对阴道微生态失衡子宫全切术后阴道残端感染的护理-研究

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1、摘要1.该院腹腔镜辅助阴式宫全切术病因是子宫肌瘤（47.5%）、子宫腺肌症（34.5%）、癌前病变（11.5%）、子宫脱垂（3.5%）和功能失衡性子宫出血（3.0%）。2.阴道微生态失衡患者中菌群密集度异常者占56.2%，多数阴道微生态异常者同时合并多种微生态指标的异常。3.阴道微生态失衡患者有临床症状者占37.4%，主要症状为白带异常。4.A组腹腔镜辅助阴式宫全切术后阴道残端感染发生率和术后病率的发生率最高，分别为13%和25%，其次为B组8%和12%。C组5%和10%，术后阴道残端感染和术后病率发生率最低。其中A组术后阴道残端感染发生率及术后病率与对照组相比，差异有统计学意义(P<0

2、.05)；B组、C组术后阴道残端感染发生率及术后病率与A组相比，差异均有统计学意义(P<0.05)；B组与C组术后阴道残端感染及术后病率发生率相比，差异无统计学意义(P＞0.05)。结论：1.该院腹腔镜辅助阴式子宫全切术最常见的病因为子宫肌瘤。大多数阴道微生态失衡患者可以没有明显的症状。阴道微生态失衡患者白带常规通常合并多个检测标准的异常。2.阴道微生态失衡患者腹腔镜辅助阴式子宫全切术后阴道残端感染发生率较阴道微生态正常患者术后阴道残端感染发生率高，术后病率高。3.术前使用乳酸杆菌制剂及术后护理干预可降低术后阴道残端感染发生率及术后病率。关键词：阴道微生态；腹腔镜辅助阴式子宫全切术；围手

3、术期；阴道残端感染；护理干预II万方数据AbstractThenursingresearchofvaginamicroecologyenvironmentimbalanceonhysterectomyvaginalstumpinfectionPostgraduate:XiaZhangSupervisor:Prof.WanhongWeiMasterofnursingTheNursingCollegeofZhengzhouUniversityZhengzhou,Henan,450001AbstractObjective(1)toanalysetheconstituentratioofenti

4、tyforlaparoscopicassistedvaginalhysterectomy(LAVH),theproportionofpatientswithsymptomsrelatedtovaginamicroecologyenvironmentimbalance(VMEE,VMEEI)andthecompositionofsubjectofVMEEI,therelationshipbetweenVMEEIandLAVHvaginalstumpinfectionandpostoperativemorbidity.(2)toanalysetheeffectofclinicalperiop

5、erativenursinginterventionsonLAVHvaginalstumpinfectionandpostoperativemorbidity.（3）toexplorerationalclinicalperioperativenursinginterventionsinordertoreducetheincidenceofLAVHvaginalstumpinfectionandpostoperativemorbidity.MethodsSelected400casesofpatientswhoneedLAVHfromDecember2012toSeptember2014i

6、nonetertiaryhospital.Dividedthemintofourgroupsaccordingtotheresultsofpreoperativevaginamicroecologyenvironmenttest.100caseswithIII万方数据Abstractnormalvaginamicroecologyenvironment(VMEE)namedcontrolgroupand300caseswithVMEEI.The300patientswithVMEEIweredividedintogroupA,BandCrandomly.Nursingthecontrol

7、groupandgroupAnormalperioperativemanagement.DealinggroupBwithvaginallactobacilluspreparationthreedayspreoperative.DealinggroupCwithincreasednumberofpostoperativevulvaandvaginalnursingmanagement.ComparingtheincidenceofL