颅内肿瘤患者围术期机体应激分析及护理探讨  

Analysis of Perioperative Constitutional Stress in Patients with Intracranial Tumors and Discussion of Nursing Strategy

作　　者：谢莉[1] 李晓东 赵东涛[3] 刘玉芳[1] 张海英[1] 

机构地区：[1]第四军医大学西京医院神经外科,陕西西安710032 [2]大连蓝天脑血栓病医院护理部,辽宁大连116013 [3]第四军医大学数学教研室,陕西西安710032

出　　处：《解放军护理杂志》2005年第1期14-15,共2页Nursing Journal of Chinese People's Liberation Army

基　　金：西京医院新技术基金项目(200124)

摘　　要：目的明确颅内肿瘤患者术后的急性应激反应状态,为术后患者提供针对性的护理,促进其早日康复。方法通过测定颅内肿瘤患者围术期血糖含量,对比分析术前、术后患者血糖的变化规律;监测术后即刻、术后1d、2d、3d的白细胞数;监测术后体温变化。结果颅内肿瘤手术患者术后血糖水平、白细胞计数及体温均显著高于术前。结论颅内肿瘤切除术后患者出现了明显的急性应激反应,影响患者的康复,应积极采取相应的护理措施,降低应激带来的危害,促使患者尽早恢复健康。Objective To study postoperative acute stress in patients with intracranial tumors so as to provide appropriate nursing intervention to help the patients recover earlier and better. Methods Pre-and postoperative blood glucose concentrations were measured and compared. The number of white blood cells (WBC) were counted at 0, 24, 48 and 72 h after operation. Temperature was taken regularly. Results Postoperative blood glucose concentration, WBC count and body temperature were significantly higher than those before operation. Conclusion Patients after surgical resection of intracranial tumors are subjected to high stress, which strongly affects patients' recovery so that positive nursing intervention should be implemented to minimize stress induced impairment and ensure uneventful recovery.

关 键 词：患者 颅内肿瘤 术后 围术期 护理 急性应激反应 术前 针对性 结论 目的 

分 类 号：R739.41[医药卫生—肿瘤] R473[医药卫生—临床医学]