预见性护理在妇科宫腹腔镜手术围手术期护理中的应用价值评价

许萍芳，郭秀珍

（陕西省宝鸡市陈仓医院，陕西 宝鸡，721300）

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摘要：

目的 探究在妇科宫腹腔镜手术围手术期给予患者预见性护理的价值。方法 将我院2016年11月至2017年3月收治的90例行宫腹腔镜手术的患者随机分为对照组和观察组，各45 例。对照组患者给予常规护理，观察组患者在常规护理的基 础上进行预见性护理。比较两组患者护理后手术指标、术后恢复情况及并发症发生情况。结果 观察组患者手术时间与对照组比较，差异无统计学意义（P>0.05）；术中出血量少于对照组，差异具有统计学意义（P<0.05）；术后肛门排气时间、下地时间 及住院时间均短于照组，差异具有统计学意义（P<0.05）；并发症总发生率低于对照组，差异具有统计学意义（P<0.05）。结论 在妇科宫腹腔镜手术围手术期给予患者预见性护理能够降低术后并发症发生率，缩短患者的住院时间，值得推广。

关键词：预见性护理；妇科病；宫腹腔镜手术；围手术期

中图分类号：R473.71文献标志码：A文章编号：2096-1413(2017)35-0168-02

Value evaluation of predictive care applied in the perioperative period nursing of hysteroscopy and laparoscopy surgery
XU Ping-fang, GUO Xiu-zhen
(Baoji Chencang Hospital, Baoji 721300, China)

ABSTRACT: Objective To explore the application value of predictive care in the perioperative period nursing of patients with hysteroscopy and laparoscopy surgery. Methods Ninety patients with hysteroscopy and laparoscopy surgery were selected from November 2016 to March 2017 and randomly divided into control group (with regular care) and observation group (with predictive care), with 45 cases in each group. The operation indexes, postoperative recovery and complications were compared between the two groups. Results There was no significant difference in the operation time between the observation group and the control group (P>0.05). The amount of blood loss in the observation group was less than that in the control group, and the difference was statistically significant (P<0.05). Anus exhaust time, out of bed time and hospital stay in the observation group were shorter than those in the control group, and the differences were statistically significant (P<0.05). The total incidence of complications in the observation group was lower than that in the control group (P<0.05). Conclusion Predictive care applied in the perioperative period nursing of hysteroscopy and laparoscopy surgery can decrease the complications and shorten the hospital stay, which is worthy of application and promotion.
KEYWORDS: predictive care; gynecopathy disease; hysteroscopy and laparoscopy surgery; perioperative period

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