腹腔镜手术治疗异位妊娠76例护理体会.docVIP

精品论文 参考文献 腹腔镜手术治疗异位妊娠76例护理体会 王颖 （山东省荣成市妇幼保健医院 264300） 【中图分类号】R714.22【文献标识码】B【文章编号】1672-5085（2012）10-0380-03 【摘要】目的 探讨腹腔镜治疗异位妊娠的护理方法。方法 研究对象为2010年3月～2011年10月在我院妇产科手术治疗的76例异位妊娠（输卵管妊娠）患者，分别选择腹腔镜和开腹手术治疗，根据不同术式采取不同的护理措施。结果 腹腔镜治疗组与开腹手术组患者年龄、孕次、产次、术前血beta;-HCG水平无明显统计学差异（P＞0.05）。腹腔镜组手术时间（46.8plusmn;9.4）min开腹组为（69.4plusmn;15.7）min，腹腔镜组平均手术时间明显短于开腹组（Plt;0.01）；腹腔镜组平均出血量（165.4plusmn;6.7）ml，开腹组平均出血量(615.4plusmn;17.2)ml，前者明显少于后者（Plt;0.001）；腹腔镜组住院日(4.5plusmn;1.5)天，开腹组为(6.5plusmn;1.5)天，前者少于后者（Plt;0.05）；两组术后宫内妊娠率及异位妊娠率差异无显著性(Ｐgt;0.05)。结论 腹腔镜手术治疗异位妊娠具有创伤小、出血少、疼痛轻、恢复快、并发症少等优点。对患者进行有效心理护理是患者以良好的精神状态顺利完全手术的保证，严密的观察和护理是康复的关键。做好腹腔镜手术患者整体护理对治疗成功是非常重要的，有利于腹腔镜手术治疗异位妊娠患者的恢复。 【关键词】腹腔镜 手术治疗 异位妊娠 护理体会 【Abstract】 Objective: To explore the methods of nursing care in the treatment of ectopic pregnancy by laparoscopy. Methods: the research object for the 2010 March to 2011 October in our hospital obstetrics and gynecology operation treatment of 76 cases of ectopic pregnancy ( tubal pregnancy ) patients, laparoscopic and open operation treatment were chosen according to different operation, use different nursing measures. Results: the laparoscopic group and open operation group of patients age, gravidity, parity, and preoperative serum beta - HCG level has no obvious statistical difference ( P gt; 0.05 ). Operation time of laparoscopic group ( 46.8 + 9.4) min laparotomy group for the (69.4 + 15.7) min, laparoscopic group mean operation time was significantly shorter than the open group ( P lt; 0.01 ); the laparoscopic group average bleeding volume ( 165.4 + 6.7) ml, laparotomy group average bleeding volume ( 615.4 + 17.2) ml, the former is obviously less than that of the latter ( P lt; 0.001 ); the laparoscopic group hospitalization days ( 4.5 + 1.5) days, open group ( 6.5 + 1.5) days, the former is less than the latter ( P lt; 0.05 ); two groups in the pregnancy rate after surgery and ectopic pregnancy rate showed no significant difference ( P gt; 0.05 ). Conclusion: laparoscopic operation