伽玛刀术后脑水肿的特征及影响因素分析

Analysis of the characteristics and influencing factors of brain edema after gamma knife surgery

目的探讨伽玛刀术后脑水肿的特征以及临床影响因素。方法以2018年4月—2021年4月收治的行伽玛刀治疗者100例为研究对象,依据临床影像下的术前诊断措施,选择出现脑水肿44例患者为病例组,选择非脑水肿56例患者为对照组,通过单因素分析与Logistic多因素分析对伽玛刀术后脑水肿的特征和影响因素进行讨论,并提出其主要护理干预措施。结果多因素分析下可知边缘剂量、病灶部位、病灶平均直径、病灶与脑组织关系是伽玛刀术后脑水肿发生的影响因素(P<0.05)。结论伽玛刀术后易出现脑水肿,应针对影响因素制订针对化护理干预措施,发现其特有的规律进行护理才能有效改善伽玛刀患者临床预后。

Objective To explore the characteristics and clinical influencing factors of brain edema after gamma knife surgery.Methods To take 100 patients receiving gamma knife therapy from April 2018 to April 2021 as the study objects.According to the preoperative diagnostic measures under clinical imaging,we selected 44 patients with brain edema as the case group and 56 patients without brain edema as the control group.Through single factor analysis and Logistic multi factor analysis,we discussed the characteristics and influencing factors of brain edema after gamma knife surgery,and proposed the main nursing interventions.Results Multivariate analysis showed that the influencing factors of brain edema after gamma knife surgery were marginal dose,lesion location,average diameter of the lesion,and the relationship between the lesion and brain tissue(P<0.05).Conclusion Brain edema was easy to occur after gamma knife surgery.Targeted nursing intervention measures should be formulated according to the influencing factors,and nursing can effectively improve the clinical prognosis of patients with gamma knife surgery only if their specific laws are found.