早期饮水对改善垂体瘤切除术后病人舒适度及安全性的效果分析  

Effect of early drinking water on improving comfort and safety of patients after pituitary adenoma resection

作　　者：刘莉莉 王爱凤[1] 王伟杰[1] LIU Li-li;WANG Ai-feng;WANG Wei-jie(Department of Neurosurgery,Huai′an First People′s Hospital,Huai′an Jiangsu 223300,China)

机构地区：[1]江苏省淮安市第一人民医院神经外科,223300

出　　处：《蚌埠医学院学报》2021年第3期407-410,共4页Journal of Bengbu Medical College

基　　金：江苏省淮安市科技支撑计划(HAB201726)。

摘　　要：目的:探究早期饮水干预对垂体瘤切除术后病人舒适度及安全性的效果分析。方法:选取2017-2018年收治的垂体瘤病人120例,随机分为2组,各60例。对照组进行常规禁饮6 h,观察组在术后清醒1 h后适量饮水。观察2组术后6h后不良反应发生率、口腔舒适度和呼吸、心率、血压、脉搏血氧饱和度情况。结果:观察组术后6 h不良反应发生率与对照组比较差异无统计学意义(P>0.05);2组术后6 h咽喉疼痛评分比较差异无统计学意义(P>0.05),观察组口渴、口咽干燥评分明显低于对照组(P<0.01),口腔pH值明显高于对照组(P<0.01);观察组术后6 h呼吸、心率、收缩压、脉搏血氧饱和度与对照组比较差异无统计学意义(P>0.05),观察组舒张压明显高于对照组(P<0.01)。结论:早期饮水干预应用于垂体瘤切除术后病人安全可靠,能有效提高其口腔舒适度,值得推广。Objective:To explore the effects of early drinking water intervention on comfort and safety of patients after pituitary adenoma resection.Methods:One hundred and twenty patients with pituitary adenoma from January 2017 to December 2018 were randomly divided into the control group and observation group(60 cases in each group).The control group was forbidden to drink for 6 hours,while the observation group was given adequate water after 1 hour of awakening.The incidence rate of adverse reactions,oral comfort,breathing,heart rate,blood pressure,pulse and oxygen saturation in two groups were observed after 6 hours of operation.Results:After 6 hours of operation,there was no statistical significance in the incidence rate of adverse reactions and score of sore throat between two groups(P>0.05).The scores of thirst and oropharyngeal dryness in observation group were significantly lower than those in control group(P<0.01),and the pH value of oral cavity in observation group was significantly higher than that in control group(P<0.01).There was no statistical significances in the respiration,heart rate,systolic blood pressure and pulse oxygen saturation between two groups after 6 h of operation(P>0.05),and the diastolic blood pressure in observation group was significantly higher than that in control group(P<0.01).Conclusions:Early drinking water intervention in patients treated with pituitary adenoma resection is safe and reliable,and can effectively improve the oral comfort,which is worthy of promotion.

关 键 词：垂体肿瘤 饮水 舒适度 安全性 

分 类 号：R736.4[医药卫生—肿瘤]