CAJ | 학술논문

目的：探析子宫黏膜下肌瘤经宫腔镜等离子双极电切术(PKRM)治疗的护理配合。方法入选我院2012年11月至2013年11月经宫腔镜采用PKRM治疗的子宫黏膜下肌瘤患者90例，根据护理方法不同分为两组，各45例。对照组行基础护理，观察组在基础护理之上行综合护理配合，比较两组患者的手术时间、术中出血量、住院时间及并发症等。结果观察组手术时间、住院时间及术中出血量均显著低于对照组，差异均具有统计学意义(均P<0.05)；观察组无一例并发症发生，显著低于对照组13.3%(6/45)，差异具有统计学意义(P<0.05)。结论经宫腔镜子宫黏膜下肌瘤PKRM予以综合手术护理配合有助于缩短手术时间和住院时间，减少术中出血量和手术并发症。
목적：탐석자궁점막하기류경궁강경등리자쌍겁전절술(PKRM)치료적호리배합。방법입선아원2012년11월지2013년11월경궁강경채용PKRM치료적자궁점막하기류환자90례，근거호리방법불동분위량조，각45례。대조조행기출호리，관찰조재기출호리지상행종합호리배합，비교량조환자적수술시간、술중출혈량、주원시간급병발증등。결과관찰조수술시간、주원시간급술중출혈량균현저저우대조조，차이균구유통계학의의(균P<0.05)；관찰조무일례병발증발생，현저저우대조조13.3%(6/45)，차이구유통계학의의(P<0.05)。결론경궁강경자궁점막하기류PKRM여이종합수술호리배합유조우축단수술시간화주원시간，감소술중출혈량화수술병발증。
Objective To explore the efficacy of nursing cooperation for PKRM treatment of uterus submucosal myoma through hysteroscope. Methods 90 patients with uterus submucosal myoma receiving PKRM treatment through hysteroscope in our hospital from Nov. 2012 to Nov. 2013 were selected and stratified according to whether they received basic care (control group, with 45 patients) or they received basic care plus comprehensive nursing intervention (observation group, with 45 patients). The primary outcome was the comparison of the length of operation, the intraoperative blood loss, the length of hospitalization and the complications between these two groups. Results The length of operation, the intraoperative blood loss and the length of hospitalization in the observation group were significantly lower than those in the control group (P<0.05). Besides, no case of complications occurred in the observation group, which was significantly lower than 13.3%(6/45) in the control group (P<0.05). Conclusions Comprehensive nursing cooperation contributes to reduce the length of surgery and hospital stay, intraoperative blood loss and operative complications for the patients who receive PKRM treatment of uterus submucous myoma through hysteroscope.