摘要
目的:探讨宫腔镜联合腹腔镜在不孕症诊治中的护理方法。方法:选取80例确诊为不孕患者,通过宫腹腔镜联合手术诊治,以护理干预与否随机分为干预组和对照组,每组各40例患者,干预组患者在住院期间进行完善的术前准备,精心的术后护理及全程的心理支持;对照组行常规护理。结果:干预组28例成功妊娠,其中原发性不孕9例,继发性不孕19例,最短的妊娠时间是术后2个月,最长为术后23个月;28例成功妊娠中的患者有4例经辅助生殖技术妊娠成功,其余均为自然妊娠;有流产1例、其余27例均为足月分娩,属正常新生儿。对照组18例成功妊娠,其中原发性不孕5例,继发性不孕13例,最短的妊娠时间是术后2.5个月,最长为术后24个月;18例成功妊娠中的患者有6例经辅助生殖技术妊娠成功,其余均为自然妊娠;有2例异位妊娠、流产3例、其余13例均为足月分娩,属正常新生儿。两组异位妊娠率及流产率经统计学处理,无统计学意义(P>0.05)。干预组正常妊娠数及总妊娠数均高于对照组,两组比较差异均有统计学意义(P<0.05)。结论:宫腔镜联合腹腔镜治疗不孕症可提高诊断和治疗的有效性,护理人员做好术前、术后的护理及全程的心理支持是治疗成功的关键。
Objective： To explore the methods of nursing care in the treatment of infertility by hysteroseopy combined with laparoscopy.Method： 80 cases were diagnosed as infertile patients, the diagnosis and treatment of hysteroscopy combined with laparoscopy operation.The patients were randomly divided into two groups, the intervention group and control group, 40 cases in each group.The intervention group was trested perfect operation during in hospital preparation, careful postoperative nursing and the whole psychological support; the control group was treated conventional nursing.Result： The intervention group 28 cases of successful pregnancy, included 9 cases of primary infertility and 19 cases of secondary infertility, pregnancy of the shortest time was 2 months after the operation, with the longest up to 23 months after operation; 28 cases of successful pregnancy in patients with 4 cases of successful pregnancy after assisted reproductive technology, the rest were the natural pregnancy ; abortion 1 cases, the other 27 cases were belong to full-term normal neonates.The control group 18 cases of successful pregnancy, included 5 cases of primary infertility and secondary infertility in 13 cases, the pregnancy time is the shortest 2.5 months postoperatively, the longest for 24 months after operation ; 18 cases of successful pregnancy in patients with 6 cases of successful pregnancy after assisted reproductive technology, the rest were natural pregnancy; 2 cases of ectopic pregnancy, abortion 3 cases, the other 13 cases were belong to full-term normal neonates.two sets of ectopic pregnancy after statistics processing, the rate and abortion rate had no statistical significance.Conclusion ： Hysteroscopy combined with laparoscopy for treatment of infertility can improve the effectiveness of diagnosis and treatment, psychological support of nurses nursing and full preoperative and postoperative therapy are the key to success.
出处
《中国医学创新》
CAS
2015年第10期68-71,共4页
Medical Innovation of China
关键词
宫腹腔镜
不孕症
护理
Laparoscopy
Infertility
Nursing
