术前多学科集中式病例讨论模式在脑质瘤手术患者中的应用.

Objective To explore and analyze the influence of preoperative multidisciplinary centralized case discussion mode on the basic stress indicators and agitation in patients for glioma surgery. Method Eighty-eight patients with glioma admitted to The First Affiliated Hospital of Harbin Medical University from May 2016 to May 2019 were enrolled in a randomized digital table. Each group received 44 patients. The control group received routine preoperative intervention. On the basis of the control group, the intervention under the preoperative multidisciplinary centralized case discussion mode was constructed and compared. The perioperative basic stress index, visual analog scale (VAS), Ricker sedation-agitation scale (SAS) and Bachelor index (B) were compared I between the two groups. Results The levels of CRP and IL-6 in the T2 and T2 time points were lower than those in the T0 time points. The levels of CRP and IL-6 in the observation group at T1 and T2 were significantly lower than those in the T1 and T2 time points of the control group. The difference between the groups was statistically significant (P < 0.05). Compared with the control group, the SAS score was lower in the observation group and the VAS score was lower. The difference between the groups was statistically significant (P < 0.05). After the intervention, the BI scores were higher than those before the intervention. The scores of the BI scores in the observation group were significantly higher than those in the control group. The difference between the two groups was statistically significant (P < 0.05). Conclusion The construction and application of multi-disciplinary centralized case discussion mode intervention can ensure that the basic stress index of patients for glioma surgery is maintained at a more stable level, reduce agitation and pain, and promote the improvement of daily living ability after the surgery. [ABSTRACT FROM AUTHOR]