腹腔镜联合不同剂量米非司酮治疗子宫内膜异位症临床护理研究.docVIP

腹腔镜联合不同剂量米非司酮治疗子宫内膜异位症临床护理研究 　　【摘要】 目的：探讨腹腔镜联合不同剂量米非司酮治疗子宫内膜异位症的临床疗效及护理。方法：收集本院2013年6月-2014年6月收治的48例有子宫内膜异位症患者的资料，将其随机分为观察组和对照组，每组各24例，对照组在进行腹腔镜手术后服用大剂量的米非司酮，而观察组在进行腹腔镜手术后服用小剂量的米非司酮，与此同时，两组患者在手术治疗过程中均给予相应的护理措施。两组患者均经过6个月的治疗，对比两组患者治疗效果。结果：观察组临床有效率54.17%、显效率37.50%及无效率4.17%与对照组45.38%、33.33%、4.17%相比，差异无统计学意义（P0.05）。在术后的复发率方面，观察组4.17%低于对照组（16.67%），两组比较差异有统计学意义（P0.05）。结论：腹腔镜联合小剂量的米非司酮在治疗子宫内膜异位症中的临床疗效明显，同时在治疗过程中辅以全面的护理措施，进一步提高使用小剂量米非司酮的安全性，值得进一步推广。 　　【关键词】 腹腔镜； 米非司酮； 子宫内膜异位症 　　The Clinical Nursing Research of Laparoscopy Combined with Different Doses of Mifepristone in Treating Endometriosis/RU Min-hui，LUO Jian-ying，OUYANG Yu-xia，et al.//Medical Innovation of China，2015，12（08）：140-142 　　【Abstract】 Objective： To explore the clinical curative effect and nursing of laparoscopy combined with different doses of mifepristone in treating endometriosis. Method： 48 patients with endometriosis were collected in our hospital from June 2013 to June 2014，and randomly divided into observation group and control group，24 cases in each group， the control group in laparoscopic operation with large doses of mifepristone， and the observation group with low doses.At the same time， two groups of patients were given corresponding nursing measures in operation.After six months treatment，the effects of two groups patients were compared. Result： The observation group clinical efficiency was 54.17%， significant efficiency was 37.50% and non efficiency was 4.17% and the control group was respectively 45.38%，33.33% and 4.17%， the difference was statistically significant（P0.05）. In the postoperative recurrence rate， the observation group was 4.17% lower than that in the control group of 16.67%，the difference was statistically significant（P0.05）.Conclusion： Laparoscopic combined with small dose of mifepristone has obvious clinical efficacy.At the same time in the course of treatment with comprehensive nursing measures， so as to further improve the use of small dose of mifepristone in safety. The th