宫腔镜联合腹腔镜手术治疗输卵管性不孕的围手术期护理效果观察

吴晓燕

[摘要] 目的 分析宮腔镜联合腹腔镜手术治疗输卵管性不孕的围手术期护理效果。方法 选取我院2015年3月～2016年1月收治的80例输卵管性不孕患者作为本次的研究对象，将其按自愿原则分为观察组（44例）与对照组（36例），给予其宫腔镜联合腹腔镜手术治疗，观察组患者在围手术期实施综合护理干预，对照组患者在围手术期实施常规护理干预。观察对比两组患者的治疗效果（妊娠率）、心理症状评分、护理满意度。结果 观察组患者的妊娠率为95.45%，护理满意度为95.45%；对照组患者的妊娠率为78.38%，护理满意度为77.78%，组间比较差异有统计学意义（P<0.05）。观察组患者的心理症状评分均显著优于对照组患者，差异具有统计学意义（P<0.05）。结论 给予输卵管性不孕患者实施宫腔镜联合腹腔镜手术治疗并在围手术期实施综合护理干预，能够有效提高治疗的效果，使患者早日妊娠。且综合护理干预能够提高患者在住院期间的生活质量、护理满意度，对构建和谐的医患关系有着积极的促进作用，值得临床推广应用。

[关键词] 宫腔镜；腹腔镜；输卵管性不孕；综合护理

[中图分类号] R473.71 [文献标识码] B [文章编号] 1673-9701（2017）19-0152-04

[Abstract] Objective To analyze the perioperative nursing effect of hysteroscopy combined with laparoscopic surgery in the treatment of tubal infertility. Methods A total of 80 patients with tubal infertility who were admitted to our hospital from March 2015 to January 2016 were selected as the subjects of this study. The patients were divided into the observation group（44 cases） and the control group （36 cases） according to the voluntary principle. They were given hysteroscopy combined with laparoscopic surgery. The patients in the observation group were given comprehensive nursing intervention during the perioperative period， and the patients in the control group were given routine nursing interventions during the perioperative period. The curative effect（pregnancy rate）， psychological symptom score and nursing satisfaction were observed and compared between the two groups. Results The pregnancy rate in the observation group was 95.45% and the nursing satisfaction was 95.45%； the pregnancy rate in the control group was 78.38% and the nursing satisfaction was 77.78%， the difference was statistically significant（P<0.05）. Moreover， the scores of psychological symptoms in the observation group were significantly better than those in the control group， and the differences were statistically significant（P<0.05）. Conclusion Hysteroscopy combined with laparoscopic surgery in the patients with tubal infertility and comprehensive nursing intervention during perioperative period can effectively improve the effect of treatment and facilitate pregnancy for the patients. In addition， comprehensive nursing intervention can improve the quality of life of the patients during hospitalization， and the nursing satisfaction， which plays a positive role in building a harmonious relationship between doctors and patients， and is worthy of clinical promotion and application.

[Key words] Hysteroscopy； Laparoscopy； Tubal intertility； Comprehensive nursing care

输卵管性不孕是妇科的常见病，在所有不孕因素中，所占比例为40%，其主要临床症状为腹部疼痛或不适、月经不调、痛经、不孕等，对患者的生活质量和身心健康有较大的影响[1]。输卵管属于女性的重要生殖系统器官，其主要作用为将受精卵输送到子宫中，使其健康成长，并孕育为胎儿，若输卵管出现堵塞、异常等情况，则受精卵无法安全抵达子宫内部，造成不孕不育等情况的发生[2]。目前，临床上对于输卵管性不孕患者的主要治疗方法为手术治疗，宫腔镜联合腹腔镜手术具有创伤小、出血少、疼痛感低、术后恢复快速等优点，因此被广泛应用于临床[3]。但由于疾病本身给女性患者带来了较大的生理和心理困扰，使其住院治疗期间的生活质量较低。……