Perioperative nursing of hysteroscopy combined with laparoscopy in the treatment of tubal infertility
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

摘要

目的 探析使用围手术期护理进行宫腔镜联合腹腔镜手术治疗输卵管性不孕的临床效果。方法在我院接受宫腔镜联合腹腔镜手术治疗的输卵管性不孕患者共计50例作为主要分析对象，本研究开展时间为2019年4月～2020年4月，将所有患者按照1:1的比例分到对照组和观察组，两组分别有患者25例，所有患者在手术期间均接受围手术期护理，但护理方法不同，分别是对照组（围手术期常规护理）、观察组（围手术期综合护理）。使用不同方法护理后，观察和分析两组患者的临床状况，并记录相关数据，尤其是手术时间、并发症发生率、术后心理症状自评表评分（躯体化、人际关系、抑郁、焦虑、敌对）等数据要详细记录。同时将两组记录后的数据进行比较。结果 护理后采用综合护理的观察组和常规护理的对照组，比较手术时间，观察组相对较低，差异有统计学意义（P＜0.05）；此外，并发症发生率比较，对照组相对于观察组较高，差异有统计学意义（P＜0.05）；比较两组患者术后症状自评表评分，观察组优于对照组，差异有统计学意义（P＜0.05）。结论 对接受宫腔镜联合腹腔镜手术治疗的输卵管性不孕患者进行围手术期综合护理，不仅能够提高手术效果，还能够减少并发症的发生，对患者的康复有着积极作用。

Abstract

Objective: To explore the clinical effect of hysteroscopy combined with laparoscopic surgery on tubal infertility using perioperative nursing.
Methods: A total of 50 patients with tubal infertility treated with hysteroscopy combined with laparoscopic surgery in our hospital were used as the main analysis objects. The study was conducted from April 2019 to April 2020. All patients were treated as 1:1 The proportion is divided into the control group and the observation group. There are 25 patients in the two groups. All patients received perioperative care during the operation, but the nursing methods are different. They are the control group (conventional care during the perioperative period) and the observation group (Perioperative comprehensive care). After using different methods of care, observe and analyze the clinical status of the two groups of patients, and record the relevant data, especially the operation time, incidence of complications, postoperative psychological symptoms self-assessment table scores (somatization, interpersonal relationships, depression, anxiety, Hostile) and other data should be recorded in detail. At the same time, compare the two sets of recorded data.
Results: The observation group using comprehensive nursing after care and the control group of routine care compared the operation time, the observation group was relatively low, and the difference was statistically significant (P<0.05); In addition, the incidence of complications was compared between the control group and the control group. The observation group was higher and the difference was statistically significant (P<0.05); comparing the postoperative symptom scores of the two groups of patients, the observation group was better than the control group, and the difference was statistically significant (P<0.05).
Conclusion  : Comprehensive perioperative care of patients with tubal infertility treated by hysteroscopy combined with laparoscopic surgery can not only improve the surgical effect, but also reduce the occurrence of complications, and have a positive effect on the rehabilitation of patients.