探讨围手术期护理对腹腔镜子宫肌瘤切除患者的干预效果  

The Effect of Perioperative Nursing in Patients With Laparoscopic Resection of Uterine Fibroids

作　　者：张晓梅[1] 王立媛[1] 卢海侠[1] 李婧[1] 孔庆宇[1] 

机构地区：[1]黑龙江省绥化市第一医院,152053

出　　处：《中国卫生标准管理》2015年第21期214-215,共2页China Health Standard Management

摘　　要：目的探讨腹腔镜子宫肌瘤切除患者接受围手术期护理的效果。方法 2011年7月~2014年8月我院共接收92例子宫肌瘤患者,使用腹腔镜治疗,将这些患者分成对照组和观察组,各有46例,对照组使用常规护理,观察组使用围手术期护理,对两组的临床护理情况进行对比分析。结果观察组肛门排气时间、住院时间、手术时间、术中出血量分别为（7.67±1.85）h、（3.03±1.46）d、（66.64±12.03）min、（101.35±22.03）ml与对照组（11.03±2.48）h、（5.82±1.61）d、（72.38±11.98）min、（121.85±25.69）ml比较较低,对比差异有统计学意义（P〈0.05）;两组止痛剂使用率比较差异无统计学意义（P〉0.05）,不良反应发生率21.74%与对照组47.83%比较较低（P〈0.05）。结论围手术期护理可以减少患者的康复时间,促进伤口愈合,临床中效果突出。Objective To investigate the effect of perioperative nursing of patients undergoing laparoscopic resection of uterine fibroids. Methods From August 2014 to July 2011,92 cases of patients with uterine fibroids were received. The patients were divided into control group and observation group. 46 cases were treated with conventional nursing. The clinical nursing of two groups were compared. Results In observation group,anal exhaust time,hospitalization time,operative time,bleeding volume,respectively were（7.67±1.85）h,（3.03±1.46）d,（66.64±12.03）min,（101.35±22.03）ml and the control group were（11.03±2.48）h,（5.82±1.61）d,（72.38±11.98）min,（121.85±25.69）ml,the observation group was significantly lower,and the difference had statistical significance（P 0.05）. Two groups of analgesic use rate＇difference had not statistically significant（P 0.05）. The adverse reactions occurred rate of 21.74% in observeation group than control group 47.83% was significantly lower（P 0.05）. Conclusion Perioperative nursing can reduce the recovery time of patients,promote wound healing,and the clinical effect is outstanding.

关 键 词：围手术期 护理 腹腔镜 子宫肌瘤 

分 类 号：R473.71[医药卫生—护理学]