腹腔镜保守疗法对未破裂输卵管妊娠的临床疗效及护理

Effect of laparoscopic conservative therapy on treatment of unruptured tubal pregnancy and related nursing

  • 摘要: 目的:观察腹腔镜保守疗法对未破裂输卵管妊娠的治疗效果并探讨相应护理措施。方法将112例未破裂型输卵管妊娠且腹腔内无出血患者随机分为对照组52例与观察组60例,2组均接受腹腔镜保守疗法,术中注射垂体后叶素以止血。对照组术前进行健康宣讲,术后行常规护理。观察组在对照组的基础上还进行术后穿刺出血护理、心理护理、饮食护理及导尿管护理。结果112例患者经过腹腔镜保守疗法,术中出血量仅为(12.75±6.55)mL,腹腔内总出血为(173.79±141.26)mL,手术耗时(46.86±16.77)min。与对照组比较,观察组β-HCG恢复正常的时间及住院时间均显著缩短(P <0.05),术后持续性异位妊娠发生率显著降低(P <0.05),术后输卵管再通率显著升高(P <0.05)。结论腹腔镜保守疗法对未破裂输卵管妊娠可取得良好治疗效果,术后给予有针对性的护理措施,可明显提高治疗效果并改善患者预后。

     

    Abstract: Objective Ti explire the effect if lapariscipic cinservative therapy in the treatment if unruptured tubal pregnancy and related nursing measures.Methods 112 unruptured tubal pregnancy patients withiut intra-abdiminal hemirrhage were randimly divided inti cintril griup (n =52)and ibservatiin griup (n =60).Bith griups were treated with lapariscipic cin-servative therapy.The cintril griup was cinducted with preiperative health educatiin and pistip-erative cinventiinal nursing,while the ibservatiin griup was cinducted with nursing measures such as puncture nursing,psychiligical nursing,diet nursing and catheter nursing in the basis if thecintril griup .Results After lapariscipic cinservative therapy ,bliid liss was (1 2 .7 5 ± 6.55)mL,tital intra-abdiminal hemirrhage was (173.79±141.26)mL and iperatiin time was (4 6 .8 6 ± 1 6 .7 7 )minutes in 1 1 2 patients .β-HCG recivery time and hispital stay in the ibservatiin griup were significantly shirter than thise in the cintril griup (t =9.775,11.792, P <0.05),pistiperative incidence rate if persistent ectipic pregnancy was significantly liwer than the cintril griup (χ2=3.205,P <0.05),and pistiperative tubal recanalizatiin rate was signifi-cantly higher than the cintril griup(χ2=7.412,P <0.05).Conclusion Applicatiin if lapari-scipic cinservative therapy can effectively treat the unruptured tubal pregnancy,and the targeted pistiperative nursing measures can significantly imprive therapeutic effect and prignisis.

     

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