摘要
目的探讨小儿颅咽管瘤术后如何护理可减少内环境紊乱并发症的发生,以利于患儿早日康复。方法收集我院2014年10月至2015年10月入院的70例行小儿颅咽管瘤切除术患儿,按是否愿意接受临床护理干预分为两组。对照组患儿采用常规高热后再使用降温措施及计24h尿量,每日或隔日抽血测1次电解质的传统护理方法,实验组采用每小时监测记录体温、尿量及24 h出入量,预防性地采用降温措施及每12小时抽血测电解质、监测电解质变化,比较两组患者术后尿崩症及其持续时间、电解质紊乱发生情况等。结果实验组患者尿崩症总发生率低于对照组患者,存在统计性差异,具有统计学意义(P<0.05);实验组患者尿崩症平均持续时间统计性短于对照组患者,存在差异,具有统计学意义(P<0.05);实验组患者电解质紊乱总发生率低于对照组患者,存在统计性差异,具有统计学意义(P<0.05);实验组患者电解质紊乱平均持续时间短于对照组患者,存在统计性差异,具有统计学意义(P<0.05)。结论临床护理干预对小儿颅咽管瘤术后减少内环境紊乱并发症的发生效果显著,具有护理借鉴意义。
Objective To explore how to care for children with craniopharyngioma surgery can reduce the incidence of complications of disorder within the environment,in order to facilitate the children a speedy recovery. Methods In our hospital from October 2014 to October 2015 admitted 70 children with routine pediatric craniopharyngioma resection,according to clinical care are willing to accept intervention divided into two groups. Children in the control group using conventional heat before using cooling measures and counter 24 h urine,daily or traditional methods of care measured 1 electrolytes blood every other day,the experimental group monitoring and recording hourly temperature,and 24 h urine intake and output,prophylactic use of cooling measures blood test every 12 hours and the electrolyte,the electrolyte monitoring changes compared two groups of patients after surgery and duration of diabetes insipidus,electrolyte imbalance occurs and so on. Results The overall incidence of diabetes insipidus patients in the experimental group was significantly lower than the control group of patients there is an obvious difference was statistically significant（ P〈0. 05）; diabetes insipidus patients in the experimental group the average duration was significantly shorter than the control group of patients there is an obvious difference was statistically significant（ P〈0. 05）; electrolyte imbalance the overall incidence of patients in the experimental group was significantly lower than the control group of patients there is an obvious difference was statistically significant（ P〈0. 05）; experimental group electrolyte imbalance average duration significantly shorter than the control group of patients there is an obvious difference was statistically significant（ P〈0. 05）. Conclusion The clinical care of children with craniopharyngioma intervention to reduce the incidence of postoperative complications,the effect of disorder within the environment significantly,with care reference.
出处
《辽宁医学杂志》
2017年第3期38-40,共3页
Medical Journal of Liaoning
关键词
小儿颅咽管瘤术后
内环境紊乱
并发症
护理效果
Pediatric Craniopharyngioma Surgery
Internal Environment Disorders
Complications
Care benefits
