基于快速康复外科理念的手术护理在经鼻蝶入路垂体瘤切除术中的应用

摘要

Abstract：Objective To investigate the effect of nursing interventions based on fast-track surgery in endoscopic endonasal transsphenoidal surgery for pituitary adenomas. Methods A total of 96 patient undergoing endoscopic endonasal transsphenoidal surgery were randomly divided into the control group and the study group, with 48 cases in each group. The control group was given routine nursing care, and the study group was applied with nursing interventions based on fast-track surgery. The surgical indicators, nursing satisfaction rate, incidence of complications and intensive care efficacy were observed and compared between two groups. Results The ICU and hospital length of stay was shorter in the study group than that of controls(P0.05 or P0.01), the hospitalization costs was lower in the study group than that of controls(P0.01). Patients in the study group had lower rate of adverse events, lower incidence of negative emotions, higher disease awareness compared with those in the control group(P0.05). The incidence of transient diabetes insipidus and fever at early stage of post-operation was lower in the study group than that of controls(P0.05). the overall nursing satisfaction rate was 97.92%(47/48)in the study group and was 78.33%(34/48)in the control group, with a significant difference(P0.05). Conclusion Nursing interventions based on fast-track surgery is potentially effective to improve the rehabilitation of patients after endoscopic endonasal transsphenoidal surgery for pituitary adenomas.