鞍区肿瘤术后尿崩症和水钠紊乱的相关因素分析及护理  

Analysis of related factors of diabetes insipidus and disorders of sodium and water after surgery of sellar region tumor

作　　者：殷春梅[1] 王晓艳[1] 邓瑛瑛[1] 刘忆[1] 夏纯[1] 

机构地区：[1]南方医院神经外科,广州510515

出　　处：《中国实用护理杂志》2013年第3期45-47,共3页Chinese Journal of Practical Nursing

摘　　要：目的探索鞍区肿瘤术后出现尿崩症和水钠紊乱的相关因素，提出护理对策，以提高鞍区肿瘤治疗效果。方法回顾性分析2005年1月至2011年1月在我科初次行鞍区肿瘤切除术患者150例，根据肿瘤的大小、生长方式采取相应的手术入路。对术后尿崩症和水钠紊乱相关因素进行统计学分析，筛选发生此类并发症的高危患者。结果肿瘤体积大、肿瘤的病理性质、术前有内分泌功能缺陷和视力视野障碍、手术方式是此类并发症的相关因素。结论及早筛选和发现此类并发症的高危患者，同时提出护理对策，对提高鞍区肿瘤的治疗效果有重要意义。Objective To explore the related factors of diabetes insipidus and disorders of sodium and water after surgery of sellar region tumor, and to find nursing strategy and improve the prognosis of sellar region tumors. Methods In this study, we retrospectively reviewed 150 cases of sellar region tumor from January 2005 to January 2011 in our department, including 67 cases of pituitary adenoma, 53 cases of meningioma, 30 cases of eraniopharyngioma. Approaches were depended on the size and growing pattern of the tumors. Related factors of postoperative diabetes insipidus and disorders of sodium and water were analyzed. Results Large tumor size, the pathology of tumor, preoperative endocrine dysfunction, preoperative visual field and vision disorders and surgery approach were related to such complications. Conclusions Finding the related factors of these complications in patients and adopting care measures play an important role in improving the prognosis of sellar region tumors.

关 键 词：鞍区 尿崩症 水钠紊乱 相关因素 护理 

分 类 号：R473[医药卫生—护理学]