探讨腹腔镜与开腹筋膜内子宫切除术治疗子宫肌瘤的护理效果.docVIP

精品论文 参考文献 探讨腹腔镜与开腹筋膜内子宫切除术治疗子宫肌瘤的护理效果 1.绥化市中医医院 152000；2.佳木斯市妇幼保健院 154002 摘要：目的：研究并探讨子宫肌瘤患者采取腹腔镜子宫切除术与开腹筋膜内子宫切除术的临床护理方法与效果。方法：此次研究的对象是选择将52例子宫肌瘤患者均分为腹腔组与开腹组，其中腹腔组患者采取腹腔镜子宫切除术治疗，而开腹组采取开腹筋膜内子宫切除术治疗，总结两组临床护理方法与效果，并进行对比分析。结果：腹腔组患者术后肛门排气时间、导尿后平均置管时间、术后起床活动平均时间、术后住院时间皆明显低于开腹组，组间对比差异有统计学意义（Plt;0.05）。结论：腹腔镜子宫切除术治疗子宫肌瘤患者有着护理简单易行，并且护理后各项时间指标皆明显更低等优势，使得护理时间得以减少，值得借鉴。 关键词：子宫肌瘤；腹腔镜；开服筋膜内；子宫切除术；护理 [Abstract] Objective：To study and discuss the clinical nursing methods and effects of laparoscopic hysterectomy and abdominal hysterectomy in patients with uterine fibroids. Methods：the object of this study is the 52 cases of uterine fibroids were divided into laparoscopic group and laparotomy group，which celiac patients take laparoscopic resection，and laparotomy group take laparotomy intrafascial hysterectomy surgery and summarize two groups of clinical nursing method and effect，and carries on the contrast analysis. Results：abdominal group of patients with postoperative anal exhaust time，urethral catheterization after average catheter drainage time，postoperative up average time，postoperative hospitalization time were all significantly lower than those in the open group，the differences between the two groups has statistical significance（P lt; 0.05）. Conclusion：laparoscopic hysterectomy in the treatment of patients with uterine fibroids has a simple and easy to care，and the time index of nursing is significantly lower，so that the nursing time can be reduced，it is worth learning from. [Key words] uterine myoma；Laparoscopy；open service fascia；hysterectomy；nursing 子宫肌瘤属于妇科常见疾病，传统手术治疗方式为开腹筋膜内子宫切除术，其属于有创手术，术中出血多，而且术后恢复慢等[1]，加上患者住院时间较长，使得护理难度较大。近几年，我院采取腹腔镜子宫切除术取得了不错的效果，护理质量也得以提高。为了进一步对比分析腹腔镜与开腹筋膜内子宫切除术治疗子宫肌瘤的护理方法与效果，我院进行了相关研究，现将结果作如下报告。 1 资料与方法 1.1 一般资料 将我院2012年6月～2014年3月接诊的子宫肌瘤患者52例作为研究对象，皆签署知情同意书愿意配合本次研究，随机均分为腹腔组与开腹组。其中，腹腔组：年龄35～52岁，均值41.7plusmn;4.1岁；子宫大小如孕6～18周，均值10.2plusmn;2.4周。开腹组：年龄37～50岁，均值41.9plusmn;4.0岁；子宫大小如孕6～19周，均值10.4plusmn;2.1周。两组患者在年龄、子宫大小如