Ginecología y obstetricia de México
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Randomized Controlled Trial Comparative Study
[Clinical efficacy of fluconazole, tinidazole and clindamycin vs fluconazole, tinidazole and azithromycin in the treatment of mixed cervical-vaginal infections, included those caused by Mycoplasma and Chlamydia trachomatis].
In the United States 19 million people acquire a sexually transmitted disease every year. Sexually transmitted diseases impact in gynecological terms because they may cause sterility, infertility and ectopic pregnancy. ⋯ Both treatments showed similar effectiveness against mixed cervical-vaginal infections. Microbiological efficacy was of 96% and 100% in group A and B, respectively, besides, scheme of group B was better tolerated.
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Randomized Controlled Trial Comparative Study
[Comparison of maternal and perinatal outcomes in the conservative treatment preterm premature membrane rupture between the use of erythromycin and clindamycin].
premature rupture of membranes occurs between 5 and 15% of pregnancies, of these, 10% occurs at term and preterm 2 to 3.5%. ⋯ comparing the maternal and perinatal outcomes with conservative management of premature rupture of membranes, results were better in the group treated with erythromycin. It is not possible to prove it statistically because of the sample size.
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Randomized Controlled Trial
[Intrauterine misoprostol for the prevention of bleeding cesarean].
To evaluate efficacy of misoprostol by intrauterine route for the prevention of the obstetrical hemorrhage and to know its effects collaterals. ⋯ The intrauterine combination of misoprostol and oxitocin diminishes the postcaesarean sanguineous loss and has brings about few effects collaterals.
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Randomized Controlled Trial Clinical Trial
[Comparison of sevoflurane/nitrous oxide and thiopental/fentanyl in anesthesia for minor gynecologic surgery].
We studied 40 patients undergoing minor gynaecological surgery, anaesthetized in random order with sevoflurane-nitrous oxide or thiopental-fentanyl. Operating conditions, pain, recovery and postoperative nausea and vomiting were assessed. For postoperative analgesia, all patients were given dypiron 1 g intravenous at the end of anaesthesia. ⋯ The time of surgery were higher in patients given sevoflurane, (7 versus 5 minutes) this women had recovery faster (17 versus 72 minutes) became orientated, followed orders (11 versus 19 minutes) and were able to walk (17 versus 60 minutes) significantly (p < 0.05) earlier than those given thiopental. Modified Aldrete scores were also higher in sevoflurane group within the first hour after anaesthesia, there were no differences in woke up (9 versus 12 minutes) vital constants, intrauterine bleeding, pain, and frequency of postoperative nausea and vomiting (10% versus 10%) between the two groups. We conclude that sevofluranenitrous-oxide is preferable to thiopental-fentanyl in ultra-short anaesthesia for minor gynaecological surgery.
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Randomized Controlled Trial Comparative Study Clinical Trial
[Transcutaneous electric stimulation (TENS) to reduce pain after cesarean section].
The main goal of this work was to evaluate the efficacy of transcutaneous electrical nerve stimulation (n = 25), comparatively with the effects induced by the intravenous administration of 1 g of Dipyrone (n = 25), to reduce postoperative pain during the immediate period (4 hours) following cesarean section. We undertook a clinical study in order to analyze the following variables: pain intensity, duration of pain, and additional consumption of analgesic drugs. Our data showed that both treatments resulted insufficient in order to eliminate completely postoperative pain, requiring the administration of additional analgesic drugs. ⋯ These actions may be related to the position of the stimulus electrodes, as well as to the frequency of stimulation used in our study. Taken together, our results are indicative that transcutaneous electrical nerve stimulation constitutes an alternative treatment in order to reduce postoperative pain during the immediate period following cesarean birth; reduces the requirements of analgesic drugs; helps on keeping alert the mothers and therefore able to attend the newborn; and avoids secondary effects of analgesic drugs over mother-newborn relationship. Nevertheless, it is necessary to further explore transcutaneous electrical nerve stimulation, changing the position of the stimulus electrodes, and the frequency of stimulation, in order to evaluate its effects on visceral pain.