苏丹宁

[摘要] 目的 分析巨大矢状窦旁脑膜瘤显微外科手术治疗的围术期护理方法和效果。 方法 选取2012年9月—2014年9月在该院行神经外科手术治疗的58例巨大矢状窦旁脑膜瘤患者为研究对象，随机均分成对照组和观察组各29例。对照组予以常规护理，观察组在常规护理基础上予以舒适护理，对比两组患者的护理效果。结果 经护理后，观察组患者的死亡率（3.45%）和偏瘫率（10.34%），均显著低于对照组（分别为20.69%和34.48%）（P<0.05）。 结论 加强巨大矢状窦旁脑膜瘤显微外科手术治疗患者围术期的舒适护理，可以有效提升治疗效果，值得临床推广。

[关键词] 矢状窦旁脑膜瘤；围术期；外科手术

[中图分类号] R739 [文献标识码] A [文章编号] 1674-0742（2015）03（a）-0153-02

Analysis of the Perioperative Nursing for Giant Parasagittal Meningioma Treated by Microsurgical Operation

SU Danning

Surgical Operating Room， Anshan Central Hospital， Anshan， Liaoning Province， 114001， China

[Abstract] Objective To analyze the perioperative nursing for giant parasagittal meningioma treated by microsurgical operation and the effect. Methods 58 cases with giant parasagittal meningioma underwent neurosurgical treatment in our hospital from September 2012 to September 2014 were selected as the subjects and randomly and equally divided into the control group and the observation group with 29 cases in each. The control group were given the conventional nursing， and the observation group were given the comfortable nursing based on the conventional nursing. And the nursing effect was compared between the two groups. Results After nursing， the mortality rate of the observation group was much lower than that of the control group（3.45% versus 10.34%）， and the rate of hemiplegia was obviously lower than that of the control group（20.69% versus 34.48%） （P<0.05）. Conclusion For giant parasagittal meningioma treated by microsurgical operation， strengthening the perioperative comfortable nursing can improve the therapeutic effect effectively， so it is worthy of clinical promotion.

[Key words] Parasagittal meningioma； Perioperative period； Surgical operation

矢状窦旁脑膜瘤，临床中又称为傍矢状面脑膜瘤，指的是肿瘤基底附着在上矢状窦，且存在大量的矢状窦的脑膜瘤，上矢状窦与肿瘤之间缺乏正常脑组织[1]。矢状窦旁脑膜瘤的瘤体生长速度比较缓慢，但如果患者出现临床症状时，瘤体大多已比较大，手术治疗难度也比较大[2]，所以对围术期护理提出了更高的要求。该研究在2012年9月—2014年9月对巨大矢状窦旁脑膜瘤显微外科手术治疗患者的围术期实施舒适护理，取得了良好的效果，现报道如下。

1 资料与方法

1.1 一般资料

选取在该院神经外科手术治疗的58例巨大矢状窦旁脑膜瘤患者为研究对象。其中，男32例，女26例；年龄20～71岁，平均年龄为（52.61±8.37）岁；病程1～10年；平均病程为（5.37±3.81）年；肿瘤全切除40例，次全切除18例。采用抽签方式，将患者均分成对照组和观察组，每组各29例。两组患者在性别、年龄、病程、手术类型等一般资料的对比上差异无统计学意义（P>0.05），具有可比性。