宫颈糜烂患者LEEP刀环切术后应用临床护理路径的效果

目的观察宫颈糜烂患者LEEP刀环切术后应用临床护理路径的效果。方法选取2010年9月～2012年9月因宫颈糜烂行LEEP刀环切术的患者120例,随机分为对照组和观察组,每组各60例,对照组采取传统护理路径,观察组采取临床护理路径。观察两组治疗情况、并发症发生情况和阴道留液时间,评价临床护理路径在LEEP刀环切术后的效果。结果①观察组患者总有效率为100.00%（60/60）,对照组总有效率为90.00%（54/60）,两组比较,差异有统计学意义（χ2=6.32,P〈0.05）。②观察组并发症总发生率为10.0%（6/60）,对照组并发症总发生率为33.3%（20/60）,两组比较,差异有统计学意义（χ2=9.62,P〈0.05）。③观察组患者平均阴道留液时间（13.79±3.26）d,对照组平均（20.12±3.86）d,两组比较,差异有统计学意义（t=9.70,P〈0.05）。结论临床护理路径在LEEP刀环切术治疗宫颈糜烂的术后护理中疗效显著,是一种值得推广的临床护理新策略。

Application effect of clinical nursing path on LEEP knife circumcision in patients with cervical erosion

Objective To observe application effect of clinical nursing path on LEEP knife circumcision in patients with cervical erosion.Methods 120 patients with cervical erosions from September 2010 to September 2012 treated with the LEEP were selected and randomly divided into control group and observation group with 60 cases in each group;conventional nursing pathway was used in control group,the clinical nursing pathway was used in observation group.Treatment condition,complication,vaginal liquid stay time,the efficacy of clinical nursing pathway in the LEEP after treatment in the two groups were observed.Results ① Total effective rate in observation group was 100.00%（60/60）,total effective rate in control group was 90.00%（54/60）,the difference was statistically significant（χ2=6.32,P ＆lt; 0.05）.②The total incidence of complication in observation group was 10.0%（6/60）,total incidence of complication in control group was 33.3%（20/60）,the difference was statistically significant（χ2=9.62,P ＆lt; 0.05）.③vaginal liquid stay time in observation group were（13.79 ±3.26） d,vaginal liquid stay time in control group were（20.12 ± 3.86） d,the difference was statistically significant（t = 9.70,P ＆lt; 0.05）.Conclusion The clinical nursing pathway is effective in the post-operative treatment of cervical erosion LEEP surgery,it is worthy of clinical promotion.