论文部分内容阅读
目的:探讨采用不同方式的子宫肌瘤切除术后,患者的血糖血脂代谢水平。方法:收集子宫肌瘤临床病例90例,分别在术前和术后1个月、6个月的时间进行抽血,检测患者的血糖、全甘油三酯、全胆固醇以及高、低密度脂蛋白的水平。结果:在不同手术组患者不同时间的检测中,患者血糖水平没有出现显著性的改变,而肌瘤剔除术患者的血脂指标也没有出现明显改变。此外,还发现采用子宫次全切除术的患者,在6个月后会出现TC、TG以及LDL显著升高,HDL显著降低的现象,而采用子宫全切除术的患者也会出现类似的现象,并且程度要更为严重。结论:子宫肌瘤手术后,随着手术对子宫损伤程度的不同,患者在术后可能会出现不同程度的血脂紊乱。该结果对于临床术后护理可能起到一定的指导作用。
Objective: To explore the different levels of myomectomy, the patient’s blood glucose and lipid metabolism. Methods: Totally 90 cases of uterine fibroids were collected. Blood samples were collected before surgery, one month after operation and six months after operation. Blood glucose, total triglyceride, total cholesterol and high and low density lipoprotein s level. Results: There was no significant change in blood glucose level in different surgical groups at different time points, but there was no significant change in the blood lipid level in myomectomy patients. In addition, patients who underwent subtotal hysterectomy were found to have significantly increased TC, TG, and LDL, with a significant reduction in HDL after 6 months, a similar phenomenon in patients undergoing hysterectomy, And the extent to be more serious. Conclusion: After the operation of uterine fibroids, with the different degrees of uterine injury, the patients may have different degree of dyslipidemia after operation. The results for the clinical postoperative care may play a guiding role.