优质护理模式对精索静脉曲张不育患者手术前后精液参数变化的影响

目的观察优质护理模式对精索静脉曲张不育患者手术前后精液参数变化的影响。方法将我院收治的精索静脉曲张拟行精索高位结扎术的不育患者随机分成两组，一组采用常规护理，另一组采用优质护理模式对其进行围术期的护理。比较两组患者治疗前后精液的各项参数情况。结果经治疗后，优质护理组患者的精子密度、（A＋B）级活动力精子及活率分别为（102．7±12．5）×10^6／ml、（56．3±8．7）％和（62．1±10．3）％，均显著大于对照组患者；有效精子数、活动精子数及活力指数分别为（41．8±10．1）×10^6／ml、（201．5±67．1）×10^6／ml和（29．5±1．3），也均显著大于对照组患者。且优质护理组患者的住院时间和住院费用均少于对照组。以上指标比较差异均有统计学意义（P〈0．05）。结论优质护理模式有助于提高精索静脉曲张不育患者治疗后的精液质量，值得推广应用。

Effects of high quality nursing mode on the changes of seminal parameter in patients with varicocele sterility before and after treatment

Objective To explore the effects of high quality nursing mode on the changes of seminal parameter in patients with varicocele sterility before and after treatment. Methods Patients of sterility with controlled trial of high spermaticvein in our hospital were divided into two groups： one group adopted conventional nursing, and another group was given high qulity nursing mode in perioperative period. All seminal parameter before and after treatment in two groups were compared. Results After treatment, sperm density, （A＋B） sperm activity and survival rate of high quality nursing group were （102.7±12.5）× 10^6/ml, （56.3±8.7）% and （62.1±10.3）% respectively, and they were all significantly higher than those in control group （P〈0.05）. The effective sperm, activity sperm and vital index were （41.8±10.1）×10^6/ml, （201.5±67.1）×10^6/ml and （29.5±1.3） respectively, and they were all significantly higher than those in control group （P〈0.05）. The hospital time and cost of high quality nursing group were significantly less than those in control group （P〈0.05）. Conclusion High quality nursing mode had significant effects on sperm quality of patients with varicocele sterility, which deserved to be widely promoted.