功能区胶质瘤切除术中唤醒期的护理对策

Nursing Strategies for Awake Period in Glioma Surgery of the Functional Area

目的:探讨功能区胶质瘤切除术中唤醒期的护理对策。方法:回顾性分析22例应用术中唤醒技术切除功能区胶质瘤患者的临床资料,总结护理措施。结果:本组有15例患者(68.2%)被平稳唤醒,能主动配合手术,5例(22.7%)出现焦虑和不适,经过疏导后能较好的配合手术,2例(9.1%)出现躁动剧烈而唤醒失败。术后1月,2例患者出现近期语言功能障碍,1例患者出现近期运动功能障碍,其余19例患者语言和运动功能保护良好。结论:加强术前访视提高患者对唤醒期的认知,术前对患者进行指令性语言的能力训练确保其术中正确配合术者对功能区的判断,以及手术室护士对各种病情变化的应对能力,是帮助患者安全度过术中唤醒期的重要保障。

[Objective]To explore the nursing strategies for the awake period in the glioma surgery of the functional area.[Method]Retrospective analysis of 22 patients with intraoperative arousal technique in the removal of clinical data from patients with functional glioma,summed up nursing measures.[Result]15 patients(68.2%)were awakened smoothly,and they were able to cooperate with the operation actively.5 patients(22.7%)developed anxiety and discomfort.After the grooming,they could cooperate well with surgery.2 patients(9.1%)experienced severe agitation and wake up failed.In the first month after surgery,2 patients had recent language dysfunction,1 patient had recent motor dysfunction,and the remaining 19 patients had good language and motor function protection.[Conclusion]Strengthening preoperative visits to improve the patient's psychological cognition of the waking period,preoperative training of the patient's command language ensures that the operator correctly matches the operator's judgment on the functional area,and the nurses in the operating room respond to various changes in the condition,are important guarantee to help patients safely pass the intraoperative awake period.