积极护理干预对腹腔镜子宫肌瘤剔除术患者应激反应的影响

Effect of active nursing intervention on stress response of patients with laparoscopic myomectomy

目的探讨积极护理干预对腹腔镜子宫肌瘤剔除术患者应激反应的影响。方法 80例行腹腔镜子宫肌瘤剔除术患者,随机分为对照组与试验组,每组40例。对照组患者采取常规护理措施,试验组患者在对照组的基础上实施积极护理干预,观察两组患者手术前1 d和手术后体温(T)、心率(HR)、血氧饱和度(Sp O2)变化情况。结果试验组手术前1 d与手术后T、HR、Sp O2水平比较差异无统计学意义(P>0.05);对照组手术前1 d与手术后Sp O2水平比较差异无统计学意义(P>0.05),但手术后T(37.4±1.1)℃、HR(80.5±4.3)次/min均明显高于手术前1 d(36.4±2.1)℃、(78.4±4.2)次/min(P<0.05)。结论积极护理干预可以明显控制腹腔镜子宫肌瘤剔除术患者的应激反应情况,为临床治疗提供安全保障,值得在临床推广。

Objective To discuss the effect of active nursing intervention on stress response of patients with laparoscopic myomectomy.Methods A total of 80 patients with laparoscopic myomectomy were randomly divided into control group and experimental group,with 40 cases in each group.The control group received conventional nursing measure,and the experimental group received active nursing intervention on the basis of the control group.Observation were made on changes of body temperature(T),heart rate(HR),blood oxygen saturation(SpO2)at 1 d before operation and after operation between the two groups.Results The experimental group had no statistically significant difference in T,HR and SpO2 level at 1 d before operation and after operation(P>0.05).The control group had no statistically significant difference in SpO2 level at 1 d before operation and after operation(P>0.05),but it had obviously higher T as(37.4±1.1)℃and HR as(80.5±4.3)times/min after operation than(36.4±2.1)℃and(78.4±4.2)times/min at 1 d before operation(P<0.05).Conclusion Active nursing intervention can obviously control the stress response of patients with laparoscopic myomectomy,and provide safety guarantee for clinical treatment.It is worth clinical popularizing.