覃菊玲

【摘要】 目的：探討早期护理干预在妇科宫腔镜术后并发症预防中的应用。方法：选取于2015年1月-2016年1月在笔者所在医院就诊并实施宫腔镜手术患者，共计182例，随机分为对照组及试验组，各91例，对照组行常规护理；试验组行常规护理+早期护理干预。评价术后1周内，两组患者并发症的发生、住院时间、满意度。结果：术后1周内，腹痛、腹胀、发热、子宫出血、静脉血栓、感染并发症的发生几率，对照组高于试验组，差异有统计学意义（P<0.05）；子宫穿孔、水中毒并发症的发生，两组患者比较差异无统计学意义（P>0.05）。两组患者住院天数比较，对照组需要住院天数长于试验组，差异有统计学意义（P<0.01）；在患者整体满意度调查方面，试验组更容易获得患者认同，优于对照组，差异有统计学意义（P<0.05）。结论：采取早期护理干预宫腔镜手术患者，能有效减少并发症，缩短住院时间，提高患者满意度，值得推广应用。

【关键词】 宫腔镜； 并发症； 预防； 干预

doi：10.14033/j.cnki.cfmr.2017.17.043 文献标识码 B 文章编号 1674-6805（2017）17-0087-02

Application of Early Nursing Intervention in Prevention of Postoperative Complications of Gynecological Hysteroscopy/QIN Ju-ling.//Chinese and Foreign Medical Research，2017，15（17）：87-88

【Abstract】 Objective：To explore the application of early nursing intervention in prevention of postoperative complications of gynecological hysteroscopy.Method：From January 2015 to January 2016 in our hospital and the implementation of hysteroscopic surgery in patients with a total of 182 cases，were randomly assigned to the control group and the experimental group，91 cases in each group，the control group received routine nursing care，the experimental group received routine nursing and early nursing intervention.The incidence of complications，length of stay and satisfaction of the two groups were evaluated within one week after the operation.Result：Within one week after the surgery，abdominal pain，abdominal distension，fever，uterine bleeding，venous thrombosis，infection complication occurrence probability，in the control group were significantly higher than those in the experimental group，the differences were statistically significant（P<0.05）；in the uterine perforation，the occurrence of complications of water intoxication，two groups of patients had no statistically significant（P>0.05）.Two groups of patients with hospital stay compared，the control group requires hospitalization was longer than that of the experimental group，the difference was significant（P<0.01）；in terms of overall patient satisfaction survey，the experimental group was more likely to obtain patient identity，better than the control group，the difference was statistically significant（P<0.05）.Conclusion：The nursing care of patients with hysteroscopy taken early nursing intervention can effectively reduce complications，shorten hospital stay，improve patient satisfaction，it is worthy of popularization and application.

【Key words】 Hysteroscopy； Complication； Prevention； Intervention

First-authors address：Zhongnan Hospital of Wuhan University，Wuhan 430071，China

宫腔镜手术是利用冷光源，在宫腔内放置各类电极，直观下行宫腔内良性病变观察及治疗的微创手段[1]，近年来，随着内镜技术及设备的不断更新进步，该微创手术因其手术时间短、损伤小、恢复快，比传统诊刮术了解宫腔内情况等优势，逐渐成为妇科手术趋势，但是该手术的并发症，如：出血；子宫穿孔；气体栓塞；感染；治疗失败与复发等，严重困扰了医护人员及患者[2]，本临床研究旨在探讨利用早期护理干预预防妇科宫腔镜术后并发症的发生，现总结如下。

1 资料与方法

1.1 一般资料

选取2015年1月-2016年1月在笔者所在医院就诊并实施宫腔镜手术患者，共计182例，具有文献[3]宫腔镜手术指证，按照文献[4]排除禁忌证（发热、急性炎症等），随机分为对照组及试验组，各91例，两组患者一般情况比较，差异无统计学意义（P>0.05），见表1。……