摘要
目的 探究基于快速康复理念的垂体瘤围手术期护理方法及效果。方法 选取2024年2月-2025年3月期间在我院进行治疗的82例垂体瘤患者为研究对象,使用随机双盲法分为两组,对照组41例进行围术期常规护理,观察组41例进行快速康复理念指导下的围术期护理,对比两组术后鼻腔功能、并发症发生率以及术后康复情况。结果 观察组护理后ASK鼻腔功能各项评分均低于对照组,差异(P<0.05),观察组术后并发症发生率为2.44%,低于对照组的17.07%,差异(P<0.05),两组患者术后下床活动、肠胃功能恢复以及住院时间均短于对照组,差异(P<0.05)。结论 对进行垂体瘤手术患者围术期应用快速康复理念护理措施,能够提升患者术后恢复速度,缩短患者活动以及肠胃功能恢复用时,提升患者鼻腔功能恢复质量,降低术后并发症风险,值得临床推广。
关键词: 快速康复理念;垂体瘤;围手术期
Abstract
Objective To explore the perioperative nursing methods and effects of pituitary tumors based on the concept of rapid rehabilitation. Methods 82 patients with pituitary tumors treated in our hospital from February 2024 to March 2025 were selected as the research subjects. They were randomly divided into two groups using a double-blind method. The control group (n=41) received routine perioperative care, while the observation group (n=41) received perioperative care guided by the concept of rapid recovery. The postoperative nasal function, incidence of complications, and postoperative recovery status of the two groups were compared. Results After nursing, the ASK nasal function scores of the observation group were lower than those of the control group, with differences (P<0.05). The incidence of postoperative complications in the observation group was 2.44%, which was lower than that of the control group (17.07%), with differences (P<0.05). Both groups of patients had shorter postoperative activities, gastrointestinal function recovery, and hospitalization time compared to the control group, with differences (P<0.05). Conclusion The application of the concept of rapid recovery nursing measures during the perioperative period for patients undergoing pituitary tumor surgery can improve the speed of postoperative recovery, shorten the time required for patient activity and gastrointestinal function recovery, enhance the quality of nasal function recovery, and reduce the risk of postoperative complications. It is worthy of clinical promotion.
Key words: Rapid recovery concept; Pituitary tumor; Perioperative period
参考文献 References
[1] 尹晓彤, 许健, 吴瑾, 丁艳萍, 杨瑾, 黄菁菁. 多学科协作护理模式对内镜经鼻-蝶窦垂体瘤切除术患者不良情绪及生活质量的影响[J]. 临床研究, 2025, 33 (05): 154-157.
[2] 邵惠玲. 多学科团队管理干预在经鼻内镜垂体瘤切除术患者围术期中的应用[J]. 中华养生保健, 2025, 43 (02): 155-158.
[3] 闫志敏. 以IMB模型为基础的护理联合早期视嗅觉刺激对垂体瘤切除术后患者嗅觉功能、鼻腔功能的影响[J]. 中华养生保健, 2024, 42 (21): 116-119.
[4] 赖凤娣, 周亚梅. 分析全程优质护理干预对脑垂体瘤患者围术期睡眠质量的影响[J]. 世界睡眠医学杂志, 2024, 11 (04): 951-954.
[5] 焦丽芳, 唐云珍, 黄晓琼, 林金云, 李琦. HBM健康教育结合延续护理在垂体瘤患者术后康复中的应用[J]. 中西医结合护理(中英文), 2024, 10 (04): 29-32.
[6] 赖海燕, 叶夏兰, 曾国艳, 李东晓, 李金丹. 加速康复外科护理模式在经鼻蝶垂体瘤切除术患者围手术期中的应用[J]. 智慧健康, 2022, 8 (34): 217-221+226.
[7] 杨杰. 经单鼻孔蝶窦入路切除垂体瘤围手术期护理方法[J]. 保健医学研究与实践, 2021, 18 (S1): 166-168.
[8] 赖海燕, 卢桂花, 曾国艳, 梁自贞, 韦颖, 叶夏兰. 基于德尔菲法构建神经内镜下经鼻蝶窦入路垂体瘤切除术加速康复护理方案[J]. 加速康复外科杂志, 2021, 4 (01): 9-12.