探讨妇科手术联合疝修补术后行综合干预对患者恢复状况与生活能力的影响。

选取2010年1月到2015年1月，南昌大学第一附属医院行妇科手术联合疝修补术的女性腹股沟疝64例患者的临床资料，依据术后干预方式的不同分为观察组（30例）与对照组（34例）。2组患者均行妇科手术联合疝修补术，对照组于术后行常规干预，观察组于术后行综合干预，2组均连续干预3个月。比较2组术后疼痛及并发症的发生情况，统计干预前后2组患者生活能力的变化及患者对干预的满意度。

与干预前相比，干预1、3个月后2组口述分级评分法（verbal rating scaks，VRSs）评分均显著下降，差异有统计学意义（P<0.01），且观察组干预1、3个月后VRSs评分均显著低于对照组，差异有统计学意义（P<0.05）；术后观察组并发症总发生率为16.67%，显著低于对照组的41.18%，差异有统计学意义（P<0.05）；与干预前相比，干预后2组ADL评分均显著升高，且观察组显著高于对照组，差异有统计学意义（P<0.01）；观察组总满意度90.00%显著高于对照组58.82%，差异有统计学意义（P<0.01）。

妇科手术联合疝修补术后行综合干预可显著减轻患者疼痛，减少并发症的发生，有利于改善患者恢复状况，提升其生活能力。

To explore the effect of comprehensive intervention after gynecological operation combined with herniorrhaphy on recovery and living ability of patients.

64 cases of female patients undergoing gynecological surgery combined with herniorrhaphy from January 2010 to January 2015 in first affiliated hospital of Nanchang university were selected, and they were divided into the experimental group (n=30) and the control group (n=34) according to the different ways of intervention. The patients in 2 groups were treated with gynecological surgery combined with herniorrhaphy, the control group treated with routine intervention after operation, and the experimental group treated with comprehensive intervention. Both group received intervention for 3 months continuously. The postoperative pain and incidence of complications were compared between 2 groups. The changes of living ability and satisfaction with intervention in 2 groups before and after intervention were counted.

Compared with the before intervention, the VRSs scores of the 2 groups at 1, 3 months after intervention significantly decreased (P<0.01), and the VRSs scores at 1 and 3 months after intervention of the experimental group were significantly lower than those of the control group (P<0.05 or P<0.01); The total incidence of complications in the experimental group was 16.67%, which was significantly lower than the 41.18% in the control group (P<0.05). Compared with before intervention, the ADL scores of 2 groups increased significantly after intervention, and the scores of the experimental group were significantly higher than those of the control group (P<0.01). The total satisfaction rates of the experimental group and the control group were 90.00% and 58.82% respectively, the total satisfaction rate of the experimental group was significantly higher than that of the control group (P<0.01).

Comprehensive intervention after gynecological surgery combined with herniorrhaphy can significantly reduce the pain and the complications, improve the patients' recovery and enhance their living ability.