张丽丽长春市人民医院伽马刀治疗中心，吉林长春　130051

护理干预对伽玛刀治疗脑肿瘤的影响探析

张丽丽
长春市人民医院伽马刀治疗中心，吉林长春130051

目的探析护理干预对伽玛刀治疗脑肿瘤患者的影响。方法选取该院2014年1月—2016年3月收治的98例脑肿瘤患者，均需伽马刀手术治疗，根据随机方式将其分为研究组和对照组，各为49例，研究组术后给予护理干预，对照组给予术后常规护理，比较两组颅内压、脑水肿等情况。结果 护理前颅内压两组差异无统计学意义，研究组护理后（196.3±38.4）mmH2O，与对照组比较差异具有统计学意义P＜0.05；研究组住院时间（13.2±3.2）d与对照组比较差异具有统计学意义P＜0.05；研究组不良反应发生率14.29%与对照组比较差异具有统计学意义P＜0.05；研究组脑水肿症状显著优于对照组，P＜0.05。结论 给予脑肿瘤伽马刀术后患者护理干预，能够有效改善颅内压症状，降低不良反应的发生，改善脑水肿症状，促进患者恢复，值得推广。

护理干预；脑肿瘤；伽马刀；颅内压

［Abstract］Objective To study the effect of nursing intervention on gamma knife treatment for brain tumor.Methods 98 cases of patients with brain tumor admitted and treated in our hospital from January 2014 to March 2016 were selected and treated with gamma knife，and randomly divided into two groups with 49 cases in each，the research group were given nursing intervention after operation，the control group were given conventional nursing after operation，and the intracranial pressure and encephaledema were compared between the two groups.Results The difference in the intracranial pressure between the two groups had no statistical significance before nursing and had statistical significance after nursing，P＜0.05，and the intracranial pressure in the research group after nursing was（196.3±38.4）mmH2O，the difference in the length of stay between the two groups had statistical significance，P＜0.05 and the length of stay in the research group was（13.2±3.2）d，the difference in the incidence rate of adverse reaction between the two groups had statistical significance，P＜0.05，and the incidence rate of adverse reaction in the research group was 14.29%，and the encephaledema symptom in the research group was obviously better than that in the control group，P＜0.05.Conclusion The nursing intervention for patients with brain tumor after gamma knife operation can effectively improve the intracranial pressure symptom，reduce the occurrence of adverse reactions，improve the encephaledema symptom and promote the recovery of patients，which is worth promotion.

［Key words］Nursing intervention；Brain tumor；Gamma knife；Intracranial pressure

脑肿瘤在临床上比较常见，常规的开颅手术对患者的创伤比较大，风险高，恢复慢，且住院时间长，加重患者经济负担［1］。伽马刀属于新型的治疗方式，受到患者青睐，不过伽马刀治疗也存在一定的弊端，例如应用伽马刀放射护理后患者会出现急性放射性损伤的情况，还会出现脑水肿、颅内压升高等现象［2］。为更好地降低伽马刀术后患者的不良反应，促进患者康复，本文将2014年1月—2016年3月收治的98例脑肿瘤患者，作为研究对象，研究组给予伽马刀术后护理干预，对照组采取常规干预，现报道如下。……