腹腔镜下子宫全切术风险预控体系的构建及应用

doi:10.20047/j.issn1673-7210.2023.01.43

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Abstract Objective To explore the construction and application of risk control system for laparoscopic total hysterectomy. Methods A total of 110 patients treated in Nantong Maternal and Child Health Hospital of Jiangsu Province from March 2020 to March 2022 and planned to undergo laparoscopic total hysterectomy were prospectively selected and divided into observation group and control group according to the random number table method, with 55 cases in each group. The control group received routine postoperative management, and the risk control system for laparoscopic total hysterectomy was constructed and applied to the observation group in addition. The rehabilitation indexes (first anal exhaust time, length of hospital stay, and quality of recovery-40 scale [QoR-40] score at seven days after intervention) were compared between the two groups. The scores of Hamilton anxiety scale (HAMA) before intervention (T1), one day before operation (T2), three days after operation (T3), and seven days after operation (T4) were compared between the two groups. The incidence of adverse reactions and nursing satisfaction were recorded and compared between the two groups. Results The first anal exhaust time and length of hospital stay in the observation group were shorter than those in the control group, and the QoR-40 score at seven days after intervention was higher than that in the control group, and the differences were statistically significant (P ＜ 0.05). The HAMA scores of T2, T3, and T4 in the two groups were lower than those of T1, T3, and T4 were lower than those of T2, T4 was lower than that of T3, and the HAMA scores of T2, T3, and T4 in the observation group were lower than those of the control group at the same time point, and the differences were statistically significant (P ＜ 0.05). The total incidence of complications in the observation group was lower than that in the control group, and the total satisfaction rate of nursing was higher than that in the control group, and the differences were statistically significant (P ＜ 0.05). Conclusion The risk control system of laparoscopic total hysterectomy can improve the rehabilitation efficiency of patients, improve anxiety, reduce the incidence of surgical complications, and improve nursing satisfaction.

Key words： Laparoscopy Total hysterectomy Risk control system Construction Application

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	JI Chunli GU Qing▲

Cite this article:

JI Chunli GU Qing▲. Construction and application of risk control system for laparoscopic total hysterectomy[J]. 中国医药导报, 2023, 20(1): 186-189.

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https://www.yiyaodaobao.com.cn/EN/10.20047/j.issn1673-7210.2023.01.43 OR https://www.yiyaodaobao.com.cn/EN/Y2023/V20/I1/186

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