腹腔镜筋膜内子宫切除术的临床护理探讨

The Discussion of Clinical Nursing of CISH

目的探讨腹腔镜筋膜内子宫切除术的护理方法及临床价值。方法回顾性分析膜腔镜筋膜内子宫切除术144例、腹腔镜辅助下阴式子宫切除术150例及剖腹子宫切除术148例的临床资料间的对比研究。结果膜腔镜筋膜内子宫切除术组在术中出血量、术中并发症、术后3d体温、肛门排气时间、对镇痛剂的需求、术后住院日等方面明显优于腹腔镜辅助下阴式子宫切除术组及剖腹子宫切除术组(P<0.01)。结论膜腔镜筋膜内子宫切除术式对患者损伤小、痛苦轻、腹部瘢痕小,在保留器官功能、提高患者生活质量方面具有明显优势。术后加强护理及观察是减少并发症、促进病人康复的关键因素。

Objective To discuss the nursing method and clinical value of CISH. Methods Review the clinical materials of 144 cases accepted CISH, 150 cases accepted LAVH and 148 cases accepted AH. Results CISH group was obviously better than LAVH group and AH group in hemorrhage quantity, temperature of 3 days after operation, time of anus exhaust, the demand of analgesic and time in hospital （P 〈 0.01）. Conclusion CISH＇ s damage is slightly, pain is light, the sear of abdomen is small. Ther are obvious advantages in the respect of reserving the organ function, improving patient quality of life. Enhaning nursing and observation after operation is the key factor of reducing complication and promoting recovery.