腹腔镜子宫肌瘤切除患者的围手术期护理分析.docVIP

腹腔镜子宫肌瘤切除患者的围手术期护理分析 　　【摘要】 目的：观察腹腔镜子宫肌瘤切除患者的围手术期的护理技巧与效果。方法：选取2013年8月-2014年8月笔者所在医院收治的60例腹腔镜下子宫肌瘤切除术患者，随机将其分为两组，每组30例。对照组接受常规护理，试验组在对照组的基础上采取术前、术中及术后的综合护理方案。对比两组护理效果。结果：试验组手术时间、术中出血量、住院时间及首次下床活动时间，均明显优于对照组（P0.05）；试验组并发症发生率为3.3%，明显低于对照组的20.0%（P0.05）。结论：腹腔镜下子宫肌瘤切除术围手术期采取科学合理的护理方案可有效降低术后并发症发生率，有利于患者早日康复。 　　【关键词】 子宫肌瘤切除术； 腹腔镜； 围手术期； 护理 　　中图分类号 R473.71 文献标识码 B 文章编号 1674-6805（2015）3-0083-02 　　The Analysis of Perioperative Nursing for Laparoscopic Myomectomy Patients/LAN Hong-xia，CHENG Ling-fang.//Chinese and Foreign Medical Research，2015，13（3）：83-84 　　【Abstract】 Objective：To observe the nursing skills and effect of laparoscopic myomectomy patients in perioperative period.Method：60 laparoscopic myomectomy patients from August 2013 to August 2014 in our hospital were randomly divided into two groups，30 cases in each group.The control group received routine care，the experimental group on the basis of the control group received preoperative，intraoperative and postoperative comprehensive care program.The nursing effect of the two groups were observed.Result：The operative time，amount of bleeding during operation，hospital stay，and postoperative ambulation the first time in the experimental group were significantly better than those of the control group（P0.05）；the complication rate of the experimental group was 3.3%，it was significantly lower than 20.0% of the control group（P0.05）.Conclusion：The scientific and reasonable care programs can effectively reduce the incidence of postoperative complications in perioperative period of laparoscopic myomectomy，there are beneficial to patients as soon as possible rehabilitation. 　　【Key words】 Myomectomy； Laparoscopy； Perioperative； Nursing 　　First-author’s address：Qishi Hospital of Dongguan City，Dongguan 523500，China 　　doi：10.14033/j.cnki.cfmr.2015.03.044 　　在妇科良性肿瘤分类中，子宫肌瘤是较为常见的一种，临床多以子宫肌瘤切除术处治此类患者。随着腔镜技术的不断进步，微创型子宫肌瘤切除术在近年来得到较为普遍的应用，其术创较小，术中出血量少，术后并发症发生率较低，有利于患者早期恢复，因而缩短了住院时间，减轻了患者家庭的经济负担，具有积极的临床意义与社会效益[1]。本文探讨腹腔镜子宫肌瘤切除患者的围手