Nasal Irrigation Apply in Patients After Transsphenoidal Pituitary Tumor Resection
Nasal Irrigation Apply in Patients After Transsphenoidal Pituitary Tumor Resection
Transsphenoidal pituitary tumor resection is currently recognized as an effective and safe
 surgical method,nowadays it is widely used in clinical practice . However ,Because of the
 endoscopic damage to the nasal mucosa during surgery and the old blood clots in the nasal
 cavity , after surgery the patient had nasal symptoms such as nasal congestion and nasal flow
 for a long time, which disturbed the patient's rest and sleep, affect their quality of life,
 some patients can develop to chronic sinus inflammation that is sphenoid sinusitis. Nasal
 irrigation is now widely used in the treatment of sinusitis and sphenoid sinusitis with good
 result. In this study, nasal irrigation was applied in the nursing process of patients after
 transsphenoidal pituitary tumor resection, and we want to establish the nursing management
 process of nasal irrigation after transsphenoidal pituitary tumor resection and use the
 visual analogue scale (VAS) to evaluate the nasal symptoms of patients after postoperative
 nasal irrigation. Use The Chinese version of the commonly used nasosinusitis scale (SNOT -20)
 to evaluate postoperative quality of life of patients from the four dimensions of
 rhino-related symptoms, vitality, social function and emotional function, and to evaluate the
 incidence of sphenoid sinusitis by combining imaging examination. It is expected to improve
 the comfort of postoperative nasal symptoms and postoperative quality of life, prevent and
 reduce the incidence of postoperative sphenoid sinusitis, and improve the satisfaction of
 patients.
Eligible patients who were willing to participate in transsphenoidal pituitary tumor
 resection after informed consent were selected as the study subjects,Randomly divided into
 experimental group and control group. The experimental group apply the routine postoperative
 nursing process of transsphenoidal pituitary tumor plus nasal irrigation nursing process, the
 control group apply the routine postoperative nursing process of transsphenoidal pituitary
 tumor .After the removal of nasal gauze,we use visual analogue scale (VAS) to score and
 observe the clinical symptoms of nasal cavity in both groups. The patients were asked to mark
 out the score that could represent the severity of their symptoms for evaluation. The nurses
 filled in the form, and the nasal comfort was re-evaluated through face-to-face talks and
 telephone follow-up at two days ,1 week, 4 weeks and 12 weeks after the removal of the
 gauze.we will apply nasosinusitis scale (SNOT -20) to measure the quality of life of the
 patients in the two groups at the first day, 1 week, 4 weeks and 12 weeks after the removal
 of nasal strips .After 12 weeks of discharge, two groups of patients were hospitalized for
 reexamination with pituitary MRI or CT,to determine the incidence of postoperative sphenoid
 sinusitis.Patients were followed up and interviewed by telephone one week, four weeks and 12
 weeks after discharge, were evaluate the incidence of complications such as nasal bleeding,
 cerebrospinal fluid leakage and intracranial infection.
Inclusion Criteria:

 -  Patients after transsphenoidal pituitary tumor resection

 -  Patients who can cooperate with nasal irrigation, scoring and informed consent

 Exclusion Criteria:

 -  Patients with incomplete clinical data

 -  Patients with cerebrospinal fluid rhinorrhea during and after surgery (patients with
 cerebrospinal fluid leakage under intraoperative endoscopic observation and
 cerebrospinal fluid leakage when postoperative posture changes)

 -  patients with sphenoid sinusitis before transsphenoidal pituitary tumor resection

 -  Patients who cannot cooperate with the investigation