腹腔镜与开腹手术治疗异位妊娠的护理比较分析

Nursing comparion anaysis of abdominoscope surgery and abdominal surgery for the treatment of ectopic gestation

目的通过比较腹腔镜与开腹手术治疗异位妊娠护理的异同,探讨腹腔镜手术治疗异位妊娠的优越性。方法将本院2008年1月至2009年2月异位妊娠患者分为腹腔镜组43例和开腹组42例,比较两组护理特点及术后恢复情况。结果两组患者手术及恢复顺利,术后无并发症。比较两组手术时间、术中出血量及血β-HCG恢复天数均无明显差异(P>0.05);术后腹腔镜组的肛门排气时间、下床活动时间、切口疼痛时间、术后输液天数、住院天数均低于开腹组(P<0.05),差异有统计学意义。结论腹腔镜手术治疗异位妊娠具有创伤小、术后恢复快,并发症少,住院天数少等优越性,同时节省了护理时间,提高了护理工作的效率,值得临床推广和使用。

Objective To study significance and advantage of abdominoscope surgery trough comparative study on clinical application between abdominoscope surgery and traditional abdominal surgery for the treatment of ectopic gestation. Methods Over the period from January 2008 to February 2009, Ectopic gestation were divied into 43 cases of abdominoscope and 42 cases of abdominal surgery, studied of their characteristics of nursing and recovery after operation. Results The operation and recover of the two group patients are successful and no complication after the operation. To compare the duration of operation, bleeding quantity during operation and recovery of the serum β-HCG were similar both of them （P 〉 0. 05 ） ;the anal aerofluxus time, the off-bed ambulation time, the incision pain time, the days of transfusion and hospitalization of patients in laparoscopic group were significantly aborter than those in per abdomen group（ P 〈 0. 05 ）. Conclusion Abdominoscope surgery for the treatment of ectopic gestation is superior with characteristic of smaller wound, quicker restoration, less complication and hospital stay,. And can both save the time and improve the effciency of nursing as well. It＇ s worth for spread and use for clinical.