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盆底重建术治疗重度盆腔脏器脱垂的围手术期护理

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目的 建立盆底重建术治疗重度盆腔脏器脱垂的围手术期护理流程.方法 在外阴和阴道手术围手术期护理的基础上,结合循证护理依据,制定重度盆腔脏器脱垂患者行盆底重建术的围手术期护理流程.总结2022 年 6 月至 2023 年 6 月郑州颐和医院收治的行盆底重建术的60例重度盆腔脏器脱垂患者的围手术期护理实践经验.记录患者术后康复情况和盆底功能障碍改善效果.结果 本组 60 例患者术后 3 个月盆底功能障碍评分(3.55±1.35)分,较术前明显降低(9.67±1.12)分,差异有统计学意义(P<0.05);并发症发生率为13.33%(8/60).结论 盆底重建术是治疗重度盆腔脏器脱垂的首选方法,术前做好手术准备,术中安抚患者情绪,术后加强盆底功能训练,可有效改善重度盆腔脏器脱垂患者盆底重建术后的盆底功能.
Perioperative nursing of severe pelvic organ prolapse treated by pelvic floor reconstruction
Objective To establish a perioperative nursing process for pelvic floor reconstruction surgery in the treatment of severe pelvic organ prolapse.Methods Based on the perioperative nursing of external genital and vaginal surgery,combined with evidence-based nursing,a perioperative nursing process for pelvic floor reconstruction surgery in patients with severe pelvic organ prolapse was developed.Summarize the perioperative nursing experience of 60 patients with severe pelvic organ prolapse who underwent pelvic floor reconstruction surgery at Zhengzhou Yihe Hospital from June 2022 to June 2023.Record the patient's postoperative recovery status and the improvement effect of pelvic floor dysfunction.Results The pelvic floor dysfunction score of 60 patients in this group was(3.55±1.35)points 3 months after surgery,which was significantly lower than that before surgery(9.67±1.12)points,and the difference was statistically significant(P<0.05);The incidence of complications was 13.33%(8/60).Conclusions Pelvic floor reconstruction surgery is the preferred method for treating severe pelvic organ prolapse.Preoperative preparation,emotional comfort during surgery,and postoperative pelvic floor function training can effectively improve pelvic floor function in patients with severe pelvic organ prolapse undergoing pelvic floor reconstruction surgery.

pelvic floor reconstructionsevere pelvic organ prolapseperioperative periodnursing

李勇勇、李靖雯、张肖宁、张红霞

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郑州颐和医院妇科,河南郑州,450000

河南大学淮河医院妇科,河南开封,475000

盆底重建术 重度盆腔脏器脱垂 围手术期护理

2024

中国医疗美容
中国整形美容协会

中国医疗美容

影响因子:0.454
ISSN:2095-0721
年,卷(期):2024.14(9)
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