实用临床医药杂志
實用臨床醫藥雜誌
실용림상의약잡지
JOURNAL OF JIANGSU CLINICAL MEDICINE
2014年
6期
67-69
,共3页
腹腔镜%未破裂输卵管妊娠%保守疗法%护理
腹腔鏡%未破裂輸卵管妊娠%保守療法%護理
복강경%미파렬수란관임신%보수요법%호리
lapariscipe%unruptured tubal pregnancy%cinservative therapy%nursing
目的：观察腹腔镜保守疗法对未破裂输卵管妊娠的治疗效果并探讨相应护理措施。方法将112例未破裂型输卵管妊娠且腹腔内无出血患者随机分为对照组52例与观察组60例，2组均接受腹腔镜保守疗法，术中注射垂体后叶素以止血。对照组术前进行健康宣讲，术后行常规护理。观察组在对照组的基础上还进行术后穿刺出血护理、心理护理、饮食护理及导尿管护理。结果112例患者经过腹腔镜保守疗法，术中出血量仅为（12．75±6．55）mL，腹腔内总出血为（173．79±141．26）mL，手术耗时（46．86±16．77）min。与对照组比较，观察组β-HCG恢复正常的时间及住院时间均显著缩短（P ＜0．05），术后持续性异位妊娠发生率显著降低（P ＜0．05），术后输卵管再通率显著升高（P ＜0．05）。结论腹腔镜保守疗法对未破裂输卵管妊娠可取得良好治疗效果，术后给予有针对性的护理措施，可明显提高治疗效果并改善患者预后。
目的：觀察腹腔鏡保守療法對未破裂輸卵管妊娠的治療效果併探討相應護理措施。方法將112例未破裂型輸卵管妊娠且腹腔內無齣血患者隨機分為對照組52例與觀察組60例，2組均接受腹腔鏡保守療法，術中註射垂體後葉素以止血。對照組術前進行健康宣講，術後行常規護理。觀察組在對照組的基礎上還進行術後穿刺齣血護理、心理護理、飲食護理及導尿管護理。結果112例患者經過腹腔鏡保守療法，術中齣血量僅為（12．75±6．55）mL，腹腔內總齣血為（173．79±141．26）mL，手術耗時（46．86±16．77）min。與對照組比較，觀察組β-HCG恢複正常的時間及住院時間均顯著縮短（P ＜0．05），術後持續性異位妊娠髮生率顯著降低（P ＜0．05），術後輸卵管再通率顯著升高（P ＜0．05）。結論腹腔鏡保守療法對未破裂輸卵管妊娠可取得良好治療效果，術後給予有針對性的護理措施，可明顯提高治療效果併改善患者預後。
목적：관찰복강경보수요법대미파렬수란관임신적치료효과병탐토상응호리조시。방법장112례미파렬형수란관임신차복강내무출혈환자수궤분위대조조52례여관찰조60례，2조균접수복강경보수요법，술중주사수체후협소이지혈。대조조술전진행건강선강，술후행상규호리。관찰조재대조조적기출상환진행술후천자출혈호리、심리호리、음식호리급도뇨관호리。결과112례환자경과복강경보수요법，술중출혈량부위（12．75±6．55）mL，복강내총출혈위（173．79±141．26）mL，수술모시（46．86±16．77）min。여대조조비교，관찰조β-HCG회복정상적시간급주원시간균현저축단（P ＜0．05），술후지속성이위임신발생솔현저강저（P ＜0．05），술후수란관재통솔현저승고（P ＜0．05）。결론복강경보수요법대미파렬수란관임신가취득량호치료효과，술후급여유침대성적호리조시，가명현제고치료효과병개선환자예후。
Objective Ti explire the effect if lapariscipic cinservative therapy in the treatment if unruptured tubal pregnancy and related nursing measures.Methods 112 unruptured tubal pregnancy patients withiut intra-abdiminal hemirrhage were randimly divided inti cintril griup (n =52)and ibservatiin griup (n =60).Bith griups were treated with lapariscipic cin-servative therapy.The cintril griup was cinducted with preiperative health educatiin and pistip-erative cinventiinal nursing,while the ibservatiin griup was cinducted with nursing measures such as puncture nursing,psychiligical nursing,diet nursing and catheter nursing in the basis if thecintril griup .Results After lapariscipic cinservative therapy ,bliid liss was (1 2 .7 5 ± 6.55)mL,tital intra-abdiminal hemirrhage was (173.79±141.26)mL and iperatiin time was (4 6 .8 6 ± 1 6 .7 7 )minutes in 1 1 2 patients .β-HCG recivery time and hispital stay in the ibservatiin griup were significantly shirter than thise in the cintril griup (t =9.775,11.792, P <0.05),pistiperative incidence rate if persistent ectipic pregnancy was significantly liwer than the cintril griup (χ2=3.205,P <0.05),and pistiperative tubal recanalizatiin rate was signifi-cantly higher than the cintril griup(χ2=7.412,P <0.05).Conclusion Applicatiin if lapari-scipic cinservative therapy can effectively treat the unruptured tubal pregnancy,and the targeted pistiperative nursing measures can significantly imprive therapeutic effect and prignisis.
