嗅觉训练对垂体瘤术后患者嗅觉功能恢复的影响  

Effect of olfactory training on postoperative olfactory function in patients with pituitary adenoma

作　　者：李晨曦 李彩霞[2] 沈梅芬[1] 吴超[1] 马琛 张伊洁 颜琪[1] Li Chenxi;Li Caixia;Shen Meifen;Wu Chao;Ma Chen;Zhang Yijie;Yan Qi(Department of Neurosurgery,The First Affiliated Hospital of Suzhou University,Suzhou 215000,China)

机构地区：[1]苏州大学附属第一医院神经外科,江苏苏州215000 [2]青海省人民医院急诊外科

出　　处：《护理学杂志》2020年第20期32-35,61,共5页Journal of Nursing Science

基　　金：苏州市护理学会护理科研立项课题(B2019-08)。

摘　　要：目的探讨嗅觉训练对经鼻蝶入路垂体瘤术后患者嗅觉功能恢复的影响。方法将79例经鼻蝶入路垂体瘤切除术患者按住院治疗时间段先后顺序分组。对照组(n=40)给予垂体瘤术后常规护理,干预组(n=39)在常规护理的基础上实施嗅觉训练,干预周期为术后6个月。比较两组术后1、3、6个月的嗅觉察觉阈、嗅觉识别阈、嗅觉恢复程度。结果术后1、3、6个月干预组嗅觉察觉阈低于对照组,但差异无统计学意义(均P>0.05);术后1、3、6个月干预组嗅觉识别阈、嗅觉功能恢复程度显著优于对照组(P<0.05,P<0.01)。结论嗅觉训练有利于改善经鼻蝶入路垂体瘤术后嗅觉障碍患者的嗅觉识别阈,促进患者嗅觉功能的早期恢复,且嗅觉训练操作方法安全易行。Objective To investigate the effect of olfactory training on olfactory function in patients after transsphenoidal pituitary adenoma surgery.Methods Totally,79 patients hospitalized for transsphenoidal pituitary adenoma surgery were divided into 2 groups per chronological order of admission dates.The control group(n=40)was given routine postoperative nursing care,while the intervention group(n=39)additionally received olfactory training for 6 months after operation.The differences in olfactory perception threshold,olfactory recognition threshold,olfactory recovery degree between the two groups were compared at 1,3 and 6 months after operation.Results The olfactory perception threshold values measured at 1,3 and 6 months after operation in the intervention group were lower than those in the control group,though the differences were not significant between the two groups(P>0.05 for all).The olfactory recognition threshold values,olfactory function recovery degree measured at 1,3 and 6 months after operation were better than the controls of the same time(P<0.05,P<0.01).Conclusion Olfactory training is a safe and effective measure which could improve the olfactory recognition threshold and promote early recovery of olfactory function of patients after transsphenoidal pituitary adenoma surgery.

关 键 词：垂体瘤 经鼻蝶入路 嗅觉障碍 嗅觉训练 溴素 嗅觉功能 察觉阈 识别阈 

分 类 号：R473.6[医药卫生—护理学]