摘要
目的为宫颈癌根治术中巡回护士正确调节高频电刀输出功率提供依据,减少对患者组织的损伤及电刀使用的盲目性。方法将60例宫颈癌行广泛性子宫切除加盆腔淋巴结清扫术的患者随机分为两组各30例。对照组术中维持高频电刀功率在50W,观察组术中由巡回护士根据手术部位不同的解剖组织结构调节高频电刀输出功率20～50W。结果观察组止血效果和组织损伤情况显著优于对照组(P<0.05,P<0.01)。结论在广泛性子宫切除术加盆腔淋巴结清扫手术中,巡回护士根据患者组织部位调节高频电刀输出功率,既能止血,又可避免或减轻组织损伤,从而减少电刀使用的盲目性和随意性。
Objective To provide information for circulation nurses to correctly adjust the output power of high-frequency endotherm knife during radical surgery of cervical carcinoma, to minimize tissue damage of patients and to avoid blind usage of endotherm knife. Methods Totally, 60 cervical cancer patients who were going to receive extensive hysterectomy and pelvic lymph node dissection were randomly divided into two groups, with each group having 30 patients. The endotherm knife was used during the surgery. The output power of the knife was kept 50 W in the control group, while in the observation group, the circulation nurses adjusted the output power of the knife according to the anatomical structure of the surgical site（20-50 W）. Results The haemo- static effect and severity of tissue damage in the observation group were significantly better and more serious than those of the con- trol group（P〈0.05, P〈0.01）. Conclusion During extensive hysterectomy and pelvic lymph node dissection, excellent haemostatic effect and minimal tissue damage will be achieved if the circulation nurses adjust the output power of the endotherm knife according to the anatomical structure of the surgical site, which also helps avoid blind and arbitrary usage of endotherm knife.
关键词
宫颈癌根治术
高频电刀
输出功率调节
术中护理
radical surgery of cervical cancer
high frequency endotherm knife
adjustment of output power
intraoperative nursing care
