摘要
目的研究术后禁水1h方案对经鼻蝶入路垂体瘤切除术(TPTR)术后患者舒适度和焦虑水平的影响。方法选取2018年6月至2019年9月于我院就诊的TPTR术后患者78例,按照随机数字表法分为对照组(39例)和研究组(39例)。对照组行常规术后禁水6h方案,研究组行术后禁水1h方案。观察两组患者口腔舒适度、焦虑水平、术后并发症。结果研究组口干口渴、咽喉疼痛、口腔异味评分均显著低于对照组(P<0.05);口腔pH值显著高于对照组(P<0.05)。治疗后研究组SAS评分、SDS评分均显著低于对照组(P<0.05)。研究组并发症发生率显著低于对照组(7.68%vs 33.33%,P<0.05)。结论术后禁水1h方案应用于TPTR术后患者能显著提高口腔舒适度,缓解焦虑水平,且安全性较高,可临床推广。
Objective To investigate the effect of a 1h postoperative water ban regimen on patient comfort and anxiety levels after transsphenoidal approach for pituitary tumor resection(TPTR).Methods A total of 78 postoperative patients with tptr who visited our hospital from June 2018 to September 2019 were selected and divided into control(n=39)and study(n=39)groups according to the random number table method.The control group underwent a routine postoperative water ban 6 h protocol,and the study group underwent a postoperative water ban 1 h protocol.Oral comfort,anxiety level,and postoperative complications were observed in both groups.Results In the study group,the scores of dry mouth thirst,sore throat,and off flavor in the mouth were significantly lower(P<0.05),and the oral pH was significantly higher(P<0.05)than in the control group.The SAS score and SDS score of the study group were significantly lower than those of the control group after treatment(P<0.05).The complication rate was significantly lower in the study group than in the control group(7.68%vs 33.33%,P<0.05).Conclusion The application of a 1h postoperative water ban regimen to patients with tptr can significantly improve oral comfort,relieve anxiety,and is safe and clinically generalizable.
作者
阮瑾
田鹤
张路
RUAN Jin;TIAN He;ZHANG Lu(Department of Neurosurgery,Shenzhen Sami Medical Center,Shenzhen,Guangdong 518118;Department of Neurosurgery,the Second People's Hospital of Shenzhen,Shenzhen,Guangdong 518110)
出处
《智慧健康》
2021年第22期81-83,共3页
Smart Healthcare
关键词
经鼻蝶入路垂体瘤切除术
口腔舒适度
SAS评分
术后禁水时间
Transsphenoidal approach for pituitary tumor resection
Oral comfort
SAS score
Postoperative duration of water abstinence
