早期输卵管妊娠行子宫动脉栓塞介入治疗56例围术期护理

Perioperative nursing care in the treatment of 56 patients with early fallopian tubal pregnancy by trans-uterine artery embolization

目的:探讨早期输卵管妊娠行子宫动脉栓塞介入治疗患者围术期的护理方法。方法:对56例早期输卵管妊娠患者行子宫动脉栓塞介入治疗,术前进行充分的心理护理及术前准备,术后做好体位护理、生命体征观察、疼痛的护理、出院指导。结果:本组治愈51例,治疗无效5例,治愈率达91.1%。其中3例因术后出现腹痛加剧伴胎心搏动或出血症状而行手术治疗,2例术后加用MTX肌内注射后血β-HCG恢复正常。结论:精心的围术期护理是保证子宫动脉栓塞介入治疗成功的关键,可有效地减少和预防并发症的发生。

Objective ： To study the perioperative nursing methods in the treatment of early fallopian tubal pregnancy by trans - uterine artery ernbolization. Methods ： Fifty six patients were treated with trans - uterine artery embolization. Adequate preop- erative psychological care and preparation, postoperative body position nursing, observation of vital signs, relief of pain, guid- ance on the discharged were given to all the patients. Results： Fifty patients were cured; no curative effect in 5 patients and the curative rate was 91.1%. Three of the patients received surgical treatment due to postoperative abdominal pain associated with increased fetal cardiac activity or bleeding symptoms, 2 patients were given MTX by intramuscular injection after operation and 13 - HCG in blood returned to normal level. Conclusion： The careful perioperative nursing care is the key to ensuring the success of trans -uterine artery embolization, which can effectively reduce and prevent complications.