保守治疗异位妊娠的临床护理.docxVIP

保守治疗异位妊娠的临床护理 蒲春波 (都江垠市人民医院四川都江垠611830) 【摘要】目的：探讨异位妊娠保守治疗的效果及护理方法。方法:2009年1 月~2012年10月对100例异位妊娠患者采用米非司酮联合甲氨喋吟治疗，50例 对照组患者采取常规的护理方法，研究组在对照组的基础上采取舒适护理方法。 结果:50例研究组患者经过护理之后，显效43例(86%),有效6例(12%),无 效1例(2%),总有效率98%,而50例对照组患者，显效33例(66%),有效5 例(10%),无效12例(24%),总有效率76%,具有显著差异；研究组干预后抑 郁、恐惧、焦虑等现象明显改善，P0 01,有统计学意义。结论:异位妊娠保 守治疗疗效确切，无创伤且保留生育能力，患者易接受，而舒适护理是治疗成功 的重要保证。 【关键词】异位妊娠；保守治疗；护理Clinical nursing care of the conservative treatment of ectopic pregnancy/Dujiangyan Peoplersquo;s Hospitab Sichuan, PU Chun-bo [Abstract] Objective： To study the effect and nursing method of ectopic pregnancy conservative treatment.Methods: From January 2009 to October 2012,we treated 100 patients with ectopic pregnancy by mifepristone combined with methotrexate,50 patients in the control group adopts the method of routine nursing’and 50 cases of group patients in the control group on the basis of comfortable nursing methods.Results: 50 patients in the study group after nursing,* (symptoms than before treatment significantly reduce) 43 cases (86%),effective reduced (symptoms) 6 cases (12%),invalid (no improvement clinical symptoms before and after treatment),l case (2%),the total effective rate was 98%,while 50 patients in control group,33 cases were markedly improved (66%),5 cases (10%),12 cases (24%),the total effective rate was 76%,with significant d iff ere nee.50 patie nts group after the in terve ntion’the phe nomenon such as depression,fear,anxiety,tension sigrdficantly reduced.Plt;O 01,it has statistically sign讦icant.Conclusion: Conservative treatment ectopic pregnancy curative effect accurate,non-invasive and retain fertility,is easily accepted by patients.Comfortable n ursing care is an imports nt guara ntee for the successful treatment. [Key words] ectopic pregnancy, Conservative treatment, care 【中图分类号】R47【文献标识码】B【文章编号】1003-5022013)10?0387?02 异位妊娠是妇产科常见的急腹症，对妇女身心健康造成极人的影响，异位妊 娠的发病原因，最多见的是输卵管炎、盆腔炎或者有过盆腔感染的病史[l]o近 年来，随着B型超声，激素测定等诊断技术的发展，异位妊娠的早期诊断率明显 提高，异位妊娠保守治疗的患者也越来越多[2]。2009年1月~2012年10月对 1