摘要
目的探讨功能康复操对预防妇科腹腔镜手术CO2气腹所致术后非切口疼痛的效果。方法将200例妇科腹腔镜手术患者随机分为观察组及对照组各100例。对照组术后予常规护理，观察组术后除常规护理外，于术后6h给予功能康复操锻炼。分别记录2组患者手术后非切口疼痛与发生的时间，术后肛门排气时间及术后拔除尿管时间及自主排尿情况。结果与对照组比较，观察组术后当晚手术非切口疼痛例数显著降低（x^2=7．69，P〈0．05），24h内肛门排气例数显著高于对照组（x^2=17．2，P〈0．01）。观察组术后24h拔除尿管例数显著低于对照组（x^2=15．7，P〈0．01），自主排尿例数高于对照组（x^2=3．70，P〈0．05）。观察组24h内术后下床活动患者数显著高于对照组（x^2=19．9，P〈0．01）。结论早期功能康复操锻练，用于预防妇科腹腔镜术后非切口疼痛以及促进肛门排气等有良好的效果。
Objective To study the prevention effects of functional rehabilitation gymnastics on the postoperative non-incision pains which had occurred by CO2 pneumoperitoneum for patients with gynecological peritoneoscopy. Methods Divided 200 patients who had accepted gynecological peritoneoscopy into the observation group （100 cases） and the control group （100 cases） randomly. The routine nursing cares were used in the control group, while the rehabilitation gymnastics training was used in the observation group in addition within 6 hours after the peritoneoscopy. Compared the indexes such as begining time of non-incision pains, postoperative aerofluxus time and the catheter removed time between the two groups. Results The number of patients with postoperative non-incision pains in the observation group was significant fewer than that of in the control group,x^2=7.69,P〈0.05. The number of patients had aerofluxus within 24 hours after the peritoneoscopy in the observation group was more than that of in the control group,x^2=15.7,P〈0.01. The condition of postoperative emiction in the observation group was better than that of in the control group,P〈0.05. Conclusions Early using the functional rehabilitation gymnastics for patients who have accepted the gynecological peritoneoscopy can effective prevent the postoperative non-incision pains, and then improve the quality of life of them.
基金
2004年深圳市科技局立项项目（200404169）.志谢 本文承蒙刘杰波博士指导.
关键词
妇科
腹腔镜
术后非切口疼痛
康复操
Gynecopathy
Peritoneoscopy
Postoperative pains of non-incision
Rehabilitation gymnastics
