齐齐哈尔医学院学报
齊齊哈爾醫學院學報
제제합이의학원학보
JOURNAL OF QIQIHAR MEDICAL COLLEGE
2015年
22期
3425-3426
,共2页
低钠血症%经蝶垂体瘤术%循证护理%并发症
低鈉血癥%經蝶垂體瘤術%循證護理%併髮癥
저납혈증%경접수체류술%순증호리%병발증
Hyponatremia%Transsphenoidal surgery for pituitary adenomas%Evidence-based nursing%Complications
目的：观察循证护理模式在经蝶垂体瘤术后低钠血症预防中的应用效果。方法将2011年5月至2013年5月于我院接受经蝶垂体瘤手术的80例患者作为研究对象，随机将其分为对照组与观察组两组，各40例，对观察组患者给予循证护理，对照组则给予常规护理，比较两组患者术后并发症发生率，同时采取生活质量评定量表，评估两组患者护理前后生活质量的改善情况。结果观察组尿崩1例，占2．5％，低钠血症1例，占2．5％；对照组尿崩9例，呼吸困难3例，低钠血症11例，意识障碍3例，脑脊液鼻漏4例，观察组并发症发生率明显低于对照组的（ P＜0．05）；观察组护理后，社会功能评分上升至（36．9±2．1）分，躯体功能上升至（41．2±1．9）分，躯体功能（39．5±2．6）分，物质生活（44．2±2．2）分，均明显高于对照组（P＜0．05）。结论在接受经蝶切除术的垂体瘤患者的临床护理中，应用循证护理，可改善患者的临床症状，降低术后并发症发生率，同时可提升患者的生活质量，值得推广。
目的：觀察循證護理模式在經蝶垂體瘤術後低鈉血癥預防中的應用效果。方法將2011年5月至2013年5月于我院接受經蝶垂體瘤手術的80例患者作為研究對象，隨機將其分為對照組與觀察組兩組，各40例，對觀察組患者給予循證護理，對照組則給予常規護理，比較兩組患者術後併髮癥髮生率，同時採取生活質量評定量錶，評估兩組患者護理前後生活質量的改善情況。結果觀察組尿崩1例，佔2．5％，低鈉血癥1例，佔2．5％；對照組尿崩9例，呼吸睏難3例，低鈉血癥11例，意識障礙3例，腦脊液鼻漏4例，觀察組併髮癥髮生率明顯低于對照組的（ P＜0．05）；觀察組護理後，社會功能評分上升至（36．9±2．1）分，軀體功能上升至（41．2±1．9）分，軀體功能（39．5±2．6）分，物質生活（44．2±2．2）分，均明顯高于對照組（P＜0．05）。結論在接受經蝶切除術的垂體瘤患者的臨床護理中，應用循證護理，可改善患者的臨床癥狀，降低術後併髮癥髮生率，同時可提升患者的生活質量，值得推廣。
목적：관찰순증호리모식재경접수체류술후저납혈증예방중적응용효과。방법장2011년5월지2013년5월우아원접수경접수체류수술적80례환자작위연구대상，수궤장기분위대조조여관찰조량조，각40례，대관찰조환자급여순증호리，대조조칙급여상규호리，비교량조환자술후병발증발생솔，동시채취생활질량평정량표，평고량조환자호리전후생활질량적개선정황。결과관찰조뇨붕1례，점2．5％，저납혈증1례，점2．5％；대조조뇨붕9례，호흡곤난3례，저납혈증11례，의식장애3례，뇌척액비루4례，관찰조병발증발생솔명현저우대조조적（ P＜0．05）；관찰조호리후，사회공능평분상승지（36．9±2．1）분，구체공능상승지（41．2±1．9）분，구체공능（39．5±2．6）분，물질생활（44．2±2．2）분，균명현고우대조조（P＜0．05）。결론재접수경접절제술적수체류환자적림상호리중，응용순증호리，가개선환자적림상증상，강저술후병발증발생솔，동시가제승환자적생활질량，치득추엄。
Objective To observe the application effect of evidence-based nursing on transsphenoidal pituitary tumor postoperative hyponatremia in prevention .Methods 80 cases who did pituitary tumor operation in our hospital in May 2011-May 2013 as the research object , were randomly divided into control group and observation group, each of 40 cases, observation group received evidence-based nursing, the control group given conventional care , compared the incidence of patients between two groups , at the same time evaluated the improvement of life quality before and after nursing of two groups with Quality of life scale .Results In observation group, 1 case of diabetes insipidus , accounted for 2.5%, 1 cases of hyponatremia , accounted for 2.5%;9 cases diabetes insipidus in control group , 3 cases of dyspnea , 11 cases of hyponatremia , 3 cases of disturbance of consciousness , 4 cases of cerebrospinal rhinorrhea , the complication rate of observation group was lower than that of the control group (P<0.05);In observation group after nursing , social function scores up to (36.9 ±2.1), physical function up to (41.2 ±1.9), physical function up to (39.5 ±2.6), material life (44.2 ±2.2), was higher than in control group (P<0.05).Results Conclusions In clinic nursing of pituitary tumor patients with transsphenoidal resection , application of evidence-based nursing care can improve clinical symptoms of patients, reduce the incidence of postoperative complications , can enhance the quality life , is worthy of promotion.
