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目的探讨临床护理路径(CNP)对腹腔镜子宫肌瘤切除术患者应激反应的影响。方法选择2015年1月至2015年12月海南省人民医院妇科行腹腔镜子宫肌瘤切除术的55例患者作为观察组,选择2014年1月至2014年12月于海南省人民医院妇科行腹腔镜子宫肌瘤切除术的55例患者作为对照组。对照组患者采用常规护理措施,观察组患者采用全面实施CNP干预。结果与手术前1 d比较,两组患者气腹后10 min和完成手术时肾上腺素指标均明显升高,差异均有统计学意义(均P<0.05),对照组指标高于观察组。对照组患者气腹后10 min、完成手术时心率、体温、血压均高于手术前1 d,且高于观察组同期。观察组患者气腹后10 min、完成手术时心率、体温和血压指标无明显波动。结论 CNP可以降低腹腔镜子宫肌瘤切除术患者的应激反应,适于临床推广应用。
Objective To investigate the effect of clinical nursing pathway (CNP) on stress response in patients undergoing laparoscopic myomectomy. Methods From January 2015 to December 2015, 55 cases of laparoscopic myomectomy in gynecological department of Hainan Provincial People’s Hospital were selected as the observation group and selected from January 2014 to December 2014 in the Department of Gynecology, Hainan Provincial People’s Hospital 55 cases of myomectomy were included as control group. The control group of patients with conventional nursing interventions, the observation group of patients with full implementation of CNP intervention. Results Compared with the first day before operation, both groups had significantly increased epinephrine index 10 min after pneumoperitoneum and operation, the difference was statistically significant (both P <0.05). The indexes in the control group were higher than those in the observation group. In the control group, the heart rate, body temperature and blood pressure at the time of completion of operation 10 min after pneumoperitoneum were higher than those before operation, and were higher than those of the observation group at the same period. Observed group patients pneumoperitoneum 10 min, complete heart rate, body temperature and blood pressure indicators no significant fluctuations. Conclusion CNP can reduce the stress response in patients undergoing laparoscopic myomectomy and is suitable for clinical application.