內(nèi)鏡導(dǎo)航系統(tǒng)下鼻顱底腫瘤切除患者圍術(shù)期護(hù)理研究

戴娟

【摘要】 目的：探討內(nèi)鏡導(dǎo)航系統(tǒng)下鼻顱底腫瘤切除患者圍術(shù)期護(hù)理。方法：收集50例筆者所在醫(yī)院2016年10月-2018年11月內(nèi)鏡導(dǎo)航系統(tǒng)下鼻顱底腫瘤切除手術(shù)患者，隨機(jī)分組。圍術(shù)期常規(guī)化護(hù)理組內(nèi)鏡導(dǎo)航系統(tǒng)下鼻顱底腫瘤切除手術(shù)25例患者采取基礎(chǔ)護(hù)理方案，圍術(shù)期綜合化護(hù)理組內(nèi)鏡導(dǎo)航系統(tǒng)下鼻顱底腫瘤切除手術(shù)25例患者實(shí)施圍術(shù)期綜合化護(hù)理。分析內(nèi)鏡導(dǎo)航系統(tǒng)下鼻顱底腫瘤切除治療時間、手術(shù)出血量、術(shù)后正常住院時間;治療前后患者生存質(zhì)量情況、漢密爾頓抑郁情緒評分、Lund-Kennedy癥狀積分。結(jié)果：圍術(shù)期綜合化護(hù)理組手術(shù)時間、術(shù)后住院時間短于圍術(shù)期常規(guī)化護(hù)理組，手術(shù)失血總量少于圍術(shù)期常規(guī)化護(hù)理組（P<0.05）。治療后患者漢密爾頓抑郁情緒評分、Lund-Kennedy癥狀積分低于圍術(shù)期常規(guī)化護(hù)理組，生存質(zhì)量評分高于圍術(shù)期常規(guī)化護(hù)理組（P<0.05）。結(jié)論：圍術(shù)期綜合化護(hù)理對于內(nèi)鏡導(dǎo)航系統(tǒng)下鼻顱底腫瘤切除手術(shù)的臨床效果確切，可減輕患者的不良情緒和改善其生存質(zhì)量，可有效減少手術(shù)出血和加速患者康復(fù)。

【關(guān)鍵詞】 內(nèi)鏡導(dǎo)航系統(tǒng) 鼻顱底腫瘤 切除 圍術(shù)期護(hù)理

doi：10.14033/j.cnki.cfmr.2020.18.044 文獻(xiàn)標(biāo)識碼 B 文章編號 1674-6805（2020）18-0-03

Study on Perioperative Nursing of Patients with Nasal Skull Base Tumor Resection under Endoscopic Navigation System/DAI Juan. //Chinese and Foreign Medical Research， 2020， 18（18）： -106

[Abstract] Objective： To explore the perioperative nursing of patients with nasal skull base tumor resection under endoscopic navigation system. Method： A total of 50 patients with nasal skull base tumor resection under endoscopic navigation system from October 2016 to November 2018 in our hospital were collected and randomly divided. In the perioperative period， 25 patients with nasal skull base tumor resection under the endoscopic navigation system were the conventional nursing group. 25 patients with nasal skull base tumor resection under the endoscopic navigation system were comprehensive nursing group. The endoscopic navigation system for nasal skull base tumor resection treatment time， surgical bleeding volume， and normal postoperative hospitalization time， the quality of life of patients before and after treatment， the Hamilton depression score and Lund-Kennedy score were analyzed. Result： The perioperative comprehensive nursing groups operation time and hospital stay were shorter than those of the routine nursing group. The total blood loss was less than the routine nursing group （P<0.05）. After treatment， patients Hamilton depression score and Lund-Kennedy score were lower than the routine nursing group， the quality of life score was higher than that in the routine nursing group （P<0.05）. Conclusion： The perioperative comprehensive nursing has a clear clinical effect on the nasal skull base tumor resection under the endoscopic navigation system， which can alleviate the bad mood of patients and improve their quality of life， and can effectively reduce surgical bleeding and accelerate patient recovery.

[Key words] Endoscope navigation system Nasal skull base tumor Resection Perioperative nursing

綜上所述，圍術(shù)期綜合化護(hù)理對于內(nèi)鏡導(dǎo)航系統(tǒng)下鼻顱底腫瘤切除手術(shù)的臨床效果確切，可減輕患者的不良情緒和改善其生存質(zhì)量，可有效減少手術(shù)出血和加速患者康復(fù)。

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（收稿日期：2020-02-17） （本文編輯：張亮亮）