两种不同子宫切除术的护理比较

Comparison of the Two Nursing Care in Hysterectomy

目的 :比较经后穹窿阴式鞘内子宫切除术与腹部子宫切除术术前、术后护理。方法 :将 6 0例子宫切除患者随机分组 ,经后穹窿阴式鞘内切除为实验组 ,经腹部切除为对照组 ,各 30例。术前比较手术准备的时间 ,术后比较两组的疼痛、拔尿管时间、术后排气时间、发热情况、抗生素使用情况、住院天数。结果 :经统计学处理显示二组有明显差异(P <0 .0 1)。结论 :实验组具有创伤小、术后疼痛轻、术后康复快等优点 ,减少了患者的痛苦和经济负担 ,能有效地提高手术质量及护理水平 ,保证术后患者生活质量。

Objective:To compare the two nursing care of hysterectomy in step fomix vagina tendinis or in abdominal.Methods:60 cases of hysterectomy patients were divided into two groups.Treatment group (30 cases) was operated in step fomix vagina tendinis.Control group (30 cases) was operated in abdominal.The time that two methods were prepared and pains postoperative,urinary catheter out,drains gas,fever,using antibiotics,days in hospital were compared in the two groups.Results:There is significant difference between the two groups on the rate of sputum pollution( P <0.01).Conclusion:There are a few benefits in treatment groups,such as little wounding,light pains,and fast recovery after operation.It is effective in improving operation quality,the level of nursing care and the life of patients.