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目的:探讨宫腔镜电切术治疗异常子宫出血的护理体会。方法:选择2014年1月至2015年9月惠东县妇幼保健院收治的异常子宫出血患者100例,施以宫腔镜电切术治疗,术前进行包括心理干预、术前辅助检查等在内的准备工作;术中维持患者电解质、水的平衡,时刻检查患者各项身体指标;术后关注患者病情变化,对患者进行饮食调节、康复训练、心理疏导等护理措施,有必要时对发生并发症的患者进行特殊护理措施。结果:所有患者手术均顺利完成,平均手术时间(52.2±3.1)min,平均住院时间(6.2±1.1)d,手术前100例患者中有79例患者出现不同程度的焦虑紧张情绪,经护理后都得到缓解,其中仍有2例没有完全缓解。手术后发生腹痛、呕吐、感染、呼吸困难、恐慌的患者分别为2、3、7、3、4例,经护理人员对症护理后,以上症状均得到好转。结论:宫腔镜电切术后对异常子宫出血患者进行精细护理是有必要的,患者均未发现有严重并发症和副反应,使患者在身心俱佳的状态下进行康复治疗,为患者病情的完全康复提供有力保障。
Objective: To discuss the nursing experience of hysteroscopic resection of abnormal uterine bleeding. Methods: One hundred patients with abnormal uterine bleeding who were treated in Huidong Maternal and Child Health Hospital from January 2014 to September 2015 were enrolled in this study. Hysteroscopic resection was performed. Preoperative psychological intervention, preoperative auxiliary examination, etc. were performed Within the preparation; intraoperative maintenance of electrolytes, water balance, always check the patient’s physical indicators; postoperative attention to the patient’s condition changes, the patient dietary adjustment, rehabilitation training, psychological counseling and other care measures, if necessary, occurred Complications of patients with special care measures. Results: All the patients underwent surgery successfully. The average operation time (52.2 ± 3.1) min and average hospitalization time (6.2 ± 1.1) days were 79% of the 100 patients before surgery. After treatment, anxiety and anxiety were observed. Have been alleviated, of which two are still not completely relieved. After surgery, patients with abdominal pain, vomiting, infection, dyspnea and panic were 2, 3, 7, 3 and 4 cases respectively. All the above symptoms were improved after symptomatic nursing by nurses. Conclusion: Hysteroscopic resection of patients with abnormal uterine bleeding is necessary for intensive care, patients were not found to have serious complications and side effects, so that patients in good physical and mental condition for rehabilitation treatment for the patient’s condition Full recovery to provide a strong guarantee.