经动脉内急诊栓塞治疗妇产科继发性出血的护理干预价值探讨

Discussion on nursing intervention value of transcatheter arterial embolization in the treatment of secondary hemorrhage in obstetrics and gynecology department

目的探讨妇产科继发性出血患者予以经动脉内急诊栓塞治疗的效果,并总结护理要点。方法 92例接受经动脉内急诊栓塞治疗妇产科继发性出血患者,随机分为常规组和实验组,每组46例。常规组采取常规护理,实验组予以全面护理,对比两组效果。结果实验组的止血有效率95.65%显著高于常规组的78.26%,差异具有统计学意义(χ~2=6.13,P<0.05)。实验组并发症发生率19.57%显著低于常规组的2.17%,差异具有统计学意义(χ~2=7.18,P<0.05)。实验组患者的满意度评分为(92.47±4.38)分,高于常规组的(81.23±5.40)分,差异具有统计学意义(t=10.96,P<0.05)。实验组患者的月经周期恢复时间为(45.79±6.18)d,短于常规组的(54.62±5.83)d,差异具有统计学意义(t=7.05,P<0.05)。结论妇产科继发性出血患者予以经动脉内急诊栓塞治疗可有效止血、促进月经周期恢复,同时予以全面护理能更好控制并发症风险、构建良好护患关系。

Objective To discuss the effect of transcatheter arterial embolization in the treatment of secondary hemorrhage in obstetrics and gynecology department,and summarize the nursing points.Methods A total of 92 patients with secondary hemorrhage in obstetrics and gynecology department receiving transcatheter arterial embolization were randomly divided into conventional group and experimental group,with 46 cases in each group.The conventional group received conventional nursing,and the experimental group received comprehensive nursing.The effect in two groups was compared.Results The experimental group had obviously higher hemostasis efficiency as 95.65% than 78.26% in conventional group,and the difference was statistically significant（χ~2=6.13,P〈0.05）.The experimental group had obviously lower incidence of complications as 19.57% than 2.17% in the conventional group,and the difference was statistically significant（χ~2=7.18,P〈0.05）.The experimental group had higher satisfaction score as（92.47±4.38） points than（81.23±5.40） points in the conventional group,and the difference was statistically significant（t=10.96,P〈0.05）.The experimental group had shorter menstrual cycle recovery time as（45.79±6.18） d than（54.62±5.83） d in the conventional group,and the difference was statistically significant（t=7.05,P〈0.05）.Conclusion Transcatheter arterial embolization for patients with secondary hemorrhage in obstetrics and gynecology department can effectively stop bleeding and promote the recovery of menstrual cycle.At the same time,comprehensive nursing can better control the risk of complications and build a good nurse-patient relationship.