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1、内镜下经鼻蝶入路切除垂体瘤的护理干预刘维（商丘市第一人民医院神外二科河南商丘476100）【摘要】目的：评价护理干预在内镜下经鼻蝶入路切除垂体瘤中的应用效果。方法:70例内镜下经鼻蝶入路切除垂体瘤患者为研究对象，随机分为两组,35例接受常规护理的为对照组，另35例给予护理干预的为实验组，对比不同护理模式下术后并发症情况与患者护理服务满意度的差异，并通过统计学分析。结果:实验组的并发症发生率与患者护理服务总满意率分别为11.4%、97.1%,对照组的为34.3%、77.1%,组间比较可见实验组的并发症、患者满意度情况均显著优
2、于对照组，差异有统计学意义（P<0.05）。结论：加强内镜下经鼻蝶入路切除垂体瘤的围术期护理干预可有效控制并发症发生情况，保障手术效果，并提升患者的护理服务满意度，是促进患者早日康复的关键因素。【关键词】内镜；经鼻蝶入路；垂体瘤切除术；护理干预【中图分类号】R2【文献标号】A【文章编号】2095-9753（2016）4-0038-02ThetreatiseontheJournalofmedicaleducationmanagementinJuly2015Nursinginterventionofpituitarytumor
3、resectionviaendoscopicapproachLiuWei（thetwoHenanbranchoftheShangqiuFirstPeople'sHospital,ShangqiuJObjective:Toevaluatetheeffectofnursinginterventioninthetreatmentofpituitaryadenomasbyendoscopicendoscopicapproach.Methods:70casesofendoscopictranssphenoidalresectiono
4、fpituitarytumorpatientsastheresearchobject,randomlydividedfortwogroups,35casesreceivedtheroutinenursingcareincontrolgroupandanother35casesgivennursinginterventionfortheexperimentalgroup,comparedthedifferentnursingmodelspostoperativecomplicationsandnursingservicesa
5、tisfactiondifferencesandbystatisticalanalysis.Results:intheexperimentalgroup,thecomplicationrateandnursingcareforpatientswithtotalsatisfactionratewas11.4%,97.1%respectively,controlgroupis34.3%,77.1%,intergroupcomparison,wecanseethecomplicationsoftheexperimentalgro
6、up,patientssatisfactionweresignificantlybetterthanthecontrolgroup,thedifferenceisstatisticallysignificant(P<0.05).Conclusion:strengtheningtheendoscopictranssphenoidalresectionofpituitarytumorsWaiperioperativenursinginterventioncaneffectivelycontrolthecomplicati
7、ons,guaranteetheoperationeffect,andimprovethepatients曹satisfactiontonursingserviceisakeyfactortopromotetheearlyrecoveryofthepatients.Keywordsendoscopyendoscopicapproachpituitarytumorresectionnursingintervention垂体瘤是发生于垂体前叶的良性肿瘤，最常见于蝶鞍区，苏病发率占整个颅内肿瘤的10%,多发于20-50岁成年人［
8、1】。手术切除是临床上治疗本病的首选方式，以往垂体瘤的外科治疗多采取经颅手术切除，随着近年来神经影像学及显微外科技术的不断进步，内镜下经鼻蝶入路切除垂体瘤凭借损伤小、恢复快、术后反应轻微等优点而成为目前治疗垂体瘤的主要方式［2】。围手术期的精心护理是保证手术成功，降低并发症，促进患者早日康复的关键。现将
