临床医学工程
臨床醫學工程
림상의학공정
Clinical Medical & Engineering
2015年
11期
1491-1493
,共3页
规范护理程序%宫腔镜%子宫纵隔切除术%应用
規範護理程序%宮腔鏡%子宮縱隔切除術%應用
규범호리정서%궁강경%자궁종격절제술%응용
Standardized nursing procedure%Hysteroscopy%Resection of uterine septum%Application
目的 探讨经宫腔镜子宫纵隔切除术的系统科学的护理程序和方法, 以使手术效果最优化. 方法 选取我院2013年1月至2014年7月收治的120例纵隔子宫畸形患者, 随机分为两组各60例. 参照组给予常规围术期护理, 实验组在此基础上按照规范化护理操作流程进行护理. 记录相关并发症的发生情况. 所有患者术后均随访12~24个月, 观察妊娠结局. 结果 实验组并发症发生率为20.00%, 显著低于参照组的38.33% (P<0.05). 实验组患者在生理和心理两方面的舒适度均明显高于参照组 (P<0.05). 两组流产者术后自然流产率明显降低, 活产率明显提高, 手术前后比较差异具有统计学意义 (P<0.05). 两组流产患者和两组不孕患者妊娠结局比较差异无统计学意义 (P>0.05). 结论 经宫腔镜子宫纵隔切除术是纠正纵隔子宫安全微创的手术方法, 科学规范的护理程序可优化手术效果, 提高患者舒适度, 降低并发症发生率.
目的 探討經宮腔鏡子宮縱隔切除術的繫統科學的護理程序和方法, 以使手術效果最優化. 方法 選取我院2013年1月至2014年7月收治的120例縱隔子宮畸形患者, 隨機分為兩組各60例. 參照組給予常規圍術期護理, 實驗組在此基礎上按照規範化護理操作流程進行護理. 記錄相關併髮癥的髮生情況. 所有患者術後均隨訪12~24箇月, 觀察妊娠結跼. 結果 實驗組併髮癥髮生率為20.00%, 顯著低于參照組的38.33% (P<0.05). 實驗組患者在生理和心理兩方麵的舒適度均明顯高于參照組 (P<0.05). 兩組流產者術後自然流產率明顯降低, 活產率明顯提高, 手術前後比較差異具有統計學意義 (P<0.05). 兩組流產患者和兩組不孕患者妊娠結跼比較差異無統計學意義 (P>0.05). 結論 經宮腔鏡子宮縱隔切除術是糾正縱隔子宮安全微創的手術方法, 科學規範的護理程序可優化手術效果, 提高患者舒適度, 降低併髮癥髮生率.
목적 탐토경궁강경자궁종격절제술적계통과학적호리정서화방법, 이사수술효과최우화. 방법 선취아원2013년1월지2014년7월수치적120례종격자궁기형환자, 수궤분위량조각60례. 삼조조급여상규위술기호리, 실험조재차기출상안조규범화호리조작류정진행호리. 기록상관병발증적발생정황. 소유환자술후균수방12~24개월, 관찰임신결국. 결과 실험조병발증발생솔위20.00%, 현저저우삼조조적38.33% (P<0.05). 실험조환자재생리화심리량방면적서괄도균명현고우삼조조 (P<0.05). 량조유산자술후자연유산솔명현강저, 활산솔명현제고, 수술전후비교차이구유통계학의의 (P<0.05). 량조유산환자화량조불잉환자임신결국비교차이무통계학의의 (P>0.05). 결론 경궁강경자궁종격절제술시규정종격자궁안전미창적수술방법, 과학규범적호리정서가우화수술효과, 제고환자서괄도, 강저병발증발생솔.
Objective To investigate the systematic and scientific nursing procedure and method of resection of uterine septum under hysteroscopy, so as to optimize the surgical effect. Methods 120 patients with resection of uterine septum under hysteroscopy admitted to our hospital from January 2013 to July 2014 were selected and randomly divided into two groups equally. The control group was given routine nursing , while the experimental group was given standardized nursing according to nursing operating procedures. The postoperative complications were recorded. All patients were followed up for 12 to 24 months to observe the pregnancy outcome. Results The incidence of complications of experimental group was 20.00%, significantly lower than 38.33% of control group (P <0.05). The mental and psychological comfort degrees of experimental group were significantly higher than those of control group (P <0.05). After surgery, the spontaneous abortion rates of abortion patients of two groups decreased significantly, and the live birth rate increased significantly, compared with those before surgery, the differences were statistically significant (P<0.05). No statistical difference was found between two groups in the clinical outcomes of abortion patients and infertile patients (P>0.05). Conclusions Resection of uterine septum under hysteroscopy is a safe and minimally invasive surgical method for correcting septate uterus. Scientific and standardized nursing procedure can optimize the surgical result, improve patients' comfort degree and reduce the incidence of complications.
