腹腔镜与开腹子宫肌瘤剔除术的护理干预

Nursing intervention of Laparoscopy and open abdominal in patients with hysteromyoma

目的 探讨腹腔镜与开腹子宫肌瘤剔除术的护理干预效果.方法 80例子宫肌瘤患者按治疗方法不同分为开腹子宫肌瘤剔除术组40例和腹腔镜子宫肌瘤剔除术组40例,采用不同的护理方法进行干预,观察两组患者术中出血量、手术时间、肠功能恢复时间、住院天数等方面的情况.结果 腹腔镜组术中出血量、肠功能恢复时间、离床活动时间、住院天数均均优于开腹组（t=2.781,t=2.845,t=2.881,t=2.844,t=2.879,均P〈0.05）.结论 术前的心理护理、肠道准备和术后护理,可以减少患者术后并发症的发生,提高手术的成功率.

Objective To investigate the narsing intervention of laparoscope and open abdominal in treating hysteromyoma.Methods 80 cases with hysteromyoma according to the different treatment methods were divided into that in Abdominal myomectomy group of 40 cases and Laparoseopic myomectomy group of 40 patients,then different methods of nursing intervention were siren to them.The surgery bleeding、operative time、hospital days and other as-pects were observed.Results The index of blood loss、intestinal function recovery time、active time away from the bed、hospital days in Laparoscopic group were better than Abdominal myomectomy group（t=2.781,t=2.845,t=2.881,t=2.844,t=2.879,all P〈0.05）.Conclusion Preoperative psychological care、bowel preparation and postoperative care could reduce the incidence of postoperative complications and improve surgical success rate.