内镜下经鼻蝶入路切除垂体瘤的护理研究  

Nursing Study on Endoscopic Transsphenoidal Approach for Pituitary Tumor

作　　者：林碧清[1] 吴丽金 陈超丽[1] LIN Bi-qing;WU Li-jin;CHEN Chao-li(Department of Neurosurgery,the First Affiliated Hospital of Fujian Medical University,Fuzhou,Fujian Province,350000 China)

机构地区：[1]福建医科大学附属第一医院神经外科

出　　处：《中外医疗》2019年第27期163-165,共3页China & Foreign Medical Treatment

摘　　要：目的探讨应用内镜下经鼻蝶入路切除垂体瘤患者的护理方法与效果。方法方便选择该院2017年1月—2019年1月收治的160例垂体瘤患者进行研究,均接受内镜下经鼻蝶入路切除。按照随机数表法分为观察组与对照组,每组80例,对照组用常规护理,观察组则应用围术期综合护理干预。均随访半年以上,记录两组手术时间、术中出血量、住院时间、并发症,同时调查术后视力改善率、激素改善率、护理满意率,记录随访半年时复发率,并比较。结果观察组术后视力改善率、激素改善率分别为92.50%、95.00%,显著高于对照组的70.00%、72.50%,差异有统计学意义(χ^2=5.422、5.680,P<0.05);观察组手术时间、术中出血量、住院时间依次为(78.45±20.43)min、(201.20±20.46)mL、(5.29±2.31)d,均显著低于对照组的(138.29±34.52)min、(345.23±52.15)mL、(7.22±4.16)d,差异有统计学意义(t=5.960、7.503、3.288,P<0.05);两组均有并发症,但对比差异无统计学意义(χ^2=3.002,P>0.05);观察组对护理满意率为97.50%,显著高于对照组的82.50%,差异有统计学意义(χ^2=4.850,P<0.05)。结论内镜下经鼻蝶入路切除垂体瘤经围术期综合护理干预处理,可以缩短时间,减少术中出血量与住院时间,且能更好地改善视力与激素水平,安全性高,提高了患者满意率,值得应用。Objective To investigate the nursing methods and effects of endoscopic transsphenoidal approach for the removal of pituitary tumors.Methods A total of 160 patients with pituitary tumors admitted to the hospital from January 2017 to January 2019 were conveniently selected in the study.All patients underwent endoscopic transsphenoidal approach.According to the random number table method,the observation group and the control group were divided into 80 groups in each group.The control group received routine nursing and the observation group used perioperative comprehensive nursing intervention.All patients were followed up for more than half a year.The operation time,intraoperative blood loss,hospitalization time and complications were recorded.The postoperative visual acuity improvement rate,hormone improvement rate and nursing satisfaction rate were also investigated.The recurrence rate was recorded and compared at the time of follow-up.Results The improvement rate of visual acuity and hormone improvement rate in the observation group were 92.50%and 95.00%,respectively,which were significantly higher than 70.00%and 72.50%of the control group,the difference was statistically significant(χ^2=5.422,5.680,P<0.05).The operation time and operation of the observation group amount of bleeding and hospitalization were(78.45±20.43)min,(201.20±20.46)mL,and(5.29±2.31)d,respectively,which were significantly lower than(138.29±34.52)min,(345.23±52.15)mL,and(7.22±4.16)d of the control group,the difference was statistically significant(t=5.960,7.503,3.288,P<0.05);there were complications in both groups,but there was no statistically significant difference(χ^2=3.002,P>0.05).The satisfaction rate of the observation group was 97.50%,which was significantly higher than that 82.50%of the control group,the difference was statistically significant(χ^2=4.850,P<0.05).Conclusion Endoscopic transsphenoidal approach for pituitary adenoma after perioperative comprehensive nursing intervention can shorten the time,reduce intraoperative

关 键 词：垂体瘤 内镜 经鼻蝶入路切除 综合护理 护理满意率 

分 类 号：R5[医药卫生—内科学]