早期视嗅觉刺激对垂体瘤患者术后嗅觉功能、鼻腔功能及睡眠质量的影响

Effect of Early Visual and Olfactory Stimulation on Postoperative Olfactory Function,Nasal Function and Sleep Quality in Patients with Pituitary Adenoma

目的:探讨早期视嗅觉刺激在垂体瘤患者中的应用效果。方法:选取2019年3月—2023年3月许昌市中心医院神经外科二病区收治的100例垂体瘤患者作为研究对象。采用随机数表法分组,对照组(n=50)采取常规护理措施,观察组(n=50)在常规护理基础上实施早期视嗅觉刺激,两组患者均持续护理至患者出院。比较两组患者嗅觉功能、鼻腔功能、睡眠质量以及生活质量。结果:干预后,观察组患者嗅觉心理物理检测评分、嗅觉-12项(SS-12)试验评分均高于对照组;嗅觉察觉阈值、嗅觉识别阈值均低于对照组,差异有统计学意义(t=5.691、22.379、3.616、14.652,P<0.05);干预后,观察组患者鼻腔功能测量表(ASK)评分低于对照组,差异有统计学意义(t=12.958,P<0.05);干预后,观察组患者匹兹堡睡眠质量指数量表(PSQI)评分低于对照组,差异有统计学意义(t=28.461、25.495、19.325、11.875、29.699、30.673、23.985,P<0.05);干预后,观察组患者健康调查简表(SF-36)评分高于对照组,差异有统计学意义(t=17.732、15.274、13.202、6.426、14.451、13.901、13.906,P<0.05)结论:早期视嗅觉刺激可帮助垂体瘤患者嗅觉功能快速恢复,有效减轻其鼻腔症状,提供其睡眠质量和生活质量。

Objective:To explore the application effect of early visual and olfactory stimulation in patients with pituitary adenoma.Methods:100 patients with pituitary tumors admitted to the hospital from March 2019 to March 2023 were selected,and randomly divided into groups with random number table method.50 patients of control group received routine nursing measures,while 50 patients of the observation group received early visual and olfactory stimulation on the basis of routine nursing.Both groups were observed.The olfactory function,nasal function,sleep quality and quality of life between two groups were compared.Results:After intervention,olfactory psychophysical test scores and SS-12 test scores in observation group were higher than those in control group,DT and RT were lower than those in control group,with statistically significant difference(t=5.691,22.379,3.616,14.652;P<0.05).After intervention,ASK score of observation group was lower than control group,and the difference was statistically significant(t=12.958,P<0.05).After intervention,the patients in observation group were lower than those in control group,and the difference was statistically significant(t=28.461,25.495,19.325,11.875,29.699,30.673,23.985;P<0.05).After intervention,patients in the observation group were higher than those in the control group,and the difference was statistically significant(t=17.732,15.274,13.202,6.426,14.451,13.901,13.906;P<0.05).Conclusion:Early visual and olfactory stimulation can help pituitary tumor patients quickly recover their olfactory function,effectively alleviate nasal symptoms,and improve their sleep and quality of life.