锁孔垂体瘤切除术32例围手术期护理体会  

Keyhole Pituitary Tumor Resection in 32 Cases of Perioperative Nursing

作　　者：陈劲梅[1] 刘嫣雅 黄欢[1] 庹必灿[1] 范红[1] 刘旭[1] 郑涛[1] CHEN Jinmei LIU Yanya HUANG Huan et al(Guizhou Aerospace Hospital, Zunyi 563003, Chin)

机构地区：[1]贵州航天医院,遵义563003

出　　处：《航空航天医学杂志》2017年第2期235-237,共3页Journal of Aerospace medicine

基　　金：基金项目:遵汇科合2011-1-099

摘　　要：目的探讨分析经锁孔入路手术治疗垂体瘤患者的围手术期护理体会。方法选择32例经锁孔入路手术治疗垂体瘤的患者为观察组,选择同期常规护理的对照组30例。比较两组患者经不同护理模式后的临床效果。结果观察组和对照组的患者中,分别有2例和5例患者于术后出现了暂时性尿崩症并发症,给予对症治疗后均痊愈;对照组有3例患者死亡,而观察组无死亡病例。观察组患者术后31例激素水平恢复,恢复率为96.88%,而对照组术后激素水平术后恢复率为83.33%,明显低于观察组,P<0.05,差异有统计学意义。两组患者的各项术后在PRL增高和视力视野改善的情况均优于对照组,两组患者的垂体瘤切除情况见表1。观察组的有效切除率(96.87%)高于对照组的有效切除率(60.00%),两组差异有统计学意义(P<0.05)。结论经锁孔入路手术治疗垂体瘤患者的围手术期的护理要求强化术前常规护理,有效处理并发症,有助于提高患者康复率和满意度。Objective To study the experience of keyhole approach in surgical treatment of pituitary tumors in pa- tients with perioperative nursing. Methods A total of 32 cases by keyhole approach microsurgery for pituitary tumor pa- tients for observation group, select routine nursing during the same period control group （30 cases）. The clinical effect of two groups of patients after different nursing mode were compared. Results In the observation group and the control group patients, there were 2 and 5 patients after operation in the temporary diabetes insipidus complications, given to the control treatment were cured after. In the control group, 3 cases of patients died in the observation group, but no deaths. Observation group of 31 cases of hormone level recovery, recovery rate was 96. 88%, while the control group after the hormone level of recovery rate was 83.33%, significantly lower than the observation group, P 〈 0. 05, the difference was statistically significant. The two groups of patients after the operation in the PRL and visual field improvement of the situ- ation is better than the control group, the two groups of patients with pituitary tumor resection. The effective resection rate of nursing group （96. 87% ） was higher than that of control group （60. 00% ）, the difference between the two groups was statistically significant （P 〈 0. 05）. Conclusions Through the keyhole approach in the resection of pituitary tumor patients with peri operative nursing requirements to strengthen the routine preoperative nursing, effective treatment of complications, to improve the rehabilitation of patients and the rate of satisfaction.

关 键 词：经锁孔入路 垂体瘤 围手术期 护理体会 

分 类 号：R473.6[医药卫生—护理学]