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目的探讨系统性手术配合护理在腹腔镜下行广泛子宫切除术中的应用效果。方法选取重庆三峡中心医院2013—2016年收治的行腹腔镜下广泛子宫切除术患者50例,随机分为系统护理组与普通组,各25例。系统护理组患者予以系统性手术配合护理;普通组患者予以常规手术配合护理,比较两组患者治愈率、生理状态、生理指标(糖类抗原CA199、糖类抗原CA125、淋巴细胞分数)及并发症发生情况。结果系统护理组患者治愈率高于普通组(P<0.05)。系统性护理组患者生理状态优于普通组(P<0.05)。护理前两组患者糖类抗原CA199、糖类抗原CA125、淋巴细胞分数比较,差异无统计学意义(P>0.05);护理后系统护理组患者糖类抗原CA199、糖类抗原CA125、淋巴细胞分数低于普通组(P<0.05)。两组患者均无一例发生严重并发症。结论系统性手术配合护理在腹腔镜下广泛子宫切除术患者中的应用效果确切,可辅助提高手术治愈率,加快患者身体恢复,且安全性较高。
Objective To investigate the effect of systematic surgery combined with nursing in laparoscopic radical hysterectomy. Methods Fifty cases of patients undergoing laparoscopic radical hysterectomy in Chongqing Three Gorges Central Hospital from 2013 to 2016 were randomly divided into systematic nursing group and general group, with 25 cases in each group. The patients in the system nursing group were treated with systematic operation and nursing. The patients in the common group were treated with routine operation and nursing. The cure rate, physiological status, physiological indexes (carbohydrate antigen CA199, carbohydrate antigen CA125, lymphocyte fraction) and complications What happened? Results The cure rate of patients in systematic nursing group was higher than that in general group (P <0.05). The patients in the systemic nursing group had better physiological status than the normal group (P <0.05). There was no significant difference in CA199, carbohydrate antigen CA125 and lymphocyte score between the two groups before nursing (P> 0.05). After nursing, the patients in the systemic care group had carbohydrate antigen CA199, carbohydrate antigen CA125, lymphocyte fraction Lower than normal group (P <0.05). None of the two groups experienced serious complications. Conclusions Systematic surgery combined with nursing is effective in patients undergoing laparoscopic radical hysterectomy. It can help improve the cure rate and speed up the recovery of patients with high safety.