Objective To summarize the effect of surgical treatment and nursing strategies of patients with growth hormone-secreting pituitary adenoma complicated by sleep apnea syndrome. Method Forty-three cases with growth hormone-secreting pituitary adenoma complicated by sleep apnea syndrome underwent surgical treatment in our department , with their history retrospectively analyzed to compare the hormone levels and blood oxygen saturation between pre-and post-operation. Result After the operation, both levels of the hormone and blood oxygen saturation were improved than those before operation; the incidence of sleep apnea syndrome was also lower than that before operation (all P<0.05). Conclusions Surgical treatment is better for patients with growth hormone-secreting pituitary adenoma complicated by sleep apnea syndrome. Reasonable treatment and effective nursing are favorable for the recovery of patients.

Objective? To explore the pressed abdominal belt on promoting restore of brain organization structure among chronic subdural hematoma (CSDH) patients with trepanation and drainage. Methods? From January to November 2017, we selected 72 CSDH patients of neurosurgery in Beijing Tiantan Hospital, Capital Medical University. All of the patients were divided into experimental group and control group with the random number table, 36 cases in each group. Control group carried out routine treatment and nursing care. On the basis of that in control group, experimental group applied pressed abdominal belt until discharge. We compared the restore distance of brain organization structure of patients between two groups three days after surgery. Results? Three days after surgery, the restore distance of brain organization structure by imaging of CT was (17.19±7.18)mm in patients of experimental group and (12.83±8.42)mm in patients of control group with a statistical difference (t=2.26, P＜0.05). Conclusions? Pressed abdominal belt as a simple and effective adjunctive therapy can promote restore of brain organization structure among CSDH patients with trepanation and drainage.

Objective To provide the clinical evidences for intervening the depression and anxiety in patients with chronic subdural hematoma, we investigated the incidence and the influencing factors of anxiety and depression in these patients.Methods Self-rating anxiety scale (SAS) and self-rating depression scale (SDS) were used to investigate 100 patients with chronic subdural hematoma in Department of Neurosurgery, Beijing Tian Tan Hospital of Capital Medical University from October 2015 to May 2016 at admission and discharged. Results The score of SAS was (45.16±8.423) and the detection rate of anxiety was 25% on admission; the score of SDS was (38.86±7.906) and the detection rate of anxiety was 29%; the scores of SAS and SDS both were higher than the national norm (t=17.227, 4.891;P<0.05). The detection rate of anxiety was 10% and the detection rate of depression was 12% at discharged; the scores of SAS (38.86±7.906) and SDS (44.15±6.772) both were also higher than the national norm (t=10.756,3.047;P<0.05).Conclusions Patients with chronic subdural hematoma have high detection rates of anxiety and depression, so we should pay sufficient attention. The doctors and nurses should regard the psychological problems when implement diagnosis and treatment of the physical diseases in patients with chronic subdural hematoma, and promptly provide clinical intervention to against anxiety, depression and other psychological problems for promoting the physical and mental health of patients.

Objective:To explore the effect of transitional care based on physicians and nurses cooperation platform on the quality of life of postoperative patients with craniopharyngioma.Methods:From January 2017 to December 2018, we selected 140 postoperative patients with craniopharyngioma in Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, as research objects by convenience sampling. According to the random number table, patients were divided into experimental group ( n=70) and control group ( n=70) . Patients in control group were treated with routine nursing, and patients in experimental group were given transitional care based on the physicians and nurses cooperation platform on the basis of routine nursing. The intervention effect was evaluated with the Chinese Quality of Life Instruments for Cancer Patients-Head and Neck Cancer (QLICP-HN) , the Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS) . Results:Finally, 63 patients in the control group and 70 patients in the experimental group completed the study.Three months after discharge, the total score of QLICP-HN of experimental group was higher than that of control group with a statistical difference ( P<0.05) . One and three months after discharge, scores of SAS and SDS of experimental group were lower than those of control group, and the differences were statistically significant ( P<0.01) . Conclusions:Transitional care based on physicians and nurses cooperation platform can improve the quality of life, anxiety and depression of postoperative patients with craniopharyngioma.

Objective:To summarize the nursing and treatment experience of patients with Chiari malformation type I (CMI) and syringomyelia (SM) complicated with central sleep apnea syndrome (CSAS) .Methods:A retrospective analysis was used to the clinical data of 23 patients with CMI and SM complicated with CSAS in the Department of Neurosurgery of Beijing Tiantan Hospital from January 2016 to December 2018. All patients underwent surgical treatment under general anesthesia, and were given preoperative and postoperative nursing care.Results:The clinical symptoms and manifestations of 23 CSAS patients improved after operation, and there were no adverse and serious postoperative complications. There were 5 severe CSAS patients who improved significantly at 3 months after surgery, reduced or stopped ventilator assistance according to their physical condition.Conclusions:Surgical treatment for CMI and SM complicated with CSAS is effective, fine and personalized preoperative and postoperative nursing care provides a guarantee for improving the success rate of patients' surgery and improving the prognosis.

Objective? To explore the effects of closed sputum suction, open-closed sputum suction and open sputum suction on intracranial pressure levels in patients with severe craniocerebral injury and mechanical ventilation when the head of bed elevated by 30°. Methods? Totally 36 patients who were admitted in Beijing Tiantan Hospital, Capital Medical University from October 2016 to December 2017 and conformed to the inclusion and exclusion criteria were selected consecutively by convenient sampling. The patients received closed suction (CS), open-closed suction (OCS) and closed suction (OS) as needed. The intracranial pressure (ICP) values shown on the intracranial pressure monitor were recorded at 2 min before, during and after suction as well as 5 min and 15 min after suction. Arterial blood was collected for blood gas analysis at 15 min before and after suction. The patients' partial pressure of oxygen (PaO2) and partial pressure of carbon dioxide (PaCO2) were also recorded. Results? The patients intracranial pressure increased when the three different suction methods were used. ICP values for OS, OCS and CS were (20.02±4.93), (16.00±4.82) and (16.08±4.42) mmHg, respectively (F=8.523,P＜0.01). There was statistical difference in ICP values at 2 min after suction between the patients received CS, OCS and OS (F=4.082,P＜ 0.05), but there was no statistical difference in ICP values at other time points between these patients (P＞ 0.05). There was no statistical difference in PaO2 and PaO2 values before and after suction using different methods (P＞0.05). Conclusions? When the head of bed is elevated by 30°, OCS and CS show small effects on ICP values in patients with severe craniocerebral injury and mechanical ventilation and do not affect the effects of sputum suction.

Objective? To explore the effects of bundle care protocols on artificial airway management in critical neurosurgical patients. Methods? Totally 100 critical neurosurgical patients with artificial airways from June 2017 to June 2018 were selected by convenient sampling and divided into the observation group (n=50) and the control group (n=50) according to the random number table. Patients in the control group received conventional nursing care, while patients in the observation group received bundle care. The pulmonary infection rate, comfort and average length of hospital stay were compared between the two groups. Results? The pulmonary infection rate of the observation group was 8%, while that of the control group was 24% (χ2=4.762, P＜ 0.05) ; the comfort rate of the observation group was 64%, while that of the control group was 30% (χ2=11.60,P＜ 0.01); the length of hospital stay of the observation group was (14.34±2.88) d, whereas that of the control group was (17.28±2.70) d (t=20.617, P＜ 0.01). Conclusions? The bundle care protocol can reduce the incidence of infection and the length of hospital stay and improve the comfort among critical neurosurgical patients.

This article analyzes the health-seeking behavior and its influencing factors of children with brain tumors in order to understand the behavioral characteristics and laws during health-seeking. At the same time, this article analyzes the correlation between treatment timeliness and prognosis, and proposes corresponding strategies to improve treatment timeliness. This article aims at providing ideas and references for relevant departments to formulate prevention and control policies, rationally allocate medical and health resources.

Objective:To explore the clinical application and effects of three-step swallowing rehabilitation in nursing of patients with dysphagia after surgery for basicranial tumor.Methods:From September 2020 to January 2021, totally 79 patients with dysphagia who underwent surgery for basicranial tumor at Beijing Tiantan Hospital, Capital Medical University were selected by convenient sampling and divided into an observation group ( n=39) and a control group ( n=40) according to the random number table. Patients in the control group received routine care, while patients in the observation group underwent three-step swallowing rehabilitation on this basis. The recovery of swallowing function, anxiety, gastric tube indwelling and discharge rate were compared between the two groups before intervention and 7 days after intervention. Results:After intervention, the water swallow test results in the two groups were significantly different from those before intervention ( P<0.05) ; there was a statistically significant difference between the observation group and the control group in the water swallow test results ( P<0.05) ; the total effective rate of swallowing function recovery in the observation group was higher than that in the control group, and the difference was statistically significant ( P<0.05) ; the indwelling time of gastric tube in the observation group was shorter than that in the control group, with a statistically significant difference ( P<0.05) . Conclusions:The implementation three-step swallowing rehabilitation can effectively ameliorate the dysphagia, shorten the indwelling time of gastric tube, and reduce the anxiety of patients after surgery for basicranial tumor.

Objective? To analyze the risk factors of intracranial infection among children after fourth ventricle tumor resection and to summarize the effective nursing intervention. Methods? Retrospective analysis was carried out in 153 children with fourth ventricle tumor in neurosurgery at Beijing Tiantan Hospital of Capital Medical University from June 2013 to June 2017. All of the children were divided into infection group (n=45) and non-infection group (n=108) according to whether complicated with intracranial infection after surgery. From nursing viewpoint, we compared the differences in related factors of children with fourth ventricle tumor resection between two groups before, during and after surgery. Logistic regression was used to analyze the risk factors of intracranial infection. Results? Single factor analysis showed there were statistical differences in the hospital day before surgery ＞ 5 days (χ2=5.418, P=0.020), operative time ≥4 hours (χ2=4.189, P=0.041) and subcutaneous hydrops (χ2=4.452, P=0.049) among children between two groups. However, there were no statistical differences in ages, types of tumor, diameter of tumor, remains after tumor resection, adhesion between tumor and fourth ventricle, operative season, history of brain surgery, distributary of ventriculoperitoneal before surgery, setting external drainage, hypoalbuminemia and usage of glucocorticoid after surgery (P＞ 0.05). Logistic regression analysis showed that the risk factors influencing intracranial infection of children after fourth ventricle tumor resection included the hospital day before surgery＞ 5 days (OR=4.340, P=0.010) and subcutaneous hydrops (OR=9.169,P=0.011). Conclusions? Hospital day before surgery ＞ 5 days and subcutaneous hydrops can increase the incidence of intracranial infection among children after fourth ventricle tumor resection. Medical staff should improve their cognition on risk factors of infection among children after fourth ventricle tumor resection and take targeted nursing intervention.