【摘要】 目的 探讨四轨交叉质控干预对神经内镜下经鼻蝶垂体瘤切除术患者术后康复的影响。方法 随机选取2020年2月至2022年3月于广西医科大学第一附属医院神经外科接受治疗的96例垂体瘤患者作为研究对象，均行神经内镜下经鼻蝶垂体瘤切除术，分为对照组和观察组，每组48例，对照组实施常规干预，观察组在常规护理的基础上实施四轨交叉质控干预，对比2组的术后康复情况、并发症发生率及视功能、生活质量的差异。结果 观察组的意识恢复时间、术后24 h疼痛评分、住院时间均少于对照组(P<0.05);观察组的并发症总发生率低于对照组(P<0.05);观察组干预后的平均缺损、模式标准差及视野指数等视功能指标水平均优于对照组(P<0.05);观察组出院随访时，脑损伤后生活质量量表(QOLIBRI)中各维度评分均高于对照组(P<0.05)。结论 四轨交叉质控干预可促进神经内镜下经鼻蝶垂体瘤切除术患者的术后康复进程，减轻疼痛感，降低并发症发生率，并提升其视功能和生活质量。更多还原

【Abstract】 Objective To explore the effect of four-track cross-over quality control on postoperative rehabilitation of neuroendoscopic transsphenoidal pituitary tumor resection.Methods A total of 96 randomly selected patients surgically treated with neuroendoscopic transsphenoidal pituitary tumor resection from February 2020 to March 2022 in the First Affiliated Hospital of Guangxi Medical University were recruited. They were randomly divided into control group(n=48) and observation group(n=48). Conventional intervention was given to all patients, and four-track cross-over quality control was additionally given to those of the observation group. Postoperative rehabilitation, incidence of complications, visual function and quality of life were compared between the two groups.Results The recovery time of consciousness, 24-h postoperative pain score and length of stay in the observation group were significantly shorter and lower than those in the control group(P<0.05). The total incidence of complications in the observation group was significantly lower than that in the control group(P<0.05). After intervention, the meandefect, meandeviation and visual field index in the observation group were significantly better than those in the control group(P<0.05). At the discharge follow-up, the scores of all dimensions in the Quality of Life after Brain Injury Scale(QOLIBRI) in the observation group were significantly higher than those in the control group(P<0.05).Conclusion Four-track cross-over quality control can promote the postoperative rehabilitation process of neuroendoscopic transsphenoidal pituitary tumor resection, reduce the pain and the incidence of complications, and improve their visual function and quality of life.更多还原