Abstract：Objective To explore the effect of super early intervention on aphasia after glioma operation. Methods From December 2016 to December 2018, 100 patients with aphasia after glioma operation admitted to neurosurgery Department of Huai′an First People′s Hospital were selected, they were divided into control group and observation group according to the random number table method, with 50 cases in each group. The control group received routine intervention, and the observation group received super early intervention. Results The score of language function in the two groups after 3 months of intervention was higher than that before intervention, and the differences were statistically significant (all P ＜ 0.05). After 3 months of intervention, the score of language function in the observation group was higher than that in the control group, with statistically significant difference (P ＜ 0.05). After 3 months of intervention, the self-rating anxiety scale (SAS), self-rating depression scale (SDS) scores of the two groups were lower than before intervention, and the differences were statistically significant (P ＜ 0.05). After 3 months of intervention, the SAS and SDS scores of the observation group were lower than the control group, with statistically significant differences (all P ＜ 0.05). After 3 months of intervention, the incidence of postoperative complications in the observation group was lower than that in the control group, and the difference was statistically significant (P ＜ 0.05). Conclusion The application of super early intervention in aphasia patients after glioma surgery can significantly improve their language function changes, alleviate their negative emotions, and effectively reduce the incidence of postoperative complications, which is worthy of promotion.
胡娟 王爱凤▲ 王伟杰. 超早期干预在胶质瘤术后失语中的应用效果[J]. 中国医药导报, 2020, 17(5): 169-172.
HU Juan WANG Aifeng▲ WANG Weijie. Effect of super early intervention on aphasia after glioma operation. 中国医药导报, 2020, 17(5): 169-172.
[1] 李昉晔，陈晓雷，侯远征，等.功能神经导航及术中磁共振对语言区病变语言保护作用研究[J].中国医疗设备，2017，32（12）：11-14.
[2] Zhukov VY，Goryaynov SA，Buklina SB，et al. Intraoperative mapping of long association fibers in surgery of gliomas of the speech-dominant frontal lobe [J]. Zh Vopr Neirokhir Im N N Burdenko，2018，82（5）：5-20.
[3] 孙蔚宇，张晴，王蓓.唤醒状态下手术切除脑功能区胶质瘤围手术期标准化护理流程应用[J].中国临床神经外科杂志，2018，23（12）：816-818.
[4] 李秀华，方燕.早期护理在脑功能区胶质瘤患者术后运动性失语中的应用[J].中国继续医学教育，2018，10（7）：176-177.
[5] 赵彬芳，贺世明，王元，等.加速康复外科在脑胶质瘤患者围术期护理中的应用[J].中华现代护理杂志，2018，24（12）：1454-1457.
[6] Krivosheya D，Prabhu SS，Weinberg JS，et al. Technical principles in glioma surgery and preoperative considerations [J]. J Neurooncol，2016，130（2）：243-252.
[7] 黄娜，郭昱琪，程伟鹤.脑功能区胶质瘤病人术后失语的超早期护理干预效果研究[J].护理研究，2019，33（1）：134-137.
[8] 黄琦，张劲梅.显微镜下全切或次全切术对脑胶质瘤患者认知功能与神经肽水平的影响[J].实用癌症杂志，2018， 33（9）：1542-1545.
[9] 李鑫，张鹏飞，韩利江，等.成人丘脑恶性胶质瘤手术治疗[J].中华神经外科疾病研究杂志，2017，16（2）：146-150.
[10] 孙成军，张弩，何科君，等.0T术中MRI联合导航在岛叶胶质瘤显微手术中的应用[J].中国微侵袭神经外科杂志，2017，22（3）：115-118.
[11] 魏梦妮.高级别岛叶胶质瘤患者的围术期护理[J].护理学杂志，2016，31（24）：43-44.
[12] Raman R，Raman A. A pituitary tumor turned-to-be a glioma：A surgical case from the Madras General Hospital 1928 [J]. Indian J Cancer，2018，55（4）：424-427.
[13] 王重韧，赵明，徐欣，等.颞叶内侧区胶质瘤的显微手术治疗[J].中华神经外科疾病研究杂志，2016，15（5）：444-445.
[14] 李德培，陈银生，郭琤琤，等.脑胶质瘤的临床疗效和预后因素分析（附741例报告）[J].中华神经外科杂志，2018， 34（9）：905-909.
[15] 张立志，刘平，吉慧军，等.全身免疫炎症指数（SⅡ）对胶质瘤患者临床预后的影响及与p53突变的关系[J].现代肿瘤医学，2018，26（24）：3937-3943.
[16] 任红艳，尚晓辉，栗彦伟，等.脑胶质瘤手术患者的预见性护理干预效果分析[J].中国实用神经疾病杂志，2018， 21（9）：1019-1021.
[17] 习蓉.神经外科脑胶质瘤患者出院准备度现状及其影响因素分析[J].护理实践与研究，2018，15（12）：14-16.
[18] Serventi J，Behr J. Surgery and Evidence-based Treatments in Patients with Newly Diagnosed High-grade Glioma [J]. Semin Oncol Nurs，2018，34（5）：443-453.
[19] 刘英亮，钱中润，杨坤，等.岛叶胶质瘤的显微手术治疗[J].中华神经外科杂志，2015，31（7）：681-683.
[20] 张光宇，叶敏，张文波，等.荧光素钠引导脑胶质瘤显微切除术的疗效分析[J].中外医学研究，2019，17（9）：133-135.
[21] 汪俊，张杰，吴建兵.全切、次全切术治疗幕上胶质瘤伴癫痫的随机对照研究[J].中国医药导报，2019，16（14）：60-62.
[22] 包红艳.无缝隙护理和综合护理干预联合应用对脑胶质瘤术后放化疗患者的影响分析[J].中西医结合心血管病电子杂志，2018，6（8）：84-85.
2020, Vol. 17 
京公网安备 11010502046598号