CAJ | 학술논문

目的：研究中国援非医疗队在佛得角首都医院（Hospital Agostinho-neto，HAN）采取中国术式与佛得角本国术式治疗妇产科疾病的临床疗效，为在HAN建立中国病房（计划生育专业）提供临床实践依据。方法将HAN门诊100例自愿要求终止妊娠患者，随机分为实验组（A组）与对照组（B组），每组50例，A组由中国医生采取负压吸引术治疗，B组由佛得角医生采用子宫刮匙术治疗；另选取该院需行输卵管结扎患者60例，分为实验组（A1组）与对照组（B1组），每组30例，A1组由中国医生行腹腔镜下输卵管结扎术治疗，B1组由佛得角医生行传统输卵管结扎术治疗；分别观察两种疾病在两种不同术式治疗下手术时间、术中出血、术后疼痛等情况。结果两种疾病的实验组在手术时间、术中出血、术后疼痛等方面与对照组比较具有明显优势，差异有统计学意义（P＜0.05）。结论中国援非医疗队在HAN开展妇产科手术具有明显优势，探索建立援HAN中国病房（计划生育专业病区），对发挥中国援非医疗队优势、促进我国援非医疗工作具有重要意义。
목적：연구중국원비의료대재불득각수도의원（Hospital Agostinho-neto，HAN）채취중국술식여불득각본국술식치료부산과질병적림상료효，위재HAN건립중국병방（계화생육전업）제공림상실천의거。방법장HAN문진100례자원요구종지임신환자，수궤분위실험조（A조）여대조조（B조），매조50례，A조유중국의생채취부압흡인술치료，B조유불득각의생채용자궁괄시술치료；령선취해원수행수란관결찰환자60례，분위실험조（A1조）여대조조（B1조），매조30례，A1조유중국의생행복강경하수란관결찰술치료，B1조유불득각의생행전통수란관결찰술치료；분별관찰량충질병재량충불동술식치료하수술시간、술중출혈、술후동통등정황。결과량충질병적실험조재수술시간、술중출혈、술후동통등방면여대조조비교구유명현우세，차이유통계학의의（P＜0.05）。결론중국원비의료대재HAN개전부산과수술구유명현우세，탐색건립원HAN중국병방（계화생육전업병구），대발휘중국원비의료대우세、촉진아국원비의료공작구유중요의의。
Objective To discuss the curative effect of gynecological surgery with the Chinese operation technique adopted by the Chinese Medical Team and that with the operation technique adopted by the local doctors of Hospital Agostinho-neto(HAN). Methods 100 outpatiens in HAN applying for termination of pregnancy were randomly divided into 2 groups:group A and group B, 50 in each;vacuum suction was applied to the patients in group A by the Chinese doctor while uterine curettage was applied to the patients in group B by the doctors of HAN;another 60 cases to receive tubal ligation were selected and randomly divided into 2 groups:group A1 and group B1, 30 in each;endoscopic tubal ligation was performed on the patients in group A1by the Chinese doctors while traditional tubal ligationwas performed on patients in group B1 by doctors of HAN;observation was made to operation time length, bleeding in operation and postoperative pain in all the patients. Results Group A and group A1 were superior in operation time length, bleeding in operation and postoperative pain to group B and group B1, and the difference between groups was of statistical significance(P<0.05). Conclu-sions The operations performed by doctors of the Chinese Medical Team are of better clinical effect than those by doctors of HAN.