心理干预联合米索前列醇及宫腔手术监测系统在绝经后妇女取出IUD术中的应用效果观察  

Effect of Psychological Intervention Combined with Misoprostol and Uterine Cavity Operation Monitoring System in the Removal of IUD in Postmenopausal Women

作　　者：朱清 王军凯[2] ZHU Qing;WANG Junkai(Tengzhou Maternal and Child Health Care Hospital,Tengzhou 277500,China)

机构地区：[1]山东省滕州市妇幼保健院,山东滕州277500 [2]山东省滕州市中心人民医院

出　　处：《中国医学创新》2018年第8期85-88,共4页Medical Innovation of China

摘　　要：目的:观察多措施联合即心理干预联合米索前列醇及宫腔手术监测系统在绝经后妇女取出宫内节育器(IUD)术中的应用效果。方法:选取2016年2月-2017年2月在本院接受IUD取出术的绝经后妇女180例,按照随机数字表法将其分为对照组和观察组,各90例。两组均在术前给予米索前列醇软化宫颈,在此基础上,观察组在围术期给予心理干预措施,并在宫腔手术监测系统引导下进行IUD取出术;对照组接受常规取出IUD术及常规护理。观察两组宫颈软化程度、术中出血量、取器时间、术中疼痛评分(VAS)、取器效果、不良反应、焦虑状态评分(SAI)、满意度。结果:观察组术中出血量、取器时间及VAS评分均少于对照组,比较差异均有统计学意义(P<0.05);术后,两组SAI评分均低于术前,且观察组低于对照组,比较差异均有统计学意义(P<0.05);观察组取器成功率、总体满意度为100%、96.67%,均高于对照组的83.33%、86.67%,比较差异均有统计学意义(X^2=16.364、5.891,P=0.000、0.015);观察组不良反应发生率为6.67%,低于对照组的16.67%(X^2=4.367,P=0.037)。结论:心理干预联合米索前列醇及宫腔手术监测系统用于绝经后妇女取器术,能提高手术的安全性和成功率,改善受术者心理焦虑状态,提高总体满意度,值得临床推广应用。Objective:To observe multiple measures that a combination of psychological intervention combined with Misoprostol and uterine cavity operation monitoring system in the removal of intrauterine device(IUD)in postmenopausal women.Method:A total of 180 postmenopausal women who received IUD removal in our hospital from February 2016 to February 2017 were selected,according to the random number table method,they were divided into control group and observation group,90 cases in each group.They were given Misoprostol to soften the cervix before operation,on this basis,the observation group received psychological intervention in perioperative period,and IUD removal was performed under uterine cavity operation monitoring system guidance,the control group received routine IUD and routine nursing.The degree of cervical softening,intraoperative blood loss,taking IUD time,intraoperative pain score(VAS),taking out IUD effect,adverse reaction,state anxiety score(SAI)and satisfaction degree of two groups were observed.Result:The intraoperative blood loss,taking IUD time and VAS score in observation group were less than those in control group,the differences were statistically significant(P<0.05).After operation,SAI scores of two groups were lower than those of before operation,and the observation group was lower than that of control group,the differences were statistically significant(P<0.05).The success rate and overall satisfaction of observation group were 100%and 96.67%,which were higher than 83.33%and 86.67%of control group,the differences were statistically significant(x2=16.364,5.891,P=0.000,0.015).The adverse reaction rate in observation group was 6.67%,which was lower than 16.67%in control group(x2=4.367,P=0.037).Conclusion:Multiple measures that a combination of psychological intervention combined with Misoprostol and uterine cavity operation monitoring system in the removal of IUD in postmenopausal women,can improve the safety and success rate of the operation,improve the state of psychological anxiety and the overall

关 键 词：心理干预 米索前列醇 宫腔手术监测系统 宫内节育器取出术 绝经后妇女 

分 类 号：R473.71[医药卫生—护理学]