快速康复护理在宫外孕输卵管开窗取胚术围术期的应用效果

Application Effect of Rapid Rehabilitation Nursing in the Perioperative Period of Ectopic Pregnancy and Fallopian Tube Fenestration

目的探讨快速康复护理应用于宫外孕输卵管开窗取胚术围术期的临床效果。方法方便选取2020年1月—2021年1月医院纳入84例行输卵管开窗手术宫外孕患者,按照随机数字表法分为两组,每组42例。对照组给予常规护理干预,观察组给予快速康复护理干预,比较两组负性情绪、术后疼痛程度、并发症发生率。结果干预前,两组汉密尔顿焦虑量表评分(HAMA)、汉密尔顿抑郁量表评分(HAMD)差异无统计学意义(P>0.05);干预后,两组HAMA、HAMD评分较干预前均下降,且观察组HAMA、HAMD评分低于对照组,差异有统计学意义(P<0.05)。术后1 d,两组视觉模拟评分(VAS)差异无统计学意义(P>0.05);术后3、7 d,观察组VAS评分均低于对照组,差异有统计学意义(P<0.05)。观察组术后胃肠道不适、创口感染等并发症发生率7.14%低于对照组23.80%,差异有统计学意义(χ^(2)=4.459,P<0.05)。结论快速康复护理可改善宫外孕输卵管开窗取胚术患者负性情绪,减轻术后疼痛,且并发症较少,临床价值高。

Objective To explore the clinical effect of rapid rehabilitation nursing applied to perioperative period of ectopic pregnancy and fallopian tube fenestration.Methods From January 2020 to January 2021,84 patients with ectopic pregnancy underwent fallopian tube fenestration were convenient selected from the hospital and divided into two groups according to the random number table,with 42 cases in each group.The control group was given routine nursing intervention,and the observation group was given rapid rehabilitation nursing intervention.The two groups were compared with negative emotions,postoperative pain,and the incidence of complications.Results Before intervention,there were no statistically significant differences in hamilton anxiety scale(HAMA)and hamilton depression scale(HAMD)scores between the two groups(P>0.05).After intervention,HAMA and HAMD scores in both groups decreased compared with before intervention,and HAMA and HAMD scores in observation group were lower than those in control group,the difference was statistically significant(P<0.05).There was no statistically significant difference in visual analog scale(VAS)between the two groups 1 d after surgery(P>0.05).VAS score of observation group was lower than control group at 3 d and 7 d after operation,the difference was statistically significant(P<0.05).The incidence of postoperative complications such as gastrointestinal discomfort and wound infection in the observation group was 7.14%lower than that in the control group 23.80%,the difference was statistically significant(χ^(2)=4.459,P<0.05).Conclusion Rapid rehabilitation care can improve the negative emotions of patients undergoing ectopic pregnancy and fallopian tube embryo extraction,reduce postoperative pain,and have fewer complications and high clinical value.