手术室无缝隙护理在子宫肌瘤行腹腔镜下子宫切除术患者中的应用研究  

Application of seamless nursing in operating room in patients with uterine myoma undergoing laparoscopic hysterectomy

作　　者：刘婵 樊孝文 陶晓坤[3] Liu Chan;Fan Xiao-wen;Tao Xiao-kun(Department of Anesthesiology,Operating Room,Henan Provincial Staff Hospital,Zhengzhou 450000,China;Department of Surgery,Henan Provincial People's Hospital,Zhengzhou 450000,China;Department of Surgery,The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)

机构地区：[1]河南省职工医院手术室麻醉科,河南郑州450000 [2]河南省人民医院手术部,河南郑州450000 [3]郑州大学第一附属医院手术部,河南郑州450000

出　　处：《四川生理科学杂志》2022年第11期1918-1920,1943,共4页Sichuan Journal of Physiological Sciences

摘　　要：目的:探究手术室无缝隙护理对子宫肌瘤行腹腔镜下子宫切除术患者的手术指标、血流动力学、心理状态、下肢深静脉血栓形成(Deep vein thrombosis of the lower extremity,DVT)发生率的影响。方法:选取2021年1月至2022年4月期间我院行子宫切除术患者60例作为研究对象,根据护理方案不同,分为常规护理组与无缝隙护理组,各30例。常规护理组采用常规护理的模式,无缝隙护理组在常规护理基础上采用无缝隙护理模式,比较两组手术操作时间、术中总出血量、总住院时间、DVT发生率、干预前后的状态焦虑评分、特质焦虑评分、血浆黏度、高切黏度及低切黏度水平。结果:无缝隙护理组总住院时间、手术操作时间均较常规护理组短,术中总出血量少于常规护理组,下肢DVT发生率低于常规护理组(P<0.05)。干预后,两组状态焦虑评分与特质焦虑评分均较干预前大幅减小(P<0.05),且无缝隙护理组低于常规护理组(P<0.05)。干预后,两组的血浆黏度、高切黏度、低切黏度均明显下降,且无缝隙护理组下降更为明显(P<0.05)。结论:无缝隙护理组模式可提高护理干预的整体性与连续性,降低子宫切术患者术后下肢深静脉血栓发生风险,改善患者情绪状态,降低血液粘度,值得推广。Objective:To explore the surgical indicators,hemodynamics,psychological status,incidence of deep vein thrombosis of the lower extremity(DVT)in patients with uterine fibroids who underwent laparoscopic hysterectomy with seamless nursing in the operating room.Methods:A total of 60 patients who underwent hysterectomy in our hospital from January 2021 to April 2022 were selected as the research subjects.According to different nursing plans,they were divided into routine nursing group and seamless nursing group,with 30 cases in each group.The routine nursing group were treated with routine nursing ways,while the seamless nursing group were treated with seamless nursing ways based on routine nursing.The operation time,total intraoperative blood loss,total hospital stay,incidence of DVT,and state anxiety scores,trait anxiety scores,blood flow velocity,high shear viscosity,low shear viscosity before and after intervention were compared between the two groups.Results:The total hospital stay and operation time in the seamless nursing group were shorter than those in the routine nursing group,the total intraoperative blood loss was less than that in the routine nursing group,and the incidence of DVT was lower than that in the routine nursing group(P<0.05).After the intervention,the state and trait anxiety scores in both groups were significantly reduced(P<0.05),and the seamless nursing group was lower than the routine nursing group(P<0.05).After the intervention,plasma viscosity,high-cut viscosity and low-cut viscosity in both groups were significantly decreased,and the decrease extents of those indicators in the seamless nursing group were higher than those in the conventional nursing group(P<0.05).Conclusion:The seamless nursing can improve the integrity and continuity of nursing intervention,reduce the risk of DVT after hysterectomy,improve the emotional state of patients,reduce blood viscosity,which is worthy of promotion..

关 键 词：子宫切除术 手术室护理 无缝隙护理 手术操作时间 出血量 

分 类 号：R473.73[医药卫生—护理学]