针对性护理在神经内镜经鼻入路切除颅咽管瘤术后并发症中的护理效果分析  

Analysis on the Nursing Effect of Targeted Nursing in the Postoperative Complications of Neuroendoscopic Transnasal Approach for Craniopharyngioma

作　　者：陈冰心 陈超丽[1] CHEN Bing-xin;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,福建福州350000

出　　处：《中外医疗》2020年第21期157-159,165,共4页China & Foreign Medical Treatment

摘　　要：目的探究在神经内镜经鼻入路切除颅咽管瘤术后并发症护理中针对性护理方法所取得的临床护理效果。方法便利选取于2018年7月—2019年7月在医院中进行神经内镜经鼻入路切除颅咽管瘤治疗的患者共104例,随机分组法将患者分成两组,每组各52例。对照组给予患者常规护理方法,观察组给予患者针对性护理方法。观察两组患者的并发症发生率(视力视野下降、血管损伤事件、脑实质损伤、视神经损伤、头痛、短暂电解质紊乱)、术后随访结果(肿瘤全切率、视力视野好转率、永久性尿崩加重率、需干预脑脊液漏率、永久性垂体功能低下率)、护理满意度。结果术后并发症发生率,观察组为13.46%,对照组为32.69%,观察组术后并发症发生率低于对照组。观察组肿瘤全切率为82.69%、视力视野好转率为90.38%、永久性尿崩加重率为3.85%、需干预脑脊液漏率为7.69%、永久性垂体功能低下率为5.77%。对照组肿瘤全切率为63.46%、视力视野好转率为73.08%、永久性尿崩加重率为19.23%、需干预脑脊液漏率为25.00%、永久性垂体功能低下率为21.15%。肿瘤全切率、视力视野好转率对比观察组高于对照组,永久性尿崩加重率、需干预脑脊液漏率、永久性垂体功能低下率对比观察组低于对照组。观察组护理满意度为96.15%,高于对照组的80.77%,护理满意度对比观察组高于对照组,差异有统计学意义(P<0.05)。结论在神经内镜经鼻入路切除颅咽管瘤术后并发症护理中应用针对性护理方法,有助于降低患者术后并发症发生概率,提升患者术后各项指标恢复效果,患者对医院护理工作有着较高的满意度,应在术后护理中大力推广使用该种护理方法。Objective To explore the clinical nursing effect obtained by the targeted nursing method in the nursing of postoperative complications of neuroendoscopic transnasal resection of craniopharyngioma.Methods A total of 104 patients who underwent neuroendoscopic transnasal resection of craniopharyngioma in the hospital from July 2018 to July 2019 were convenient selected.The patients were randomly divided into 2 groups,52 in each group.The control group was given routine nursing methods,and the observation group was given targeted nursing methods.Observe the incidence of complications(decreased visual field,vascular injury events,brain parenchymal injury,optic nerve injury,headache,transient electrolyte disturbance),postoperative follow-up results(total tumor resection rate,visual field improvement rate,permanent urine rate of aggravation of collapse,cerebrospinal fluid leakage rate that needs intervention,permanent hypophysis function rate),nursing satisfaction.Results The incidence of postoperative complications was 13.46%in the observation group and 32.69%in the control group.The incidence of postoperative complications in the observation group was lower than that in the control group.In the observation group,the total tumor resection rate was 82.69%,the visual field improvement rate was 90.38%,the permanent diarrhea aggravation rate was 3.85%,the cerebrospinal fluid leakage rate required intervention was 7.69%,and the permanent pituitary dysfunction rate was 5.77%.In the control group,the total tumor resection rate was 63.46%,the visual field improvement rate was 73.08%,the permanent diarrhea exacerbation rate was 19.23%,the cerebrospinal fluid leakage rate required intervention was 25.00%,and the permanent pituitary dysfunction rate was 21.15%.Compared with the control group,the total tumor resection rate and visual field improvement rate were higher in the observation group than in the control group,and the rate of permanent diabetes insipidus,cerebrospinal fluid leakage rate requiring intervention,and permanent

关 键 词：针对性护理 神经内镜经鼻入路切除 颅咽管瘤 并发症 满意度 

分 类 号：R47[医药卫生—护理学]