摘要
目的分析功能训练指导对子宫肌瘤切除术患者术后功能恢复的意义。方法80例子宫肌瘤切除术后患者,随机分为对照组和试验组,每组40例。对照组患者接受临床常规术后恢复治疗,试验组患者在对照组的基础上采取功能训练指导。比较两组患者心理相关评分(创伤后应激障碍评分、应对方式评分、术后疼痛程度评分)、耻尾肌肌力分级、术后膀胱功能恢复情况(首次饮水时间、首次下床时间、首次排气时间)。结果试验组患者创伤后应激障碍评分(3.06±1.11)分、应对方式评分(23.50±0.92)分、术后疼痛程度评分(1.32±0.13)分均优于对照组的(9.21±1.52)、(29.45±1.21)、(4.58±0.35)分,差异有统计学意义(P<0.05)。试验组患者子宫肌瘤切除术后耻尾肌肌力分级优于对照组,差异有统计学意义(P<0.05)。试验组患者术后首次饮水时间(3.20±0.57)h、首次下床时间(9.21±0.42)h、首次排气时间(18.21±0.17)h均短于对照组的(6.60±1.52)、(14.90±1.37)、(28.82±1.24)h,差异有统计学意义(P<0.05)。结论对子宫肌瘤切除术后患者采取功能训练指导效果显著,可以改善患者的临床症状,值得推广。
Objective To analyze the significance of functional training guidance on postoperative functional recovery in patients undergoing hysteromyomectomy.Methods 80 patients after hysteromyomectomy were randomly divided into a control group and an experimental group,with 40 cases in each group.The control group received clinical routine postoperative recovery treatment,and the experimental group received functional training guidance on the basis of the control group.Comparison was made on psychologically relevant score(posttraumatic stress disorder score,coping style score,postoperative pain level score),the postoperative pubococcygeal muscle strength grading,and bladder function recovery(time to first drinking,time to first off-bed activity,time to first exhaust)between the two groups.Results In the experimental group,the post-traumatic stress disorder score was(3.06±1.11)points,the coping style score was(23.50±0.92)points,and the postoperative pain level score was(1.32±0.13)points,which were all better than(9.21±1.52),(29.45±1.21)and(4.58±0.35)points in the control group.The difference was statistically significant(P<0.05).The experimental group had better postoperative pubococcygeal muscle strength grading than that in the control group,and the difference was statistically significant(P<0.05).In the experimental group,the time to first drinking was(3.20±0.57)h,the time to first off-bed activity was(9.21±0.42)h,and the time to first exhaust was(18.21±0.17)h,which were all shorter than(6.60±1.52),(14.90±1.37)and(28.82±1.24)h in the control group.The difference was statistically significant(P<0.05).Conclusion Functional training guidance has a significant for patients after hysteromyomectomy,and can improve their clinical symptoms,which is worth promoting.
作者
张靖
乔元茵
ZHANG Jing;QIAO Yuan-yin(Department of Gynaecology,Dalian Women and Children Medical Center(Group),Dalian 116021,China)
出处
《中国现代药物应用》
2024年第9期166-169,共4页
Chinese Journal of Modern Drug Application
