内镜下经鼻前颅底肿瘤切除术的围手术期护理分析

Analysis of Perioperative Nursing for Endoscopic Transnasal Anterior Skull Base Tumor Resection

摘要: 目的：分析接受内镜下经鼻前颅底肿瘤切除术的患者围术期采用多元化护理的应用价值。方法：选取前颅底肿瘤患者104例，在本院进行手术治疗的时间段为2024年1月至2025年6月，将患者随机分为两组，两组样本量为52例，对照组围术期应用常规护理模式，观察组围术期应用多元化护理模式，比较干预前后两组标准吞咽功能评价量表(SSA)评分、生存质量评定量表(WHOQOL-BREF)评分、心理弹性量表(CD-RISC)评分及术后并发症情况。结果：干预前两组患者吞咽功能及生活质量评分差异不存在统计学意义(P > 0.05)，干预后观察组SSA评分较对照组低且WHOQOL-BREF评分较对照组高(P < 0.05)。干预前两组患者心理弹性评分差异无显著差异(P > 0.05)，干预后观察组CD-RISC评分明显高于对照组(P < 0.05)。观察组术后并发症总发生率低于对照组(P < 0.05)。结论：接受内镜经鼻前颅底肿瘤切除术的患者围术期应用多元化护理可促进其生理功能及心理功能改善，而且能够强化并发症抑制效果，应用价值高于常规护理，值得应用。

Abstract: Objective: To analyze the application value of diversified perioperative nursing for patients undergoing endoscopic transnasal anterior skull base tumor resection. Methods: A total of 104 patients with anterior skull base tumors who received surgical treatment in our hospital from January 2024 to June 2025 were selected and randomly divided into two groups, with 52 cases in each group. The control group was given conventional perioperative nursing, while the observation group was provided with diversified perioperative nursing. The scores of Standardized Swallowing Assessment (SSA), World Health Organization Quality of Life-BREF (WHOQOL-BREF) and Connor-Davidson Resilience Scale (CD-RISC), as well as the incidence of postoperative complications, were compared between the two groups before and after intervention. Results: Before intervention, there were no statistically significant differences in swallowing function, quality of life and psychological resilience scores between the two groups (P > 0.05). After intervention, the SSA score of the observation group was significantly lower, while the WHOQOL-BREF and CD-RISC scores were significantly higher than those of the control group (P < 0.05). Moreover, the total incidence of postoperative complications in the observation group was notably lower than that in the control group (P < 0.05). Conclusion: For patients undergoing endoscopic transnasal anterior skull base tumor resection, diversified perioperative nursing can effectively improve patients’ physiological and psychological functions and reduce postoperative complications. It has higher clinical application value than conventional nursing and is worthy of clinical promotion.