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目的探讨临床护理路径对行宫颈环形电切术(LEEP)治疗宫颈病变患者的影响及效果。方法 136例通过LEEP手术治疗的宫颈病变患者,随机分为观察组和对照组,各68例。对照组患者给予常规护理,观察组患者给予临床护理路径进行干预。对比两组患者的临床护理效果及满意度。结果观察组手术时长(6.5±1.3)min、术中出血量(5.0±1.6)ml均优于对照组的(15.5±1.5)min、(11.5±1.6)ml,差异均具有统计学意义(P<0.05);观察组术中不良反应发生率为5.88%,低于对照组的20.59%,差异具有统计学意义(P<0.05)。观察组护理满意度为97.06%,高于对照组的76.47%,差异具有统计学意义(P<0.05)。观察组患者治愈率为97.06%,高于对照组的77.94%,差异具有统计学意义(P<0.05)。结论对行LEEP治疗的宫颈病变患者采用临床护理路径进行干预可有效提高患者的治疗效果及满意度,并可以减少手术创伤,缩短治疗时间,减少治疗不良反应,值得临床广泛使用和推广。
Objective To investigate the effect of clinical nursing pathway on patients with cervical lesions treated with cervical ring electrosurgical excision (LEEP). Methods 136 cases of cervical lesions treated by LEEP surgery were randomly divided into observation group and control group, 68 cases in each. Patients in the control group were given routine care and patients in the observation group were given clinical nursing intervention. The clinical effects and satisfaction of two groups were compared. Results The duration of operation (6.5 ± 1.3) min and blood loss (5.0 ± 1.6) ml in the observation group were significantly higher than those in the control group (15.5 ± 1.5) and (11.5 ± 1.6) ml, respectively <0.05). The incidence of adverse reactions in the observation group was 5.88%, which was lower than that in the control group (20.59%), the difference was statistically significant (P <0.05). The nursing satisfaction of the observation group was 97.06%, which was higher than that of the control group (76.47%), the difference was statistically significant (P <0.05). The cure rate of the observation group was 97.06%, which was higher than that of the control group (77.94%), the difference was statistically significant (P <0.05). Conclusions The intervention of clinical nursing pathway in patients with cervical lesions treated with LEEP can effectively improve the treatment effect and satisfaction of patients, reduce the traumatic injury, shorten the treatment time and reduce the adverse reactions. It is worth widely used and promoted in clinic.