摘要
目的探讨脑膜瘤切除术后早期癫痫的危险因素,总结相应的护理对策。方法回顾性分析2016年7月1日-2018年6月30日在天津市环湖医院神经外科行脑膜瘤切除术后患者的临床资料,对患者年龄、性别等基本资料及肿瘤位置、肿瘤大小、瘤周水肿、既往癫痫病史及手术时间、术后脑水肿等进行统计,分析脑膜瘤术后继发早期癫痫的临床危险因素,并总结相应的护理对策。结果共总结符合入组标准的脑膜瘤切除术患者98例,根据术后是否发生早期癫痫分为癫痫组和无癫痫组,对患者所有资料进行统计学分析后得出,两组患者在性别、年龄、住院时间方面,差异无统计学意义(P>0.05),而在肿瘤位置、肿瘤大小、瘤周水肿、既往癫痫病史、手术时间及术后脑水肿方面,差异有统计学意义(P<0.05)。Logistic回归分析结果显示,肿瘤位置、瘤周水肿、既往癫痫病史、手术时间及术后脑水肿为脑膜瘤术后早期继发癫痫的临床高危因素。结论对存在高危因素的脑膜瘤切除术患者术后积极给予相应的护理措施,可以有效提高护理质量,改善患者病情,促进患者早日康复。
Objective To explore the risk factors of early epilepsy after meningioma resection,and summarize the corresponding nursing strategies.Methods From July 1,2016 to June 30,2018,the clinical data of patients who underwent meningioma resection in Department of Neurosurgery of Tianjin Huanhu Hospital were analyzed retrospectively.The age,gender and other basic information of patients,tumor location,tumor size,peritumoral edema,history of epilepsy,operation time and postoperative brain edema were statistically analyzed.The clinical risk factors of secondary early epilepsy after meningioma operation were analyzed and the corresponding nursing countermeasures were summarized.Results A total of 98 patients with meningioma resection who met the inclusion criteria were enrolled and divided into epilepsy group and non epilepsy group according to whether or not had early epilepsy after operation.After statistical analysis of all the data of the patients,there were no significant differences between the two groups in terms of gender,age and length of stay(P>0.05),but there were significant differences in the location of tumor,tumor size,peritumor edema,past history of epilepsy,operation time and postoperative brain edema(P<0.05).The results of Logistic regression analysis showed that the tumor location,peritumoral edema,history of epilepsy,operation time and postoperative brain edema were the clinical risk factors of early secondary epilepsy after meningioma operation.Conclusion It could effectively improve the quality of care,improve the patient’s condition,and ensure the patient’s life safety by actively giving corresponding nursing measures to the patients with meningioma resection who had high risk factors.
作者
王春娟
WANG Chun-juan(Department of 9th Neurosurgery,Tianjin Huanhu Hospital,Tianjin 300350,China)
出处
《中国城乡企业卫生》
2020年第7期20-22,共3页
Chinese Journal of Urban and Rural Enterprise Hygiene
关键词
脑膜瘤
术后癫痫
继发性癫痫
护理
Meningoma
Postoperative epilepsy
Secondary epilepsy
Nursing
