不同的护理方法对解除妇科腹腔镜术后并发症的效果比较  

Comparison of effect of different nursing methods for relieving complications after gynecologic celioscope operation

作　　者：黄丽红 伍春兰[4] 何妙东 彭文湃 尹碧姚[4] 钟翠芳 

机构地区：[1]深圳市罗湖区妇幼保健院质控办,518019 [2]深圳市罗湖区妇幼保健院手术室,518019 [3]深圳市罗湖区妇幼保健院妇产科,518019 [4]深圳市第五人民医院妇产科

出　　处：《中华现代护理杂志》2009年第19期1804-1807,共4页Chinese Journal of Modern Nursing

基　　金：深圳市科技计划项目（200404169）

摘　　要：目的比较不同的护理方法对解除妇科腹腔镜术后与气腹相关的并发症的效果。方法选取行腹腔镜妇科手术后病例207例，随机分为按摩组、仪器组、常规组，每组各69例，按摩组用穴位按摩，仪器组用微波仪器治疗，常规组进行常规术后护理，观察比较三种方法对缓解非切口疼痛、恶心呕吐、促进胃肠功能恢复及促进排尿等的作用。结果常规组肩痛程度、术后恶心呕吐程度和持续时间均高于按摩组和仪器组，差异有统计学意义（P〈0．01）；按摩组和仪器组患者平均第1次排尿时间均短于常规组，满意度高于常规组，差异有统计学意义（P〈0．05）。结论妇科腹腔镜术后采用穴位按摩、微波仪器治疗等物理方法治疗可有效预防和缓解术后并发症。Objective . To compare the effect of different ways of nursing that might relieve the complications related with eventuation after gynecologic celioscope operation. Methods 207 patients after gynecologic operation were selected and divided randomly into： massage group, instrument group, and ordinary group. Each group consists of 69 cases. For massage group, artificial massages at the points were given to the patients. For instrument group, microwave devices were used to heal the patients. And for ordinary group, regular cares of post-operation were conducted. We observed and compared the effects of the three methods, including relieving pains irrelevant to incision, preventing nausea and vomit, facilitating gastrointestinal tract recovery, and promoting emiction, etc. Results The degrees of shoulder pains, nausea and vomit, and the duration thereof, in the ordinary group were more serious than that of the massage group and the instrument group with a statistical significance （ P 〈 0. 01 ）. The average time for first emiction of the patients in the instrument group and the massage group was shorter than the ordinary group. Degree of satisfaction of the patients in the instrument group and the massage group was higher than the ordinary group （ P 〈 0. 05 ）. Conclusions Adopting the point-massage, microwave and relevant physiotherapy after gynecologic eelioscope operation can effectively prevent from and relieve the complications of post operation.

关 键 词：妇科外科手术 体腔镜 物理疗法 手术后恶心呕吐 非切口疼痛 

分 类 号：R473.71[医药卫生—护理学]