中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2015年
10期
68-70,71
,共4页
宫腹腔镜%不孕症%护理
宮腹腔鏡%不孕癥%護理
궁복강경%불잉증%호리
Laparoscopy%Infertility%Nursing
目的：探讨宫腔镜联合腹腔镜在不孕症诊治中的护理方法。方法：选取80例确诊为不孕患者，通过宫腹腔镜联合手术诊治，以护理干预与否随机分为干预组和对照组，每组各40例患者，干预组患者在住院期间进行完善的术前准备，精心的术后护理及全程的心理支持；对照组行常规护理。结果：干预组28例成功妊娠，其中原发性不孕9例，继发性不孕19例，最短的妊娠时间是术后2个月，最长为术后23个月；28例成功妊娠中的患者有4例经辅助生殖技术妊娠成功，其余均为自然妊娠；有流产1例、其余27例均为足月分娩，属正常新生儿。对照组18例成功妊娠，其中原发性不孕5例，继发性不孕13例，最短的妊娠时间是术后2.5个月，最长为术后24个月；18例成功妊娠中的患者有6例经辅助生殖技术妊娠成功，其余均为自然妊娠；有2例异位妊娠、流产3例、其余13例均为足月分娩，属正常新生儿。两组异位妊娠率及流产率经统计学处理，无统计学意义（P>0.05）。干预组正常妊娠数及总妊娠数均高于对照组，两组比较差异均有统计学意义（P<0.05）。结论：宫腔镜联合腹腔镜治疗不孕症可提高诊断和治疗的有效性，护理人员做好术前、术后的护理及全程的心理支持是治疗成功的关键。
目的：探討宮腔鏡聯閤腹腔鏡在不孕癥診治中的護理方法。方法：選取80例確診為不孕患者，通過宮腹腔鏡聯閤手術診治，以護理榦預與否隨機分為榦預組和對照組，每組各40例患者，榦預組患者在住院期間進行完善的術前準備，精心的術後護理及全程的心理支持；對照組行常規護理。結果：榦預組28例成功妊娠，其中原髮性不孕9例，繼髮性不孕19例，最短的妊娠時間是術後2箇月，最長為術後23箇月；28例成功妊娠中的患者有4例經輔助生殖技術妊娠成功，其餘均為自然妊娠；有流產1例、其餘27例均為足月分娩，屬正常新生兒。對照組18例成功妊娠，其中原髮性不孕5例，繼髮性不孕13例，最短的妊娠時間是術後2.5箇月，最長為術後24箇月；18例成功妊娠中的患者有6例經輔助生殖技術妊娠成功，其餘均為自然妊娠；有2例異位妊娠、流產3例、其餘13例均為足月分娩，屬正常新生兒。兩組異位妊娠率及流產率經統計學處理，無統計學意義（P>0.05）。榦預組正常妊娠數及總妊娠數均高于對照組，兩組比較差異均有統計學意義（P<0.05）。結論：宮腔鏡聯閤腹腔鏡治療不孕癥可提高診斷和治療的有效性，護理人員做好術前、術後的護理及全程的心理支持是治療成功的關鍵。
목적：탐토궁강경연합복강경재불잉증진치중적호리방법。방법：선취80례학진위불잉환자，통과궁복강경연합수술진치，이호리간예여부수궤분위간예조화대조조，매조각40례환자，간예조환자재주원기간진행완선적술전준비，정심적술후호리급전정적심리지지；대조조행상규호리。결과：간예조28례성공임신，기중원발성불잉9례，계발성불잉19례，최단적임신시간시술후2개월，최장위술후23개월；28례성공임신중적환자유4례경보조생식기술임신성공，기여균위자연임신；유유산1례、기여27례균위족월분면，속정상신생인。대조조18례성공임신，기중원발성불잉5례，계발성불잉13례，최단적임신시간시술후2.5개월，최장위술후24개월；18례성공임신중적환자유6례경보조생식기술임신성공，기여균위자연임신；유2례이위임신、유산3례、기여13례균위족월분면，속정상신생인。량조이위임신솔급유산솔경통계학처리，무통계학의의（P>0.05）。간예조정상임신수급총임신수균고우대조조，량조비교차이균유통계학의의（P<0.05）。결론：궁강경연합복강경치료불잉증가제고진단화치료적유효성，호리인원주호술전、술후적호리급전정적심리지지시치료성공적관건。
Objective:To explore the methods of nursing care in the treatment of infertility by hysteroscopy combined with laparoscopy.Method:80 cases were diagnosed as infertile patients, the diagnosis and treatment of hysteroscopy combined with laparoscopy operation.The patients were randomly divided into two groups,the intervention group and control group,40 cases in each group.The intervention group was trested perfect operation during in hospital preparation, careful postoperative nursing and the whole psychological support;the control group was treated conventional nursing.Result:The intervention group 28 cases of successful pregnancy, included 9 cases of primary infertility and 19 cases of secondary infertility, pregnancy of the shortest time was 2 months after the operation, with the longest up to 23 months after operation; 28 cases of successful pregnancy in patients with 4 cases of successful pregnancy after assisted reproductive technology, the rest were the natural pregnancy; abortion 1 cases, the other 27 cases were belong to full-term normal neonates.The control group 18 cases of successful pregnancy, included 5 cases of primary infertility and secondary infertility in 13 cases, the pregnancy time is the shortest 2.5 months postoperatively, the longest for 24 months after operation; 18 cases of successful pregnancy in patients with 6 cases of successful pregnancy after assisted reproductive technology, the rest were natural pregnancy; 2 cases of ectopic pregnancy, abortion 3 cases, the other 13 cases were belong to full-term normal neonates.two sets of ectopic pregnancy after statistics processing,the rate and abortion rate had no statistical significance.Conclusion:Hysteroscopy combined with laparoscopy for treatment of infertility can improve the effectiveness of diagnosis and treatment, psychological support of nurses nursing and full preoperative and postoperative therapy are the key to success.
