子宫肌瘤两种治疗方法的护理干预
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[摘要] 目的：探讨子宫肌瘤两种治疗方法的护理干预。方法：80例子宫肌瘤患者随机分为阴式剔除术40例(经阴组)，经腹手术患者40例(经腹组)，比较两组手术效果和疼痛程度。结果：经腹组术后肛门排气时间为(26.20±5.05) h，大于经阴组的(16.25±3.90) h(t=2.445，P<0.05)； 经腹组住院天数为(9±1) d，高于经阴组的(6±1) d(t=2.341，P<0.05)，经阴组疼痛程度Ⅰ级、Ⅱ级和Ⅲ级分别为20例(50.0%)、15例(37.5%)和5例(12.5%)，低于经腹组的10例(25.0%)、18例(45.0%)和12例(30.0%)(χ2=3.98，χ2=3.89，χ2=3.86，均P<0.05)。结论：经阴道子宫肌瘤剔除术整体护理干预能提高疗效。
[关键词] 微创；经阴道子宫肌瘤剔除术；护理干预
[中图分类号] R473.6[文献标识码]C [文章编号]1673-7210(2009)02(b)-073-02
Nursing intervention of uterine fibroids treatment by two methods
XIE Xiao-ping
(Department of Obstetrics and Gynecology, Shenzhen Bao'an District Songgang People's Hospital, Shenzhen518105, China)
[Abstract] Objective: To investigate the care intervention of uterine fibroids treatment by two methods. Methods: 80 cases of uterine fibroid patients were divided into vaginal myomectomy and abdominal myomectomy group, with 40 cases in each group, and surgical results and the degree of pain of two groups were compared. Results: The anus exhaust time of abdominal myomectomy group was (26.20±5.05) h, higher than the vaginal myomectomy group of (16.25±3.90) h (t=2.445, P<0.05); the hospital days of abdominal myomectomy group was (9±1) d, higher than vaginal myomectomy group of (6±1) d (t=2.341, P<0.05). The level of pain in vaginal myomectomy grade Ⅰ, Ⅱ and Ⅲ were 20 cases (50.0%), 15 cases (37.5 %) and 5 (12.5%) cases, lower than the abdominal myomectomy group of 10 cases (25.0%), 18 cases (45.0%) and 12 cases (30.0%) (χ2=3.98, χ2=3.89, χ2=3.86, average P<0.05). Conclusion: Nursing intervention of uterine fibroids can improve the efficacy by vaginal myomectomy.
[Key words] Minimally invasive; Vaginal myomectomy; Nursing intervention
近年来，保留子宫和生殖功能已成为治疗子宫肌瘤的研究热点[1]。我院施行经阴道子宫肌瘤剔除术，简化了护理程序，获得了满意的临床效果，使子宫肌瘤的微创治疗成为现实，现对此术式的可行性及术后护理报道如下：
1资料与方法
1.1病例选择
2003年1月～2004年8月子宫肌瘤患者80例，年龄28~46岁，平均(37.5±4.32)岁；单发肌瘤65例(81.3%)，多发肌瘤15例(18.8%)，最大肌瘤为9 cm×8 cm×8 cm，最小肌瘤为1 cm×1 cm×1 cm；80例患者随机分为阴式剔除术40例(经阴组)，经腹手术患者40例(经腹组)，两组患者在年龄、病理分期、肿瘤恶性程度、麻醉及手术方法等一般资料上具有可比性(P>0.05)，病例经统计学处理无显著性差异。
1.2疼痛程度的判定标准[2]
采用VAS(视觉类比量表)评价患者的疼痛程度。在术后4 h测定两组患者护理干预前后疼痛的程度：0~3分为Ⅰ级；4~6分为Ⅱ级；7~10分为Ⅲ级 ......
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