针对性护理对脑肿瘤患者伽马刀术后颅内压的影响

Influence of Targeted Nursing for Brain Tumors in Patients with Intracranial Pressure after Gamma Knife Surgery

目的:探究针对性护理对脑肿瘤患者伽马刀术后颅内压等不良反应指标的影响。方法:选取2011年1月至2013年12月来我院就诊的需行伽马刀治疗的脑肿瘤患者88例,依据分层随机分组法将患者分为治疗组及对照组,对照组44例术后给予常规护理方案及治疗策略进行治疗;治疗组44例术后给予针对性个体化护理方案进行治疗;观察比较两组患者治疗满意度、不良反应情况及治疗效果。结果:治疗前两组患者的颅内压比较差异无统计学意义(P>0.05);治疗后治疗组患者颅内压(196.75±37.14)mm H2O、住院时间(13.27±3.18)d、出现癫痫发病0(0.00%)例、头皮破溃5(11.63%)例及头皮感染例数2(4.65%)例明显低于对照组(217.68±42.59)mm H2O,(15.46±3.53)d,5例(11.36%),13例(29.55%),9例(20.45%),差异有统计学意义(P<0.05);治疗组患者治疗满意度高于对照组,差异有统计学意义(P<0.05);治疗组患者出现头痛、呕吐及视乳头水肿等脑水肿症状例数明显低于对照组,差异有统计学意义(P<0.05)。结论:针对性个体化护理可有效降低患者不良反应出现率及严重程度,提高患者生活质量并促进患者的早日康复。

Objective： To explore the efficacy of intracranial pressure of targeted nursing for patients with brain tumors after Gamma knife surgery, Methods：From January 2011 to December 2013 ,88 cases of brain tumors patients which require Gamma Knife surgery come to our hospital for treatment were divided into treatment group and control group according to the stratified randomization method,each had 44cases.The patients of control group were given conventional care regimens and treatment strategies for treatment and the patients of treatment group were given individualized treatment programs targeted nursing for treatment.,fhe satisfaction, adverse reactions and therapeutic effects of patients of the two groups were observed and compared before and after treatment.Results：There was not statistically significant difference of intracranial pressure between tile two groups（P〉0.05）;The intracranial pressure（196.75± 37.14）mmH2O2 hospitalization time （13.27±3.18） d,appears epilepsy 0 （0.00%） cases,scalp ulceration 5（11.63%） cases and scalp infection 2（4.65%） cases of treatment group were significantly lower than the control group （217.68±42.59） mmH20,（15.46±3.53）d,5 （11.36%） cases,13（29.55%） cases, 9 （20.45%） cases, the difference was statistically significant （P〈0.05）;The treatment satisfaction of treatment group was higher than that of the control group, the difference was statistically significant （P〈0.05）;The numbers of headache, vomiting and papilledema and other symptoms of cerebral edema of treatment group was significantly lower than the control group, the difference was statistically significant （P〈0.05）.Conclusion：The targeted individualized nursing can effectively reduce the rate and severity of adverse reactions extent, improve the quality of life of patients and to promote the patient＇s recovery.