摘要
目的探讨生长激素腺瘤合并糖尿病患者行经鼻蝶窦垂体瘤切除术的护理要点。方法回顾性分析2010年6月至2011年4月在南京军区南京总医院行经鼻蝶窦切除术的20例生长激素腺瘤合并糖尿病患者的临床资料,总结其护理方法。结果术后,本组患者的症状均有不同程度的改善,但有4例患者出现并发症,其中尿崩症2例、电解质紊乱1例、脑脊液鼻漏1例。经及时治疗与悉心护理后,总共治愈19例、好转1例。结论生长激素腺瘤合并糖尿病患者应加强对其血糖的监测,及时有效调整用药,完善术前心理护理及宣教,术后严密观察症状,及时发现并发症,早期治疗和有效护理,有利于术后早日康复。
Objective To explore the nursing points for the patients with grow-hormone adenoma and diabetes undergoing transnasal-sphenoidal resection. Methods From June 2010 to April 2011,the clinical data of 20 patients with grow-hormone adenoma and diabetes undergoing nasal transsphenoidal resection were analyzed retrospectively. The corresponding nursing points were summarized. Results The postoper- ative symptoms in the 20 patients were improved to vary degrees. Of the four patients with postoperative complications,two suffered from postoperative diabetes insipidus, one with electrolyte imbalance and one with cerebrospinal fluid leakage. After the timely and effective treatment and careful nursing, totally 19 cases were cured, one case was improved. Conclusion During the treatment of grow-hormone adenoma patients combined with diabetes, it should be strengthened on monitoring of blood glucose, timely and effective adjustment of medication,and improving the patient＇s preoperative psychological care and education. Early treatment and effective nursing for the complications should also be emphasized for early rehabilitation.
出处
《解放军护理杂志》
2012年第14期42-43,51,共3页
Nursing Journal of Chinese People's Liberation Army
