[摘要]目的 探討術(shù)后早期活動(dòng)結(jié)合心理干預(yù)對腹腔鏡子宮肌瘤剔除術(shù)患者康復(fù)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(shù)的158例患者為研究對象，采用隨機(jī)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(shù)后護(hù)理，觀察組在此基礎(chǔ)上給予早期活動(dòng)和針對性心理干預(yù)，比較兩組患者術(shù)后疼痛情況，胃腸功能恢復(fù)時(shí)間，相關(guān)并發(fā)癥發(fā)生率以及患者滿意度。結(jié)果 觀察組患者術(shù)后3 d的疼痛評分低于對照組，肛門排氣時(shí)間及首次進(jìn)食時(shí)間早于對照組，術(shù)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(jì)學(xué)意義（P<0.05）。結(jié)論 術(shù)后早期活動(dòng)結(jié)合心理干預(yù)有助于改善患者術(shù)后疼痛情況，促進(jìn)胃腸功能恢復(fù)，減少相關(guān)并發(fā)癥，同時(shí)提高患者的滿意度。
　　[關(guān)鍵詞]早期活動(dòng)；心理干預(yù)；腹腔鏡；子宮肌瘤剔除術(shù)；康復(fù)效果
　　[中圖分類號(hào)] R473.73 [文獻(xiàn)標(biāo)識(shí)碼] A [文章編號(hào)] 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(yán)重影響[1-3]。腹腔鏡子宮肌瘤剔除術(shù)具有創(chuàng)傷小、恢復(fù)快、出血少等優(yōu)點(diǎn)，在子宮肌瘤手術(shù)治療中得到廣泛應(yīng)用[4-5]。由于受到術(shù)中二氧化碳?xì)怏w及麻醉藥物的影響，術(shù)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(guān)疾病知識(shí)，擔(dān)心肌瘤復(fù)發(fā)或影響生育，影響患者術(shù)后康復(fù)。研究顯示，術(shù)后早期活動(dòng)有利于促進(jìn)腹腔內(nèi)殘留的二氧化碳排出，從而減輕腹脹和疼痛，促進(jìn)胃腸功能的恢復(fù)[8-9]。本研究將早期活動(dòng)與心理干預(yù)相結(jié)合，對腹腔鏡子宮肌瘤剔除術(shù)患者進(jìn)行護(hù)理，取得了較好的效果，現(xiàn)報(bào)道如下。

相關(guān)熱詞搜索：剔除 術(shù)后 干預(yù) 子宮肌瘤 康復(fù)