摘要
目的观察LEEP刀治疗宫颈病变的效果，并探讨其护理配合方法。方法采用LEEP刀治疗文成县人民医院270例宫颈病变患者，观察其手术时间、术中出血、术后3个月计算机细胞扫描分析系统（CCT）异常例数、术后宫颈管狭窄例数、宫颈修复时间等指标，并与同期行传统电刀手术的220例患者的资料进行对比。结果LEEP刀治疗组的手术时间及术中出血量分别为（6．3±0．8）min，（3．2±0．5）ml，均少于传统电刀组的（17．3±2．1）min，（8．0±1．0）ml，差异均有统计学意义（t分别为79．3115，69．0039；P〈0．05）；LEEP刀治疗组术后宫颈管狭窄例数及术后3个月CCT异常例数分别为6，22例，均少于传统电刀组的21，55例，差异均有统计学意义（χ2分别为5．3862，25．9918；P〈0．05）；LEEP刀治疗组的宫颈修复时间为（13±1）d，短于传统电刀组的（22±2）d，差异有统计学意义（t=64．6911，P〈0．05）。结论LEEP刀是治疗宫颈病变的有效方法，配合有效的护理措施，可以降低其手术出血量，缩短术后宫颈修复时间，降低术后宫颈狭窄术后CCT异常发生率。
Objective To＇observe the＇effect o/LEEP knife in the treatment of cervical lesions and investigate its nursing methods. Methods Totals of 270 patients with cervical lesions were treated with LEEP knife. Their operative time, blood loss, postoperative CCT abnormal number after 3 months, number of cervical stenosis and cervical repair time were observed and compared with those of 220 cases who used conventional electric knife for surgery during the same time. Results The operative time and blood loss were （6.3 ± 0.8） min and（3.2±0.5） ml in the LEEP knife group, less than （17.3±2. 1）min and（8.0 ± 1.0） ml in the conventional group, and the differences were statistically significant （t =79. 311 5, 69. 003 9, respectively;P 〈 0. 05）. The number of cervical stenosis and postoperative CCT abnormal number after 3 months were 6 and 22 in the LEEP knife group, less than 21 and 55 in the conventional group, and the differences were statistically significant （χ2 =5. 386 2,25. 991 8, respectively;P 〈0. 05）. The cervical repair time was （13 ± 1 ）d in the LEEP knife group, shorter than （ 22 ± 2 ） d in the conventional group, and the difference was statistically significant （t = = 64. 691 1 ,P 〈 0. 05）. Conclusions LEEP knife is an effective way to treat cervical lesions, with effective interventions, which can reduce blood loss, shorten recovery time after cervix, and decrease the number of cervical stenosis as well as postoperative CCT abnormal number.
出处
《中华现代护理杂志》
2013年第17期2029-2031,共3页
Chinese Journal of Modern Nursing
关键词
宫颈疾病
护理
LEEP刀
疗效
Cervical disease
Nursing
LEEP knife
Curative effect
