视频辅助宣教在腔镜手术围手术期中的应用

Common Ultrasonic Image Feature of Uterus Myoma and Its Correlation to TCM Syndromes

目的探讨视频辅助宣教方法在腔镜手术围手术期中的应用效果。方法：以2014年1月1日-12月31日期间我院腹腔镜手术患者为研究对象，对照组100例，观察组100例。对照组采用传统口述讲解进行宣教，观察组采用术前一天集中观看围手术期宣教视频，观看结束后由固定的护理人员进行答疑解惑，并通过微信或QQ发送围手术期宣教视频，患者及家属可通过手机观看。结果：两组在围手术期健康教育认知度上，有统计学差异（P〈0．05）。宣传效率上，对照组耗时30．75（26．83—33．47）min，观察组耗时16．33（15．01-18．28）min，两组比较有统计学差异（P〈0．05）。结论：视频辅助宣教在腹腔镜手术围手术期的健康宣教中有助于提高健康教育的认知度，减少术后不良事件的发生，有重要推广价值。

Objective：To explore the ultrasonic image feature of uterus myoma and its correlation to TCM Syndromes.Methods：According to the standard of diagnosis and syndrome differentiation,there are 122 cases of patients recruited.All patients were con-ducted with ultrasonography.Then to analyze the four common TCM syndromes and their correlation with the images by statistical software.Results：1）There are statistical significant difference among myoma of different syndromes in location distribution,maxi-mum diameter,and average diameter （P 〈0.05）,but no statistical significance of the sum of the maximum diameter （P 〉0.05）. The proportion of maximum diameter,average diameter with 5 ~10 cm in Qi deficiency and blood stasis syndrome is higher than that of the Qi stagnation and blood stasis syndrome （P 〈0.05）,while there are no statistical significance of maximum diameter,av-erage diameter between other syndromes （P 〉0.05）.2）The proportion of ultrasonic echo among different groups have statistical significance （P 〈0.05）.In patients with phlegm dampness and blood stasis syndrome,the proportion of uneven intensity of echo is 76.47% and the proportion of low echo is 70.59%,which are significantly higher than those in other groups.3）There are statisti-cal differences between qi stagnation and blood stasis syndrome with qi deficiency and blood stasis syndrome in the proportion of different echo,also between phlegm dampness and blood stasis syndromes （P 〈0.05）.4）There are no statistical significance of single or multiple myoma as well as morphological characteristics among various syndromes （P 〉0.05）.Conclusion：There are certain characteristics of uterus myoma in location distribution,size and echo,and it is worthy of further study.