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目的探讨腹腔镜辅助下阴式全子宫切除术与开腹全子宫切除术的护理效果比较。方法选取我院收治的50例患者作为研究对象。将其随机分为对照组和观察组。对照组给予腹腔镜辅助下阴式全子宫切除术,观察组在常规开腹全子宫切除术。结果两组患者均手术成功,经过术后对两组患者护理效果进行对比,观察组患者的术后拔出尿管时间、下床时间、肛门排气时间、进食时间均早于对照组患者,差异均具有统计学意义(P<0.05)。对照组拔出尿管时间、下床时间、肛门排气时间、进食时间分别为(41.5±6.3)h、(33.4±3.9)h、(25.2±5.4)h、(34.6±7.2)h;观察组拔出尿管时间、下床时间、肛门排气时间、进食时间分别为:(18.8±4.2)h、(21.6±3.3)h、(7.5±4.1)h、(21.8±6.4)h。结论对切除全子宫患者实施腹腔镜辅助下阴式全子宫切除术具有术后恢复快、创伤性小、不良反应少等优点。
Objective To investigate the nursing effect of laparoscopic assisted vaginal hysterectomy and open hysterectomy. Methods Selected 50 patients admitted to our hospital as the research object. They were randomly divided into control group and observation group. The control group received laparoscopic assisted vaginal hysterectomy, the observation group in conventional open hysterectomy. Results The two groups of patients were operated successfully. After the operation, the nursing effect of the two groups was compared. The time of pulling out the catheter, the time of getting out of bed, the exhaust time of the anus and the time of eating in the observation group were earlier than those in the control group. The differences were statistically significant (P <0.05). In the control group, the time of catheter removal, the time of going to bed, the time of excretion of the anus and the time of eating were (41.5 ± 6.3) h, (33.4 ± 3.9) h, (25.2 ± 5.4) h and (34.6 ± 7.2) The time to pull out the catheter, the time to get out of bed, the exhaust time of the anus and the feeding time were (18.8 ± 4.2) h, (21.6 ± 3.3) h, (7.5 ± 4.1) h and (21.8 ± 6.4) h, respectively. Conclusion Laparoscopic assisted vaginal hysterectomy in patients with total hysterectomy has the advantages of rapid recovery, less invasiveness and less adverse reactions.