临床护理路径对腹腔镜子宫肌瘤切除术患者应激反应的影响

Effect of clinical nursing pathway on stress response in patients undergoing laparoscopic uterine fibroids resection

目的探讨临床护理路径(CNP)对腹腔镜子宫肌瘤切除术患者应激反应的影响。方法选择2015年1月至2015年12月海南省人民医院妇科行腹腔镜子宫肌瘤切除术的55例患者作为观察组,选择2014年1月至2014年12月于海南省人民医院妇科行腹腔镜子宫肌瘤切除术的55例患者作为对照组。对照组患者采用常规护理措施,观察组患者采用全面实施CNP干预。结果与手术前1 d比较,两组患者气腹后10 min和完成手术时肾上腺素指标均明显升高,差异均有统计学意义(均P<0.05),对照组指标高于观察组。对照组患者气腹后10 min、完成手术时心率、体温、血压均高于手术前1 d,且高于观察组同期。观察组患者气腹后10 min、完成手术时心率、体温和血压指标无明显波动。结论 CNP可以降低腹腔镜子宫肌瘤切除术患者的应激反应,适于临床推广应用。

Objective To explore the effect of clinical nursing pathway（ CNP） on stress response in patients undergoing laparoscopic hysterectomy. Methods Fifty-five patients undergoing laparoscopic myomectomy in Hainan Provincial People＇s Hospital from January 2015 to December 2015 were selected as the study group and 55 patients undergoing laparoscopic myomectomy in Hainan Provincial People＇s Hospital from January 2014 to December 2014 were included as the control group. In the control group,patients received routine nursing care while CNP intervention was implemented in the study group. Results Compared with the day before operation,index of epinephrine increased at 10 min after pneumoperitoneum and at the end of operation（ P〈0. 05） in both groups and the index was higher in the study group than that in the control group. At 10 min after pneumoperitoneum,heart rate at the end of operation,body temperature and blood pressure in the control group were higher than the day before operation and higher than the study group of the same period; there was no obvious fluctuation in heart rate,body temperature and blood pressure at 10 min after pneumoperitoneum and at the end of the operation in the study group. Conclusion CNP can reduce the stress response in patients undergoing laparoscopic hysterectomy,which is suitable for clinical application.