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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 investigate how to care for children with craniopharyngioma after surgery to reduce the occurrence of complications of internal environment in order to facilitate the early recovery of children. Methods Totally 70 children undergoing craniopharyngioma resection in our hospital from October 2014 to October 2015 were divided into two groups according to their willingness to accept clinical nursing intervention. The control group of children with conventional high fever and then use the cooling measures and the total amount of 24h urine output, daily or alternate blood test once the traditional method of electrolyte care, the experimental group using hourly monitoring temperature, urine output and 24 h of access, Prevention measures were taken preventively and blood samples were taken every 12 hours to monitor electrolyte changes. The postoperative diabetes insipidus and duration, electrolyte imbalance were compared between the two groups. Results The total incidence of diabetes insipidus in the experimental group was lower than that in the control group, with statistical significance (P <0.05). The average duration of diabetes insipidus in the experimental group was statistically shorter than that in the control group (P <0.05). The total incidence of electrolyte imbalance in the experimental group was significantly lower than that in the control group (P <0.05). The average duration of electrolyte imbalance in the experimental group was shorter than that of the control group The control group patients, there are statistical differences, with statistical significance (P <0.05). Conclusion Clinical nursing intervention for children with craniopharyngioma reduce postoperative complications of internal environment significant effect, with nursing significance.