Comparison of emergence agitation and recovery quality after hypophysectomy of 3 endocrine types of pituitary tumors
Objective To evaluate the emergence agitation and recovery quality of patients with 3 endocrine types of pituitary tumor after transnasal transsphenoidal hypophysectomy. Methods Patients who received pituitary adenoma resection under general anesthesia were enrolled and categorized into three grou...
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| Format: | Article |
| Language: | zho |
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Institute of Basic Medical Sciences and Peking Union Medical College Hospital, Chinese Academy of Medical Sciences / Peking Union Medical College.
2020-10-01
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| Series: | Jichu yixue yu linchuang |
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| Online Access: | http://journal11.magtechjournal.com/Jwk_jcyxylc/fileup/1001-6325/PDF/a200226.pdf |
| _version_ | 1797365672231043072 |
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| author | ZHANG Yu-guan, TANG Shuai, XUE Yang, ZHANG Yue-lun, TIAN Yuan, XING Bing, HUANG Yu-guang |
| author_facet | ZHANG Yu-guan, TANG Shuai, XUE Yang, ZHANG Yue-lun, TIAN Yuan, XING Bing, HUANG Yu-guang |
| author_sort | ZHANG Yu-guan, TANG Shuai, XUE Yang, ZHANG Yue-lun, TIAN Yuan, XING Bing, HUANG Yu-guang |
| collection | DOAJ |
| description | Objective To evaluate the emergence agitation and recovery quality of patients with 3 endocrine types of pituitary tumor after transnasal transsphenoidal hypophysectomy. Methods Patients who received pituitary adenoma resection under general anesthesia were enrolled and categorized into three groups: growth hormone group (GH), adrenocorticotropic hormone group (ACTH) and non-functional group (control). Riker Sedation-Agitation Scale (RSAS), the severity of the emergence coughing, headache (by VAS), medical staff satisfaction were recorded in the post-anesthesia care unit. QoR-40 score, headache(by VAS), nausea score (by VRS) and vomiting score, and patient satisfaction were recorded at 24 h postoperatively. Results 163 cases were enrolled in the analysis, including 51 in GH group, 44 in ACTH group and 68 in control group. No significant difference was found regarding the emergence agitation among 3 groups. The ACTH group showed significantly higher nausea VRS score at 24 h after surgery than control group (P＜0.01). The headache VAS score of ACTH group was significantly higher than that in control group (P＜0.001). The incidence of postoperative sore throat in ACTH group was significantly higher than that in control group (P＜0.05). The postoperative QoR-40 score of ACTH group was significantly lower than that of control group (P＜0.01). Conclusions The incidences of postoperative nausea, headache and sore throat are significantly increased and the score of QoR-40 is significantly reduced in patients with ACTH pituitary adenoma. |
| first_indexed | 2024-03-08T16:53:05Z |
| format | Article |
| id | doaj.art-7dce429a4433430da742042348b21f9f |
| institution | Directory Open Access Journal |
| issn | 1001-6325 |
| language | zho |
| last_indexed | 2024-03-08T16:53:05Z |
| publishDate | 2020-10-01 |
| publisher | Institute of Basic Medical Sciences and Peking Union Medical College Hospital, Chinese Academy of Medical Sciences / Peking Union Medical College. |
| record_format | Article |
| series | Jichu yixue yu linchuang |
| spelling | doaj.art-7dce429a4433430da742042348b21f9f2024-01-05T03:17:30ZzhoInstitute of Basic Medical Sciences and Peking Union Medical College Hospital, Chinese Academy of Medical Sciences / Peking Union Medical College.Jichu yixue yu linchuang1001-63252020-10-01401013991402Comparison of emergence agitation and recovery quality after hypophysectomy of 3 endocrine types of pituitary tumorsZHANG Yu-guan, TANG Shuai, XUE Yang, ZHANG Yue-lun, TIAN Yuan, XING Bing, HUANG Yu-guang01. Department of Anesthesiology; ;2. Medical Research Center; ;3. Department of Neurosurgery, Peking Union Medical College Hospital, CAMS & PUMC, Beijing 100730, ChinaObjective To evaluate the emergence agitation and recovery quality of patients with 3 endocrine types of pituitary tumor after transnasal transsphenoidal hypophysectomy. Methods Patients who received pituitary adenoma resection under general anesthesia were enrolled and categorized into three groups: growth hormone group (GH), adrenocorticotropic hormone group (ACTH) and non-functional group (control). Riker Sedation-Agitation Scale (RSAS), the severity of the emergence coughing, headache (by VAS), medical staff satisfaction were recorded in the post-anesthesia care unit. QoR-40 score, headache(by VAS), nausea score (by VRS) and vomiting score, and patient satisfaction were recorded at 24 h postoperatively. Results 163 cases were enrolled in the analysis, including 51 in GH group, 44 in ACTH group and 68 in control group. No significant difference was found regarding the emergence agitation among 3 groups. The ACTH group showed significantly higher nausea VRS score at 24 h after surgery than control group (P＜0.01). The headache VAS score of ACTH group was significantly higher than that in control group (P＜0.001). The incidence of postoperative sore throat in ACTH group was significantly higher than that in control group (P＜0.05). The postoperative QoR-40 score of ACTH group was significantly lower than that of control group (P＜0.01). Conclusions The incidences of postoperative nausea, headache and sore throat are significantly increased and the score of QoR-40 is significantly reduced in patients with ACTH pituitary adenoma.http://journal11.magtechjournal.com/Jwk_jcyxylc/fileup/1001-6325/PDF/a200226.pdfhypophysectomy|emergence agitation|quality of recovery-40 |
| spellingShingle | ZHANG Yu-guan, TANG Shuai, XUE Yang, ZHANG Yue-lun, TIAN Yuan, XING Bing, HUANG Yu-guang Comparison of emergence agitation and recovery quality after hypophysectomy of 3 endocrine types of pituitary tumors Jichu yixue yu linchuang hypophysectomy|emergence agitation|quality of recovery-40 |
| title | Comparison of emergence agitation and recovery quality after hypophysectomy of 3 endocrine types of pituitary tumors |
| title_full | Comparison of emergence agitation and recovery quality after hypophysectomy of 3 endocrine types of pituitary tumors |
| title_fullStr | Comparison of emergence agitation and recovery quality after hypophysectomy of 3 endocrine types of pituitary tumors |
| title_full_unstemmed | Comparison of emergence agitation and recovery quality after hypophysectomy of 3 endocrine types of pituitary tumors |
| title_short | Comparison of emergence agitation and recovery quality after hypophysectomy of 3 endocrine types of pituitary tumors |
| title_sort | comparison of emergence agitation and recovery quality after hypophysectomy of 3 endocrine types of pituitary tumors |
| topic | hypophysectomy|emergence agitation|quality of recovery-40 |
| url | http://journal11.magtechjournal.com/Jwk_jcyxylc/fileup/1001-6325/PDF/a200226.pdf |
| work_keys_str_mv | AT zhangyuguantangshuaixueyangzhangyueluntianyuanxingbinghuangyuguang comparisonofemergenceagitationandrecoveryqualityafterhypophysectomyof3endocrinetypesofpituitarytumors |