老年妇科住院患者164例分析及护理对策.DOCVIP

临床医学论文-老年妇科住院患者164例分析及护理对策 ??????????????????? 作者：欧阳秀珍，纪燕琴，黄凤英? 【关键词】? 老年妇女；妇科疾病；围手术期；护理 　　［摘? 要］ 目的：探讨60岁以上患者妇科疾病的临床特点，病种类型及围手术期相关问题及护理对策。方法：对164例60岁以上妇科住院患者进行回顾分析。结果：资料显示老年妇科疾病中以生殖器恶性肿瘤(39.6%)和子宫脱垂伴阴道壁膨出(23.78％)最常见，以阴道流血、白带异常为最常见临床症状。125例手术治疗患者安全渡过围手术期。结论：根据老年妇科疾病的临床特征进行早期诊断，早期治疗、手术方式选择恰当，术前准备充分，加强术中、术后护理，绝大多数老年妇科患者能顺利渡过围手术期，健康生活。 　　［关键词］ 老年妇女；妇科疾病；围手术期；护理 　　Analyse and Nursing Countermeasure of old Inpatients of Gynecology of 164 Cases 　　Abstract：Objective To exlpore the clinical characteristists,types of diseases and its relatednursing problems during the preioperative period in with gynecologic diseases over sixty.Methods 164 patients with gynecologic diseases over sixty were retrospectively reviewed.Results Material shows that genital malignant tumor(39.6％)and uterine prolapse with cystocele or rectocele(23.28％) weretthe most common diseases with symptoms of vaginal bleeding or abnormal leucorrhea in elderly women with gynecologic diseases.In which 126 patients were spent their perioperative period safely.Conculusion Most of elderly gynecologic patients can spent their perioperative period smoothly and live a happy life they were received,according to its clinical characteristics of gynecologic diseases,a timely diagnose and treatment as well as a right ane well prepared operation and an careful nurse. 　　Key words：Elderly women；Gynecologic diseases；Perioperative period；Nursing ??? 妇女在60岁后即进入老年期［1］。随着人类平均寿命的逐渐延长以及人口老龄化，老年妇科疾病患者日益增多，为了使老年妇科疾病患者得到早期诊断、及时治疗和适当的护理，本文将我院近年来收治的60岁以上老年妇科疾病患者164例作回顾性分析，讨论其疾病特点、围手术期相关问题及护理对策。 　　1? 临床资料 　　1．1? 一般资料 ?　　我科于2001年1月至2004年12月收治60岁以上妇科住院患者164例，占同期妇科住院总数5 236人的3.13%。其中60岁～69岁130人(79.3%)，70岁～79岁32人(19.5%)，80岁以上2人(1.2%)。 　　1．2? 临床症状? 　　阴道流血及阴道分泌物增多64例(占39.6%)，为最常见临床症状，其次为盆腔包块48例(29.3%)，阴道脱出肿物39例(23.28%)，外阴肿物4例(2.43%)，外阴瘙痒9例(5.49%)。 　　1.3? 疾病种类? 　　手术切除标本和诊刮内膜均送病理检查，诊断依据以病理结果为标准。164例病例中，生殖器恶性肿瘤60例(36.59%)，子宫脱垂伴阴道壁膨出39例(23.78%)，良性肿瘤43例(26.22%)，其他22例(13.41%)，具体疾病种类见表1。表1? 疾病种类所占比例恶性病种（略）? ? 　　1．4? 内科合并症? 　　合并内科疾病的患者72例，部分患者合并