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 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 discuss the effects of different postoperative position care on the recurrence of chronic subdural hematoma (CSH).Methods By convenience sampling method,102 patients with CSH were recruited in this study. These patients were admitted to the department of neurosurgery of Beijing Tiantan Hospital from November 2013 to October 2015,and they were divided into two groups by using random digits table method. In one group,52 patients were in the horizontal position without pillow,while in the other group, 50 patients lay in beds with their heads elevated. All patients received burr hole drainage,and were asked to keep the position that required for three days. Afterwards,specific adjustments were made according to the situations of drainage tubes. CT scans of brains were taken 12 hours,one week and three months respectively after operation. The degree of comfort,pulmonary complications,and recurrence rate were investigated during the period of hospitalization and the three-month′s follow-up.Results The recurrence rates were 7.7% and 20.0% respectively (χ2=2.304,P>0.05) for patients in horizontal position without pillow and patients lay in bed with elevation;the score of comfort were (51.6±3.7) and (62.7±3.3) respectively (t=1.919,P>0.05);and the incidences of pulmonary complications in two groups were 7.7% and 4.0%,the rates of venous thrombosis were 1.9% and 2.0% (χ2=0.138,0.471;P>0.05).Conclusions Compared with patients lying in beds with elevation,horizontal position without pillow can help to decrease the risk of recurrence for patients with CSH, but it may lead to more discomfort. Hence,specific postures should be considered for patients with horizontal position.

Objective To summarize the clinical observation content and nursing intervention methods for the post-operative aphasia patients with glioblastoma involving human brain language areas. Methods A total of 74 patients with glioblastoma involving language functional area were included in this study. The primary nurses found the language dysfunction timely through closely observing patients′ illness state; the psychological support was provided at early nursing interventions and the communication was encouraged as well. The type of language dysfunction was evaluated by primary nurses who should master several communication skills for different types of language dysfunction and guided the patients for the fundamental language training. Results A total of 19 patients had aphasia after surgery. Among them, 9 cases had ataxic aphasia; 5 cases had anomic aphasia;5 cases had sensory aphasia. During the period of 9 to 30 days language nursing and training, patients′language expression function increased from (69. 74 ± 13. 40) at the 1st day to (73. 47 ± 12. 74) at the 10th day and (79. 74 ± 12. 06) at the 30th day. The differences were statistically significant (t=2. 720, 3. 974;P<0. 05). Conclusions For the aphasia patients with glioblastoma involving in brain language areas, early assessment of language function and the corresponding language functional rehabilitation training after surgery can improve patients′language dysfunction.

Objective To investigate the impacts of psychosocial interventions on the anxiety and depression among family members of patients with high-grade glioma. Methods Overall 156 patients with high-grade glioma were recruited and randomly distributed into intervention group and control group. The patients of control group received the conventional health education, while the patients of intervention group received the additional intensive psychological caring based on the participants′psychological status. The Self-rating Anxiety Scale ( SAS ) and the Self-rating Depression Scale ( SDS ) were used to assess their level of anxiety and depression. Results The level of anxiety and depression of participants in the intervention group was significantly lower than those in the control group according to SAS and SDS scores, the differences were statistically significant (P <0. 05). Conclusions The psychological interventions can decrease the level of anxiety and depression of the family members of patients with high-grade glioma, so as to provide patients with high quality of social and family support.

Objective To explore the effects of solution-focused approach on improving negative emotions among chronic subdural hematoma patients with trepanation and drainage.Methods From January to December 2017,a total of 100 chronic subdural hematoma inpatients in Beijing Tiantan Hospital of Capital Medical University were divided into control group and observation group by the random number table,50 cases in each group.Control group carried out routine nursing.On the basis of that in control group,observation group provided health education by five-step of solution focused approach.Patients of two groups were evaluated with the Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS) on admission and at discharge.Results The scores of SAS and SDS of patients in observation group were (35.00±5.222) and (37.28±5.091) respectively at discharge lower than those [(38.40±6.550) and (41.26±7.001)]in control group with significant differences (P＜0.05).Conclusions Solution-focused approach can improve negative emotions among chronic subdural hematoma patients with trepanation and drainage.It is worth to be popularized and applied in clinic.

Objective? To explore the effects of early limb functional rehabilitation and exercise on postoperative patients with high cervical spinal cord tumors. Methods? From November 2014 to July 2016, a total of 60 patients with high cervical intraspinal tumor hospitalized in the Spinal Cord Ward of Beijing Tian Tan Hospital were selected as the study subjects by convenience sampling method. All the subjects were divided into 2 groups with 30 cases in each by random number table method. The control group was given routine nursing after surgery, while the observation group was given early limb function rehabilitation training on the basis of the control group. The changes of muscle strength and the incidence of complications were compared between the two groups 12 days after operation. Results? On the 12th day after operation, the muscle strength of the observation group improved in 16 cases, unchanged in 10 cases and aggravated in 4 cases, which was better than that of the control group in 4, 14 and 12 cases. The difference was statistically significant (χ2=11.870, P=0.003). The incidence of postoperative complications in the observation group was lower than that in the control group, and the difference was statistically significant (χ2=4.455,P=0.035). Conclusions? Early limb function exercise can improve the level of muscle strength and reduce complications after operation,which is worthy of clinical application.

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.