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腹腔镜子宫肌瘤剔除术后早期护理介入的效果 被引量:23

Effect of early nursing intervention for patients after laparoscopic myomectomy
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摘要 目的探讨早期护理介入对腹腔镜子宫肌瘤剔除术患者胃肠功能及生理应激的影响。方法选取本科室2015年1月—2016年5月收治腹腔镜子宫肌瘤剔除术患者40例为对照组,采用常规护理。选取2016年6月—2017年12月腹腔镜子宫肌瘤剔除术患者40例为观察组,在常规护理的基础上采用早期护理介入。比较2组术后胃肠功能的状况及生理应激反应。结果观察组术后的首次排气时间、首次排便时间短于对照组(P<0.05),腹胀、恶心呕吐少于对照组(P<0.05),术后24h的胃泌素水平高于对照组(P<0.05)。观察组术后24h的C反应蛋白(CRP)、白细胞介素6(IL-6)、皮质醇(COR)水平均低于对照组(P<0.05)。结论早期护理介入能够减轻腹腔镜子宫肌瘤剔除术患者的生理应激反应,促进胃肠功能恢复,减少腹胀、恶心呕吐。 Objective To investigate the effect of early nursing intervention on gastrointestinal function and physiological stress for patients undergoing laparoscopic myomectomy. Methods A total of 60 patients with laparoscopic myomectomy in our department from January 2015 to May 2016 were selected as the control group, and were given routine nursing. Another 60 patients with the same surgery in our department from June 2016 to December 2017 were selected as observation group, and were conducted early nursing intervention on the basis of routine nursing. The gastrointestinal function and physiological stress were compared between the two groups. Results The time to first defecation and first exhaust of the observation group were shorter, and the abdominal distension, nausea and vomiting were less than those of the control group( P <0.05), and the gastrin level at 24 h after the operation was higher than that of the control group ( P <0.05). The levels of C-reactive protein (CRP), leukocyte intervention 6 (IL-6) and cortisol (COR) at 24 hours after operation in the observation group were lower than those in the control group( P <0.05). Conclusion Early nursing intervention can alleviate the physiological stress reaction of patients undergoing laparoscopic myomectomy, promote the recovery of gastrointestinal function, and reduce abdominal distension, nausea and vomiting.
作者 周彤 ZHOU Tong(Danfeng County Hospital,Shangluo,Shaanxi,726200)
出处 《实用临床医药杂志》 CAS 2019年第11期122-125,共4页 Journal of Clinical Medicine in Practice
关键词 早期护理介入 腹腔镜 子宫肌瘤剔除术 胃肠功能 生理应激 early nursing intervention laparoscopy myomectomy gastrointestinal function physiological stress
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