放松训练对睾丸穿刺取精术围手术期无精症患者的影响

摘要

目的：探讨放松训练对行睾丸穿刺取精术(testicular sperm extraction,TESA)的无精症患者的影响。方法选取2011年2月-2014年11月行 TESA围手期无精症患者86例,随机分为对照组和干预组各43例。2组均采取常规护理,干预组在常规护理基础上对 TESA 围手术期各期实施放松训练。分别对 2组患者术中疼痛、术后睾丸血肿、睾丸硬结、勃起功能障碍(erectile dysfunction,ED)及术后6个月婚姻质量(OLSON)进行评定。结果干预组术中疼痛程度明显低于对照组(Z=-3.239,P<0.01)；2组睾丸血肿、睾丸硬结、ED的发生差异无统计学意义；干预组术后夫妻交流、性生活评分均高于对照组。2组婚姻满意度评分差异无统计学意义。结论放松训练能有效减轻无精症患者TESA术中疼痛,减少术后并发症发生并改善夫妻婚姻质量。%Objective To explore the effect of relaxation training on azoospermia patients with testicular sperm extraction (TESA)in the perioperative period.Methods From February 2011 to November 2014,86 azoospermia patients with TESA in the perioperative period,were randomly divided into control group (n=43)and intervention group (n=43).The control group was treated with routine care,and the intervention group was given relaxation training at the base of routine care.The pain degree, the incidence rate of testicular hematoma,testicular scleroma and erectile dysfunction,scores of marital quality (OLSON)at 6 months after operation in two groups were compared.Results The pain degree in the intervention group was significantly lower than that in the control group(Z=-3.239,P<0.01).The incidence rates of testicular hematoma,testicular scleroma and erectile dysfunction between 2 groups had no statistically difference.The scores of couples communication and sexual life were higher than that of the control group at six months after surgery, the scores of marital satisfaction between 2 groups had no statistically difference. Conclusion The relaxation training can relieve the pain, reduce the rate of postoperative complications and improve the marital quality for azoospermia patients in the perioperative period of TESA.