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目的本次研究为子宫内膜异位症的临床表现及心理护理等方面的了解和评估提供新的资料与思路。方法 76例子宫内膜异位症疼痛患者运用疼痛视觉模拟评分法(VAS),根据患者的疼痛症状痛经、性交痛、肛门坠痛以及慢性盆腔痛(CPP)进行评分。结果不同部位的子宫内膜异位症患者疼痛程度不同,子宫直肠陷凹以及阴道直肠隔子宫内膜异位症患者的肛门坠痛、性交痛程度高于腹膜、卵巢子宫内膜异位症患者,差异有统计学意义(P<0.05);但痛经程度比较,差异无统计学意义(P>0.05)。月经异常、不孕及流产等问题,治疗时要考虑多种因素,方案个体化。结论不同部位及不同类型的子宫内膜异位症均有其疼痛特点,子宫内膜异位症也具有临床病变广泛和疾病表现多样性的特点。
Objective This study provides new information and ideas for the understanding and assessment of the clinical manifestations and psychological nursing of endometriosis. Methods A total of 76 patients with endometriosis pain were evaluated by pain visual analogue scale (VAS) according to their painful symptoms of dysmenorrhea, painful intercourse, anal pain and chronic pelvic pain (CPP). Results The pain degree of endometriosis patients in different parts was different. The anorectal pain and anal intercourse pain in patients with uterine rectum and vaginal rectal septum endometriosis were higher than those in peritoneum and ovarian endometriosis , The difference was statistically significant (P <0.05); but the degree of dysmenorrhea, the difference was not statistically significant (P> 0.05). Menstrual disorders, infertility and miscarriage and other issues, the treatment of many factors to be considered, the program individualized. Conclusion Different parts and different types of endometriosis have their pain characteristics, endometriosis also has a wide range of clinical lesions and the diversity of disease characteristics.