CAJ | 학술논문

目的：探讨诺舒阻抗控制子宫内膜去除术（novasure endometrial ablation，NovaSure）的护理要点。方法2011年8月～2013年4月对本院收治的211例异常子宫出血无生育要求患者行NovaSure，配合做好护理工作，术后随访了解治疗效果。结果患者手术过程顺利，生命体征平稳。不良反应：术后轻度腹痛124例，中、重度下腹痛7例；头晕、恶心1例，膀胱炎1例，经处理均恢复。随访：术后1个月治疗成功率98.0%。结论 NovaSure是治疗异常子宫出血一种新术式，手术效果好，做好患者术前心理护理及术后护理工作可促进患者康复。
목적：탐토낙서조항공제자궁내막거제술（novasure endometrial ablation，NovaSure）적호리요점。방법2011년8월～2013년4월대본원수치적211례이상자궁출혈무생육요구환자행NovaSure，배합주호호리공작，술후수방료해치료효과。결과환자수술과정순리，생명체정평은。불량반응：술후경도복통124례，중、중도하복통7례；두훈、악심1례，방광염1례，경처리균회복。수방：술후1개월치료성공솔98.0%。결론 NovaSure시치료이상자궁출혈일충신술식，수술효과호，주호환자술전심리호리급술후호리공작가촉진환자강복。
Objective To summarize the experience of nursing patients undergoing NovaSure endometrial ablation. Methods Two hundred and eleven patients with abnormal uterine bleeding claiming no need of giving birth,who were hospitalized in our hospital during August 2011 to April 2013,were managed with NovaSure endometrial ablation and nursing care was performed.Follow-ups were conducted for investigating the curative effects.Results All the patients lived through the operations,their life signs were stable.As for the adverse effects,124 of them had mild abdominal pains,7 medium-level or severe hypogastralgia,1 dizziness and nausea,10 uterial hematocele,and 1 cystitis.All of them got recovered after treatment.One-month follow-up after hospitalization showed a success rate of 98.0%.Conclusions NovaSure is a new approach to abnormal uterine bleeding.It is advantageous for its simplicity,shortness in operation duration,less trauma to patients and good effects.Meanwhile,preoperative mental care and cooperative care during operation may facilitate their recoveries.