综合干预模式对颅内肿瘤患者术后并发症及生活质量的影响

Effect of comprehensive intervention mode on postoperative complications and quality of life of patients with intracranial tumors

目的探讨综合干预模式对颅内肿瘤患者术后并发症及生活质量的影响。方法依据随机数字表法将180例颅内肿瘤手术患者分为对照组和研究组,每组90例。对照组患者接受常规干预,研究组患者接受综合干预。比较两组患者术前应激反应指标、术后并发症发生率以及干预前后的生活质量。结果入院时,两组患者的汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)评分以及收缩压、舒张压比较,差异均无统计学意义(P﹥0.05);麻醉前,研究组患者的HAMD、HAMA评分以及收缩压、舒张压均明显低于对照组(P﹤0.01)。研究组患者术后并发症总发生率为14.44%,低于对照组的31.11%(P﹤0.01)。干预后,研究组患者的社会功能、物质生活、躯体功能和生理功能评分均明显高于对照组(P﹤0.01)。结论与常规干预比较,给予颅内肿瘤患者综合干预,可更好地减轻患者术前应激反应,提高术后生活质量,降低术后并发症发生率。

Objective To analyze the effect of comprehensive intervention mode on postoperative complications and quality of life(QOL)of patients with intracranial tumors.Method A total of 180 patients with intracranial tumors were included in the study as control group and study group according to a random number table,with 90 patients in each.Patients in control group received conventional interventions,and their counterpart in study group received comprehensive interventions.Preoperative stress response,postoperative complication rate and QOL before and after interventions were compared between the two groups.Result At the time of admission,the scores of Hamilton depression scale(HAMD),Hamilton anxiety scale(HAMA)and systolic/diastolic blood pressures were similar between the two groups(P>0.05);before anesthesia,HAMD and HAMA scores,systolic/diastolic blood pressures in study group were significantly lower than those in control group,the differences were statistically significant(P<0.01).The incidence of postoperative complications in study group was 14.44%,which was significantly lower than the 31.11%observed in control group(P<0.01).After intervention,the scores of social function,material life,physical function and physiological function in study group were significantly higher compared to control group,the differences were statistically significant(P<0.01).Conclusion Compared with conventional intervention,comprehensive intervention better alleviate the preoperative stress response,improve postoperative QOL and reduce the incidence of postoperative complications for patients with intracranial tumors.