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目的研究专业护理在宫腔镜下等离子电切镜治疗黏膜下肌瘤的临床应用。方法选取我院2013年9月至2015年8月收治的235例妇科宫腔镜下等离子电切镜治疗黏膜下肌瘤手术患者,随机分为对照组116例和观察组119例。对照组只进行常规护理,观察组在此基础上,针对宫腔镜手术可能出现的并发症进行手术专业护理,记录两组患者专业护理前后SAS评分、手术并发症、了解患者术后疼痛情况及满意度。结果观察组术后SAS评分明显低于对照组,差异有显著统计学意义(P<0.01);观察组患者并发症的发生率低于对照组,差异显著(P<0.05),术后2 h观察组VAS评分明显低于对照组(P<0.01),观察组术后满意度明显高于对照组,差异有显著统计学意义(P<0.01)。结论宫腔镜下等离子电切镜治疗黏膜下肌瘤术前采用专业护理,可以明显改善患者术前焦虑和恐惧心理,降低宫腔镜手术并发症,明显提高患者术后满意度。
Objective To study the clinical application of professional nursing in treating submucosal fibroids under hysteroscopic plasma resectoscope. Methods 235 patients undergoing gynecological hysteroscopic resection of submucosal myoma undergoing gynecological hysteroscopy in our hospital from September 2013 to August 2015 were randomly divided into control group (116 cases) and observation group (119 cases). The control group received routine nursing only. On the basis of this, the observation group conducted surgical professional nursing for possible complications of hysteroscopic surgery. The SAS scores and surgical complications before and after the professional nursing were recorded and the postoperative pain and Satisfaction. Results The postoperative SAS score of the observation group was significantly lower than that of the control group (P <0.01). The incidence of complications in the observation group was significantly lower than that of the control group (P <0.05) The VAS score of the observation group was significantly lower than that of the control group (P <0.01). The satisfaction of the observation group was significantly higher than that of the control group, the difference was statistically significant (P <0.01). Conclusion Hysteroscopic resection of submucosal fibroids with preoperative professional nursing, can significantly improve the patient ’s preoperative anxiety and fear, reduce the complications of hysteroscopic surgery, significantly improve postoperative satisfaction.