经鼻中隔黏膜下入路垂体瘤切除术后嗅觉改变的影响因素

目的 探讨经鼻中隔黏膜下入路垂体瘤切除术后患者嗅觉改变的影响因素及护理对策.方法 选取2019年1—12月在医院行经鼻中隔黏膜下入路垂体瘤切除术患者90例作为研究对象,将发生嗅觉改变的13例患者作为改变组,未发生嗅觉改变的77例患者作为正常组.采用单因素分析筛选影响经鼻中隔黏膜下入路垂体瘤切除术后患者嗅觉改变的相关危险...

Influencing factors of olfactory change on the patients after resection of pituitary adenoma via submucosal approach through nasal septum

Objective To explore the influencing factors of olfactory change on the patients after resection of pituitary adenoma via submucosal approach through nasal septum and the nursing measures.Methods To select 90 patients undertook the resection of pituitary adenoma via submucosal approach through nasal septum in the hospital from January to February 2019 as the study objects,13 patients with the olfactory change were set as the change group and 77 patients without the olfactory change were set as the normal group.Unifactor analysis was applied to identify the influencing factors of the the resection of pituitary adenoma via submucosal approach through nasal septum patients with the olfactory change,applied the multiple Logistic aggression analysis on those statistically significant factors,found out the independent risk factors that effect the resection of pituitary adenoma via submucosal approach through nasal septum patients with the olfactory change.Results Among the 13 patients with olfactory changes,9 cases had the mild hypoosmia,3 cases had the moderate hypoosmia,1 case had the severe hypoosmia.Unifactor analysis result shows that gender,operation time,preserve middle turbinate,disinfection concentration,nasosinusitis,cerebrospinal fluid rhinorrhea,nasal adhesion and epistaxis were the related factors that effect the olfactory change on the patients after resection of pituitary adenoma via submucosal approach through nasal septum(P<0.05).Multivariate Logistic regression analysis showed that,preserve middle turbinate,cerebrospinal fluid rhinorrhea and nasosinusitis were the independent risk factors that effect the olfactory change on the patients after resection of pituitary adenoma via submucosal approach through nasal septum(P<0.05).Conclusion Preserve middle turbinate,cerebrospinal fluid rhinorrhea and nasosinusitis were the independent risk factors that effect the olfactory change in the patients after resection of pituitary adenoma via submucosal approach through nasal septum.The medical staffs should arrange the corresponding nursing measures according to those risk factors,try to avoid the damage to the normal physiological structure of the patients’nasal cavity and nasal mucosa,enhance postoperative nasal care,reduce the occurrence of related complications,guide the patients insist,promote the recovery of the postoperative olfactory function.