宫颈电环切除术治疗前后宫颈病变患者应激状态变化研究

目的：分析宫颈电环切除术治疗前后宫颈病变患者应激状态变化,为临床提供借鉴资料。方法：选择本院2011年12月-2012年10月收治的94例宫颈病变患者作为研究对象,均采用宫颈电环切除术治疗,分析治疗效果及治疗前后患者应激状态的变化,应激状态以治疗前、治疗后10min、治疗后30min的收缩压（SBP）、平均动脉压（MAP）、心率（HR）为观察指标。结果：治疗成功率为98.9%（93/94）,平均手术时间为4.2min,出血量6.5ml,无感染和继发性出血等并发症发生。宫颈电环切除术后患者均出现不同程度心血管应激反应,治疗后10min的SBP、MAP、HR均明显高于治疗前,差异有统计学意义（P〈0.05）,但是治疗后30min的以上指标均有所缓解,与治疗后10min比较差异有统计学意义（P〈0.05）。结论：宫颈电环切除术治疗宫颈病变患者临床效果满意,患者治疗后出现不同程度的应激状态变化,但很快能够缓解,安全性可靠。

The Research of the Changes of the Stress for Patients with Cervical Lesions before and after the Treatment of Cervical Loop Electrosurgical Excision

Objective：To analyze the changes of the stress for patients with cervical lesions before and after the treatment of cervical loop electrosurgical excision and provide reference for clinical information. Method：94 cases of patients with cervical lesions in our hospital from December 2011 to October 2012 were chosen as the research object. They were all taken with cervical loop electrosurgical excision. The treatment effects and changes in the state of patients’ stress before and after treatment were taken for analysis. The systolic blood pressure（SBP）,mean arterial pressure（MAP）,heart rate（HR）10 min before treatment,after treatment,30min after treatment were set as the observation index in the stress state. Result：The treatment success rate was 98.9%（93/94）,the mean operative time was 4.2 minutes,the amount of bleeding was 6.5 ml,and there were no infection and secondary bleeding complications. Cervical loop electrosurgical excision patients were with varying degrees of cardiovascular stress response. The systolic blood pressure（SBP）,mean arterial pressure（MAP）,heart rate（HR）10 min after treatment were significantly higher than before treatment,the difference was statistically significance（ P〈0.05）,but 30 min after treatment the above indicators were eased,and 10 min after treatment,the difference was statistically significant（ P〈0.05）. Conclusion：The clinical effect for cervical loop electrosurgical excision in the treatment of patients with cervical lesions is satisfied,the patients were with varying degrees of stress status after treatment,but it can be able to ease soon. It is safe and reliable.