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1、腹腔镜手术治疗异位妊娠76例护理体会王颖(山东省荣成市妇幼保健医院264300)【中图分类号】R714.22【文献标识码】B【文章编号】1672-5085(2012)10-0380-03【摘要】目的探讨腹腔镜治疗异位妊娠的护理方法。方法研究对象为2010年3月〜2011年10月在我院妇产科手术治疗的76例异位妊娠(输卵管妊娠)患者，分别选择腹腔镜和开腹手术治疗，根据不同术式采取不同的护理措施。结果腹腔镜治疗组与开腹手术组患者年龄、孕次、产次、术前血β-HCG水平无明显统计学差异(P〉0.
2、05)。腹腔镜组手术时间(46.8±9.4)min开腹组为(69.4±15.7)min,腹腔镜组平均手术时间明显短于开腹组(P<0.01);腹腔镜组平均出血量(165.4±6.7)ml,7T•腹组平均出血量(615.4±17.2)ml,前者明显少于后者(P<0.001)；腹腔镜组住院日(4.5±1.5)天，开腹组为(6.5±1.5)天,前者少于后者(P<0.05)；两组术后宫内妊娠率及异位妊娠率差
3、异无显著性(P>0.05)。结论腹腔镜手术治疗异位妊娠只有创伤小、岀血少、疼痛轻、恢复快、并发症少等优点。对患者进行有效心理护理是患者以良好的精神状态顺利完全手术的保证，严密的观察和护理是康复的关键。做好腹腔镜手术患者整体护理对治疗成功是非常重要的，有利于腹腔镜手术治疗异位妊娠患者的恢复。【关键词】腹腔镜手术治疗异位妊娠护理体会[Abstract]Objective:Toexplorethemethodsofnursingcareinthetreatmentofectopicpregnanc
4、ybylaparoscopy.Methods:theresearchobjectforthe2010Marchto2011Octoberinourhospitalobstetricsandgynecologyoperationtreatmentof76casesofectopicpregnancy(tubalpregnancy)patients,laparoscopicandopenoperationtreatmentwerechosenaccordingtodifferentoperation,
5、usedifferentnursingmeasures.Results:thelaparoscopicgroupandopenoperationgroupofpatientsage,gravidity,parity,andpreoperativeserumbeta-HCGlevelhasnoobviousstatisticaldifference(P>0.05).Operationtimeoflaparoscopicgroup(46.8+9.4)minlaparotomygroupforth
6、e(69.4+15.7)min,laparoscopicgroupmeanoperationtimewassignificantlyshorterthantheopengroup(P<0.01);thelaparoscopicgroupaveragebleedingvolume(165.4+6.7)ml,laparotomygroupaveragebleedingvolume(615.4+17.2)ml,theformerisobviouslylessthanthatofthelatter(
7、P<0.001);thelaparoscopicgrouphospitalizationdays(4.5+1.5)days,opengroup(6.5+1.5)days,theformerislessthanthelatter(P<0.05);twogroupsinthepregnancyrateaftersurgeryandectopicpregnancyrateshowednosignificantdifference(P>0.05).Conclusion:laparosco
8、picoperationintreatmentofectopicpregnancywithlesstrauma,lessbleeding,lesspain,rapidrecovery,fewercomplications.Effectiveforpatientswithpsychologicalnursingcareforpatientswithagoodmentalstateissuccessfullycompleteoperationassurance,closeobserva
