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目的:探讨循证护理对颅咽管瘤术后并发钠代谢紊乱的护理效果。方法:选择2013年6月至2016年1月在广东省第一荣军医院治疗的64例颅咽管瘤并发钠代谢紊乱患者,按临床随机数表法分组各32例。观察组患者采用循证护理,对照组患者采用传统护理。观察比较两组患者术后钠代谢紊乱、术后尿崩症和住院时间的差异。结果:观察组患者术后钠代谢紊乱发生率18.75%、尿崩症发生率15.63%明显低于对照组术后钠代谢紊乱发生率53.13%、尿崩症发生率46.88%,住院时间显著缩短,差异具有统计学意义(P<0.05)。结论:针对颅咽管瘤术后并发钠代谢紊乱患者采用循证护理治疗可降低术后钠代谢紊乱和尿崩症发生率,缩短住院时间,促进患者康复。
Objective: To investigate the nursing effect of evidence-based nursing on disorders of sodium metabolism after craniopharyngioma surgery. Methods: Sixty-four patients with craniopharyngiomas complicated with metabolic disorders of sodium were selected from June 2013 to January 2016 in the First Invalides Hospital of Guangdong Province, and 32 patients in each group were randomized according to the randomized clinical trial. Evidence-based care was used in the observation group and traditional care was used in the control group. The differences of postoperative sodium metabolism, postoperative diabetes insipidus and hospital stay were observed and compared between the two groups. Results: The incidence of postoperative sodium metabolism disorder was 18.75% and the incidence of diabetes insipidus was 15.63% in the observation group was 53.13%, the incidence of diabetes mellitus was 46.88%, the hospitalization time was significantly shortened, The difference was statistically significant (P <0.05). CONCLUSION: Evidence-based nursing for patients with craniopharyngioma complicated with abnormal sodium metabolism can reduce the incidence of postoperative sodium metabolism and diabetes insipidus, shorten the length of hospital stay and promote the recovery of patients.