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目的探讨认知行为干预对子宫切除术患者的临床效果及合理应用方式。方法对114例子宫切除术患者的临床治疗经过进行回顾性分析,根据治疗方式分为8腔气压治疗58例和认知行为治疗56例,前两种方法治疗失败采用8腔气压治疗联合认知行为治疗18例,对3种方式的治疗效果进行比较。结果 8腔气压治疗和认知行为主要诱发因素均为下肢静脉血栓和抑郁,并且8腔气压治疗组和认知行为组患者的各种诱发因素构成比较,差异均不具有统计学意义(P>0.05)。8腔气压治疗组和认知行为组手术时间比较差异不具有统计学意义(P>0.05),8腔气压治疗组的止血时间、术后出血量、术后下床活动时间、住院时间均显著的低于认知行为组(P<0.05)。8腔气压治疗组止血成功42例(72.41%),止血失败16例(27.59%),认知行为组成功止血54例(96.43%),治疗失败2例(3.57%),认知行为组治疗成功率显著高于气压治疗组(P<0.05)。气压治疗组止血失败16例患者和认知行为组治疗失败2例患者均紧急采用8腔气压治疗联合认知行为治疗,均成功止血,成功率达到100.00%,无患者发生死亡。结论 8腔气压治疗仪联合认知行为对子宫切除术患者术后止血效果最好。
Objective To investigate the clinical effect of cognitive behavioral intervention on hysterectomy patients and its reasonable application. Methods A total of 114 cases of hysterectomy were retrospectively analyzed. According to the treatment methods, 58 cases were treated with 8-cavity barometric pressure and 56 cases were treated with cognitive behavioral therapy. The first two methods failed to use 8-cavity barometric pressure therapy combined with cognition Behavioral therapy in 18 cases, the efficacy of the three methods were compared. Results The main inducing factors of 8-cavity barometric pressure therapy and cognitive behavior were venous thrombosis and depression of the lower extremities. There was no significant difference in the various inducing factors between the 8-cavity bariatric group and the cognitive behavioral group (P> 0.05). There was no significant difference in operative time between 8-cavity bariatric group and cognitive behavioral group (P> 0.05). The bleeding time, postoperative blood loss, postoperative ambulation time and hospital stay in 8-cavity bariatric group were significantly Less than cognitive behavior group (P <0.05). Among them, 42 patients (72.41%) had hemostasis successfully, 16 patients (27.59%) failed to stop bleeding, 54 patients (96.43%) successfully stopped in cognitive behavior group, 2 patients (3.57% The success rate was significantly higher than the pressure treatment group (P <0.05). Twenty-six patients in the bariatric group failed to hemostasis and two in the cognitive-behavioral group failed to complete treatment. Two patients underwent emergency barocular pressure therapy combined with cognitive behavioral therapy, with a successful rate of 100.00%. No patient died. Conclusion The 8-cavity barograph combined with cognitive behavior has the best effect on hemostasis after hysterectomy.