论文部分内容阅读
目的分别利用腹腔镜手术和传统开腹手术对子宫肌瘤患者进行治疗,观察患者术后生活质量及其影响因素。方法将50例子宫肌瘤患者分成腹腔镜子宫肌瘤剔除术组(LM)28例和开腹子宫肌瘤切除术组(TAM)22例,另外选择25例门诊体检的健康妇女为对照组,利用一般情况调查、视觉模拟评价(VAS)及SF-36量表分析这些患者在术后的自我疗效评价、生活质量及治疗效果,对比三组的生活质量。结果 LM组、TAM组SF-36总评分明显低于对照组,术后与术前均有显著改善,术后组间总评分差异不明显。LM组患者躯体疼痛评分术后显著优于TAM组。VAS评分结果显示,不同术式患者的疗效评价差异不明显,基本上和SF-36总评分是一致的。结论腹腔镜手术与开腹手术患者,其生活质量均明显低于正常人群,患者生活质量主要受到了情感职能、躯体功能及心理情况等诸多方面因素的影响,所以广大医护人员应采取措施提升其整体健康水平。
Objective To treat patients with uterine fibroids by laparoscopic surgery and conventional laparotomy respectively and observe the postoperative quality of life and its influencing factors. Methods Fifty patients with uterine fibroids were divided into two groups: 28 patients underwent laparoscopic myomectomy (LM) and 22 patients underwent open myomectomy (TAM). In addition, 25 healthy women undergoing outpatient examination were selected as control group, The self-efficacy evaluation, quality of life and treatment effect of these patients after operation were compared with the general situation survey, visual analogue evaluation (VAS) and SF-36 scale to compare the quality of life of the three groups. Results The total score of SF-36 in LM group and TAM group was significantly lower than that in control group, with significant improvement after operation and preoperatively. There was no significant difference between the two groups after operation. Body pain scores were significantly better in the LM group than in the TAM group. The results of VAS scoring showed that there was no significant difference in the evaluation of the curative effect among different surgical patients, which was basically consistent with the SF-36 total score. Conclusions The quality of life of patients undergoing laparoscopic surgery and laparotomy was significantly lower than that of the normal population. The quality of life of the patients was mainly affected by many factors such as emotional function, physical function and psychological condition. Therefore, the majority of medical staff should take measures to enhance their quality of life Overall health level.