优质护理服务模式在腹腔镜治疗卵巢肿瘤患者中的应用效果
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摘要
目的探讨优质护理服务模式在腹腔镜治疗卵巢肿瘤患者中的应用效果。方法选择2014年4月—2016年10月该院收治的卵巢良性患者106例,按照入组前后分为两组,每组均为53例,护理干预上,对照组实施常规护理,围术期主要遵医嘱进行护理操作,观察组则实施优质护理服务模式,对患者随访1年,比较两组患者卵巢相关功能,治疗后3个月,性激素水平变化,并统计妊娠率与妊娠结局情况。结果治疗后1年,观察组成熟卵泡数、宫颈黏液性状、宫内膜厚度分别为(3.1±0.7)个,(7.4±0.3)min和(9.5±1.6)分均明显优于对照组的(1.5±0.7)个,(3.9±0.8)m和(8.1±1.1)分,差异有统计学意义(t=11.766,29.823,5.249,P<0.05),观察组黄体生成素及测查水平分别为(9.9±1.1)mIU/mL和(714.1±8.1)pg/mL明显高于对照组的(9.5±0.8)mIU/mL和(231.2±5.3)pg/mL,差异有统计学意义(t=2.141,363.476,P<0.05),观察组自然受孕率为79.2%,高于对照组的58.5%,差异有统计学意义(χ~2=5.324,P<0.05)。结论优质护理服务模式能显著提高腹腔镜下卵巢肿瘤手术患者术后生殖系统健康,改善体内激素水平,提高自然受孕率。
Objective This paper tries to explore the effect of quality nursing service in laparoscopic treatment of ovarian cancer patients. Methods 106 cases in benign ovarian patients in the hospital from April 2014 to October 2016 were divided into two groups according to the time before and after enrollment, with 53 cases in each group. In nursing intervention, the control group implemented routine care under major perioperative nursing orders operation, the observation group was the implementation of quality nursing service mode. The patients were followed up for 1 year. The ovarian function was compared between the two groups. After 3 months of treatment, the levels of sex hormones were changed. The pregnancy rate and pregnancy outcome were also calculated. Results At 1 year after treatment, the number of mature follicles, cervical mucus and endometrial thickness in the observation group were(3.1±0.7),(7.4±0.3) and(9.5±1.6)points respectively, which were significantly higher than those in the control group(1.5±0.7),(3.9±0.8) and(8.1±1.1) points,the difference was statistically significant(t= 11.766, 29.823,5.249, P<0.05).The levels of luteinizing hormone in the observation group were(9.9±1.1) mIU/mL and(714.1±8.1)pg/mL,which were significantly higher than that of the control group( 9.5 ± 0.8) mIU/mL and( 231.2 ± 5.3) pg/mL, The difference was statistically significant( t =2.141,363.476,P <0.05). The rate of spontaneous conception in observation group was 79.2%, which was higher than58.5% of control group The difference was statistically significant(χ~2= 5.324, P<0.05). Conclusion The model of highquality nursing service can significantly improve the postoperative reproductive health of patients undergoing laparoscopic surgery for ovarian tumors, improve hormone levels in vivo and increase the rate of natural conception.
Objective This paper tries to explore the effect of quality nursing service in laparoscopic treatment of ovarian cancer patients. Methods 106 cases in benign ovarian patients in the hospital from April 2014 to October 2016 were divided into two groups according to the time before and after enrollment, with 53 cases in each group. In nursing intervention, the control group implemented routine care under major perioperative nursing orders operation, the observation group was the implementation of quality nursing service mode. The patients were followed up for 1 year. The ovarian function was compared between the two groups. After 3 months of treatment, the levels of sex hormones were changed. The pregnancy rate and pregnancy outcome were also calculated. Results At 1 year after treatment, the number of mature follicles, cervical mucus and endometrial thickness in the observation group were(3.1±0.7),(7.4±0.3) and(9.5±1.6)points respectively, which were significantly higher than those in the control group(1.5±0.7),(3.9±0.8) and(8.1±1.1) points,the difference was statistically significant(t= 11.766, 29.823,5.249, P<0.05).The levels of luteinizing hormone in the observation group were(9.9±1.1) mIU/mL and(714.1±8.1)pg/mL,which were significantly higher than that of the control group( 9.5 ± 0.8) mIU/mL and( 231.2 ± 5.3) pg/mL, The difference was statistically significant( t =2.141,363.476,P <0.05). The rate of spontaneous conception in observation group was 79.2%, which was higher than58.5% of control group The difference was statistically significant(χ~2= 5.324, P<0.05). Conclusion The model of highquality nursing service can significantly improve the postoperative reproductive health of patients undergoing laparoscopic surgery for ovarian tumors, improve hormone levels in vivo and increase the rate of natural conception.
引文
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[2]黄永申.吡格列酮联合克罗米酚治疗多囊卵巢综合症30例临床疗效观察[J].现代诊断与治疗,2014(10):2246-2247.
[3]陈薪,尹敏娜,叶德盛,等.血清与卵泡液抗苗勒氏管激素对多囊卵巢综合症患者体外受精-胚胎移植临床结果的预测价值[J].南方医科大学学报,2013,33(4):546-549.
[4]肖丽,田小燕.二甲双胍联合克罗米芬治疗多囊卵巢综合征合并不孕132例疗效分析[J].中国现代药物应用.2013,7(13):45-47.
[5]杨柳青.多囊卵巢综合症临床分析[J].北方药学,2012,9(1):78-80.
[6]张宏波.治疗青春期多囊卵巢综合症运动处方的研究[J].广州体育学院学报,2014,34(3):90-93.
[7]杜杰.中医药治疗多囊卵巢综合征的疗效观察[J].使用妇科内分泌电子杂志,2015,2(12):44.
[8]杨家利.腹腔镜下及药物治疗难治性多囊卵巢综合征疗效分析[J].中外医疗,2012,31(25):10-11.
[9]李旭丽,张燕,姚海蓉,等.体外受精治疗多囊卵巢综合症与仅多囊卵巢不孕患者的临床特征和治疗分析[J].中国保健营养,2016,29(5):51.
[10]李晓珲.肥胖型多囊卵巢综合症达英35与二甲双胍联合治疗的临床分析与疗效观察[J].中国中医药科技,2014,17(7):67.