[摘要]目的 探討術后早期活動結合心理干預對腹腔鏡子宮肌瘤剔除術患者康復效果的影響。方法 選取2015年3月～2017年3月在我院住院行腹腔鏡子宮肌瘤剔除術的158例患者為研究對象，采用隨機數(shù)字表法將其分為觀察組81例和對照組77例。對照組給予常規(guī)術后護理，觀察組在此基礎上給予早期活動和針對性心理干預，比較兩組患者術后疼痛情況，胃腸功能恢復時間，相關并發(fā)癥發(fā)生率以及患者滿意度。結果 觀察組患者術后3 d的疼痛評分低于對照組，肛門排氣時間及首次進食時間早于對照組，術后并發(fā)癥發(fā)生率低于對照組，患者滿意度高于對照組，差異均有統(tǒng)計學意義（P<0.05）。結論 術后早期活動結合心理干預有助于改善患者術后疼痛情況，促進胃腸功能恢復，減少相關并發(fā)癥，同時提高患者的滿意度。
　　[關鍵詞]早期活動；心理干預；腹腔鏡；子宮肌瘤剔除術；康復效果
　　[中圖分類號] R473.73 [文獻標識碼] A [文章編號] 1674-4721（2018）2（b）-0176-03
　　Effect of postoperative early activities combined with psychological intervention on rehabilitation in patients with laparoscopic myomectomy
　　ZHU Ying-yan1 LI Shu-ying2 ZHANG Shu-juan2
　　1.Department of Gynecology and Obstetrics，People′s Hospital of Raoping County，Guangdong Province，Raoping 515700，China；2.Department of General Surgery，People′s Hospital of Raoping County，Guangdong Province，Raoping 515700，China
　　[Abstract]Objective To explore the effects of postoperative early activities combined with psychological intervention on the rehabilitation in patients with laparoscopic myomectomy.Methods A total of 158 patients with laparoscopic myomectomy were selected from March 2015 to March 2017 and randomly divided into observation group（81 cases） and control group（77 cases） according to random number table method.Patients in the control group were received routine postoperative care，while patients in the observation group were received early activity and psychological intervention on the basis of the control group.The pain score，gastrointestinal function recovery time，complication incidence and patients′satisfaction were compared between the two groups.Results The pain score of the observation group was lower than that of the control group 3 days after surgery，the anus exhaust time and first feeding time were earlier than that of the control group，the incidence of postoperative complications was lower than that of the control group，the patients′satisfaction was higher than that of the control group，Differences were statistically significant （P<0.05）.Conclusion Postoperative early activities combined with psychological intervention can improve postoperative patient pain，promote gastrointestinal function recovery，reduce related complications and improve patient satisfaction.
　　[Key words]Early activity；Psychological intervention；Laparoscope；Myomectomy；Rehabilitation effects
　　子宮肌瘤是女性生殖器官最常見的良性腫瘤，多發(fā)于育齡期女性，給患者的生殖健康帶來嚴重影響[1-3]。腹腔鏡子宮肌瘤剔除術具有創(chuàng)傷小、恢復快、出血少等優(yōu)點，在子宮肌瘤手術治療中得到廣泛應用[4-5]。由于受到術中二氧化碳氣體及麻醉藥物的影響，術后患者往往存在胃腸功能紊亂、肩部及膈下疼痛等問題[6-7]。部分患者由于缺乏相關疾病知識，擔心肌瘤復發(fā)或影響生育，影響患者術后康復。研究顯示，術后早期活動有利于促進腹腔內(nèi)殘留的二氧化碳排出，從而減輕腹脹和疼痛，促進胃腸功能的恢復[8-9]。本研究將早期活動與心理干預相結合，對腹腔鏡子宮肌瘤剔除術患者進行護理，取得了較好的效果，現(xiàn)報道如下。

相關熱詞搜索：剔除 術后 干預 子宮肌瘤 康復