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目的:分析腹腔镜与经腹治疗输卵管妊娠的疗效。方法:传统经腹组采取常规术前指导及术后护理,腹腔镜组采取以心理护理及知识教育为重点,术前加强脐孔清洁消毒,术后则重视并发症的防治,加强观察生命体征变化,尤其做好呼吸道护理。对两组术式患者平均手术时间、平均住院天数、术后进食、离床活动时间、术后输液天数及并发症发生情况等方面进行统计学处理和对比分析。结果:腹腔镜组与传统经腹组比较,平均手术时间、平均住院天数、术后进食时间、离床活动时间、输液天数有显著性差异(P<0.01),腹腔镜组与传统经腹组平均术后进食、离床活动时间短、输液天数少、术后并发症少。结论:腹腔镜手术治疗比经腹治疗输卵管妊娠疗效显著,实施良好的围手术期的专科护理是手术成功、减少手术并发症的关键因素之一。
Objective: To analyze the efficacy of laparoscopic and abdomen treatment of tubal pregnancy. Methods: Conventional preoperative guidance and postoperative care were adopted in the transabdominal group. Psychological nursing and knowledge education were taken as the key points in the laparoscopic group. The umbilicus was cleaned and disinfected preoperatively. Postoperative complications were emphasized and the vital signs were observed. Change, especially good respiratory care. The mean operation time, average days of hospitalization, postoperative eating, time of leaving bed, days of postoperative infusion and the incidence of complications were compared between the two groups. Results: There was a significant difference between laparoscopic group and traditional transabdominal group in terms of average operative time, average length of hospital stay, postoperative eating time, time of leaving bed and days of transfusion (P <0.01) The average postoperative eating, bed activity short time, less infusion days, less postoperative complications. Conclusions: Laparoscopic surgery is more effective than abdomen in the treatment of tubal pregnancy. Good perioperative nursing is one of the key factors for successful operation and reduction of operative complications.