中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2013年
36期
4482-4485
,共4页
子宫内膜异位症%护理%曲普瑞林%腹腔镜手术%自然妊娠率
子宮內膜異位癥%護理%麯普瑞林%腹腔鏡手術%自然妊娠率
자궁내막이위증%호리%곡보서림%복강경수술%자연임신솔
Endometriosis%Nursing%Triptorclin%Laparoscopy%Natural pregnancy rate
目的：探讨子宫内膜异位症（内异症）合并不孕症在腹腔镜手术＋曲普瑞林治疗后的妊娠、复发、疼痛缓解情况与护理。方法选择行腹腔镜手术治疗的内异症合并不孕患者91例，按随机数字表法同时依据患者意愿进行适当调整，将患者分为观察组39例，给予曲普瑞林治疗3个月，对照组52例不给予曲普瑞林治疗。两组均给予细致的围手术期护理。随访追踪1年，观察术后妊娠、复发及疼痛情况。结果观察组术后1年的自然妊娠率为25．6％（10/39），内异症复发率为5．13％（2/39）；与对照组术后1年的自然妊娠率（23．1％）和复发率（5．77％）相比差异无统计学意义（P＞0．05）；观察组疼痛缓解率为38．46％高于对照组13．46％，差异有统计学意义（χ2＝35．374，P＜0．01）。结论对于有生育要求的内异症腹腔镜手术治疗的患者，术后用曲普瑞林没有明显增加1年内的妊娠率，可考虑在术后积极试孕，同时加强医患沟通，加强对患者的心理护理。
目的：探討子宮內膜異位癥（內異癥）閤併不孕癥在腹腔鏡手術＋麯普瑞林治療後的妊娠、複髮、疼痛緩解情況與護理。方法選擇行腹腔鏡手術治療的內異癥閤併不孕患者91例，按隨機數字錶法同時依據患者意願進行適噹調整，將患者分為觀察組39例，給予麯普瑞林治療3箇月，對照組52例不給予麯普瑞林治療。兩組均給予細緻的圍手術期護理。隨訪追蹤1年，觀察術後妊娠、複髮及疼痛情況。結果觀察組術後1年的自然妊娠率為25．6％（10/39），內異癥複髮率為5．13％（2/39）；與對照組術後1年的自然妊娠率（23．1％）和複髮率（5．77％）相比差異無統計學意義（P＞0．05）；觀察組疼痛緩解率為38．46％高于對照組13．46％，差異有統計學意義（χ2＝35．374，P＜0．01）。結論對于有生育要求的內異癥腹腔鏡手術治療的患者，術後用麯普瑞林沒有明顯增加1年內的妊娠率，可攷慮在術後積極試孕，同時加彊醫患溝通，加彊對患者的心理護理。
목적：탐토자궁내막이위증（내이증）합병불잉증재복강경수술＋곡보서림치료후적임신、복발、동통완해정황여호리。방법선택행복강경수술치료적내이증합병불잉환자91례，안수궤수자표법동시의거환자의원진행괄당조정，장환자분위관찰조39례，급여곡보서림치료3개월，대조조52례불급여곡보서림치료。량조균급여세치적위수술기호리。수방추종1년，관찰술후임신、복발급동통정황。결과관찰조술후1년적자연임신솔위25．6％（10/39），내이증복발솔위5．13％（2/39）；여대조조술후1년적자연임신솔（23．1％）화복발솔（5．77％）상비차이무통계학의의（P＞0．05）；관찰조동통완해솔위38．46％고우대조조13．46％，차이유통계학의의（χ2＝35．374，P＜0．01）。결론대우유생육요구적내이증복강경수술치료적환자，술후용곡보서림몰유명현증가1년내적임신솔，가고필재술후적겁시잉，동시가강의환구통，가강대환자적심리호리。
Objective To study the pregnancy , recurrence , pain relieving and nursing for patients after laparoscopy and the effect of Triptorclin therapy for endometriosis .Methods 91 patients with endometriosis combined with infertility were included in this study , from January 2010 to June 2011 .According to the random number selection and considering patients ’ will, 39 patients were assigned as the treatment group , treated with Triptorclin for 3 months after laparoscopy therapy , while 52 patients without the treamtment of Triptorclin were at the control group .Both the groups were given meticulous perioperative nursing care .The pregnancy , recurrence and pain relieving were followed up after one year .Results The pregnancy and recurrent rate of treatment group was 25.6%(10/39) and 5.13%(2/39), respectively; the pregnancy and recurrent rate of control group was 23.1% and 5.77%, respectively.There was no significant difference between treatment and control group (P>0.05).The effect of pain relieving was significant , 38.46%patients had relieved pain in treatment group while there were 13.46%patients in control group (χ2 =35.374, P<0.01).Conclusions Triptorclin cannot increase pregnancy rate for the endometriosis patients who are planning to pregnancy .For the postoperative patients, positive pregnancy method and smooth communication with doctors and nurses , as well as the psychosocial nursing , are of great benefits .
