不同手术方式治疗输卵管妊娠术后护理效果对比分析.docVIP

不同手术方式治疗输卵管妊娠的术后护理效果对比分析 　　【摘要】 目的：探讨不同手术方式在输卵管妊娠术后中的临床护理方法及护理效果。方法：选取2014年6月-2016年5月本院诊治的输卵管妊娠术患者60例，根据护理方案不同分为对照组和观察组，每组各30例。对照组采用常规开腹式切口治疗并实施常规护理，观察组实施腹腔镜手术治疗并实施综合护理，比较两组护理效果。结果：观察组护理疗效率为93.3%，高于对照组的80.0%，两组比较差异有统计学意义（P0.05），观察组术中出血量为（25±15）mL、肛门排气时间为（20±15）d、下床活动时间为（10±4）h、住院时间为（3±1）d均短于对照组，两组比较差异均有统计学意义（P0.05）。观察组并发症发生率为10.00%，显著低于对照组30.00%，两组比较差异有统计学意义（P0.05）。结论：异位妊娠患者治疗时实施腹腔镜手术效果理想，患者术后实施综合护理能够提高临床疗效，值得推广使用。 　　【关键词】 不同手术方式； 输卵管妊娠； 术后护理效果 　　【Abstract】 Objective：To investigate the clinical nursing and nursing effect in tubal pregnancy after different surgical methods.Method：From June 2014 to May 2016，60 patients with tubal pregnancy in our hospital were selected，according to different nursing program，they were divided into the control group and observation group，30 cases in each group.The control group was given conventional abdominal incision treatment and implementation of routine care，observation group was given laparoscopic surgery and implementation of integrated care， the nursing effects of two groups were compared.Result：The nursing efficacy rate of observation group was 93.3%，higher than the control group of 80.0%，the difference was statistically significant（P0.05）.Observation group blood loss was （25±15）mL，anal exhaust time was （20±15）d，ambulation time was （10±4）h，length of hospital stay was （3±1）d，shorter than the control group，the differences were statistically significant（P0.05）.Complication rate of observation group was 10.00%，significantly lower than the control group 30.00%，the difference was statistically significant（P0.05）.Conclusion：The treatment of patients with ectopic pregnancy laparoscopic surgery effect is ideal，the implementation of integrated care patients can improve clinical outcomes，it is worth to promote and use. 　　【Key words】 Different surgical methods； Tubal pregnancy； Effect of post-operative care 　　输卵管妊娠是临床上常见的疾病，患者发病后出现腹痛、阴道不规则出血、休克等，影响患者健康[1]。近年来，临床上输卵管妊娠更多的采用手术治疗，但是患者治疗时选择何种手术方式尚存在较大的争议，临床上常用的手术主要有开腹式切口和腹腔镜手术，两种手术各有优缺点[