 1个疗程的治疗后,对照组无效 8例,调经成功率为 84%( 42/50),研究组无效 4例,调经成功率为 92%( 46/50),两组比较差异有统计学意义( P<0.05)。结论:通过 B超检测子宫内膜厚度用于指导激素治療围绝经期功血具有较好的效果,对改善相关激素水平疗效肯定。 【关键词】 子宫内膜厚度; 激素; 围绝经期; 功血 [Abstract] Objective: To explore and analyze the application value of endometrial thickness measurement in hormone treatment of perimenopausal dysfunctional uterine bleeding. Methods: 100 cases of dysfunctional uterine bleeding in perimenopause diagnosed in the hospital of the author in February 2017 -2019 June were collected as the objects of this study. According to the time of admission, they were randomly divided into two groups: the study group (to measure endometrial thickness for hormone treatment) and the control group (to conduct hormone treatment based on experience), with 50 cases in each group. Two groups of patients were treated with a course of treatment (2 months). The indexes of FSH, E2, LH and the effect of dysfunctional uterine bleeding in perimenopause were compared before and after treatment. Results: before treatment, there was no significant difference in FSH, E2 and LH between the two groups (P > 0.05). After one course of treatment, the relevant indexes of the two groups were improved, but the improvement degree of the study group was better than that of the control group, the difference was statistically significant (P < 0.05). After one course of treatment, 8 cases were ineffective in the control group, and the success rate of regulating menstruation was 84% (42 / 50). 4 cases were ineffective in the study group, and the success rate of regulating menstruation was 92% (46 / 50). The difference between the two groups was statistically significant (P < 0.05). Conclusion: B-ultrasonic examination of endometrial thickness for hormone therapy perimenopausal dysfunctional uterine bleeding has a good effect on improving the level of related hormones.