标题：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

      作者：聂 菲，廖苏才，卢 琦，张 洁
    （深圳市观澜人民医院泌尿外科，广东 深圳 518110）

      卷次： 2014年25卷13期

      【摘要】 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)×106/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)×106/ml、(201.5±67.1)×106/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。

      【关键词】 优质护理；精索静脉曲张；不育；精索静脉高位结扎术

      【中图分类号】 R473.6 【文献标识码】 A 【文章编号】 1003—6350（2014）13—2016—03


Effects of high quality nursing mode on the changes of seminal parameter in patients with varicocele sterility
before and after treatment.
NIE Fei, LIAO Su-cai, LU Qi, ZHANG Jie. Department of Urinary Surgery，Guanlan
People's Hospital of Shenzhen, Shenzhen 518110, Guangdong, CHINA

【Abstract】 Objective To explore the effects of high quality nursing mode on the changes of seminal parame-
ter 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 an-
other group was given high qulity nursing mode in perioperative period. All seminal parameter before and after treat-
ment 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)×106/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)×106/ml，(201.5±67.1)×106 /ml and (29.5±1.3) respectively，and they were all significantly higher than
·护 理·doi:10.3969/j.issn.1003-6350.2014.13.0785