模块式护理在垂体腺瘤切除术后脑脊液漏腰穿置管引流中的应用研究

The application of modular nursing to catheter drainage of cerebrospinal fluid leakage lumbar puncture after pituitary adenoma resection

目的探究模块式护理在垂体腺瘤切除术后脑脊液漏腰穿置管引流中的应用。方法选取哈尔滨医科大学附属第一医院2014年7月~2016年7月收治的经鼻蝶窦垂体腺瘤切除术后并发脑脊液漏行腰穿置管间歇性外引流的患者90例,采取随机数字表法分为对照组与观察组,每组各45例。对照组给予常规护理,观察组在常规护理基础上加用模块式护理,对比两组停止漏液的时间、并发症发生率及生活质量。结果观察组与对照组相比,停止漏液的时间明显缩短,差异有统计学意义(P<0.05)。对照组并发症发生率为13.33%,观察组并发症发生率为4.44%,观察组与对照组相比并发症发生率较低,差异有统计学意义(P<0.05)。观察组与对照组相比,角色功能、躯体功能、心理功能、社会功能评分及总分均较高,差异有统计学意义(P<0.05)。结论将模块式护理应用于垂体腺瘤切除术后脑脊液漏腰穿置管引流的治疗过程中可缩短停止漏液的时间,降低并发症发生率,并促进提高生活质量。

Objective To explore the application of the module type nursing in catheter drainage of cerebrospinal fluid leakage lumbar puncture after pituitary adenoma resection. Methods 90 cases with lumbar puncture drainage catheter intermittent who were complicated by cerebrospinal fluid leakage after pituitary adenoma resection via nasal transsphenoidal approach treated in The First Affiliated Hospital of Harbin Medical University from July 2014 to July 2016 were selected. All the patients divided into the control group and the observation group according to the random number table, with 45 cases in each group. Patients in the control group were given routine nursing, and patients in the observation group were given modular nursing on the basis of conventional nursing. The leakage stop time, complication rates, and the quality of life of the two groups were compared. Results The leakage stop time of the observation group was shortened than the control group, with statistically significant difference （P 〈 0.05）. The incidence of complications of the control group was 13.33%; the complication rate of observation group was 4.44%, which was lower than the con- trol group, with statistically significant difference （P 〈 0.05）. The role function, physical function, psychological func- tion, social function scores and the total scores of the observation group were higher than the control group, with statis- tically significant difference （P 〈 0.05）. Conclusion The applying of modular nursing to catheter drainage of cere- brospinal fluid leakage lumbar puncture after pituitary adenoma resection can shorten the time of the stop leakage in the process, reduce the incidence of complications, and improve the quality of life.