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脑功能区胶质瘤累及感觉、运动、语言及认知等关键皮质与皮质下结构。唤醒状态下切除术已被国内外神经外科医师视为在脑功能区实现肿瘤最大范围安全切除的关键技术。唤醒手术的成功实施依赖神经外科、麻醉科及护理等多学科团队协作。尽管国内外已有相关手术技术指南发布,但针对其围手术期的系统性护理规范尚属空白。中国抗癌协会神经肿瘤整合护理专业委员会与神经病学专业委员会,基于国内外现有证据,整合多学科专家意见,通过两轮德尔菲专家函询和专题论证,共同制定了唤醒状态下切除脑功能区胶质瘤围手术期护理专家共识,旨在规范唤醒手术围手术期护理实践,提升护理质量,进而促进患者神经功能康复。
Abstract:Gliomas located in eloquent brain areas involve essential cortical and subcortical regions responsible for sensory, motor, language, and cognitive functions. Awake craniotomy has been recognized nationally and internationally as a key technique for achieving maximal safe resection of tumors within these functional regions. The successful implementation of awake craniotomy relies on multidisciplinary collaboration among neurosurgery, anesthesiology, and nursing. Although several surgical technical guidelines have been published both domestically and internationally, a standardized protocol for perioperative nursing remains lacking. To address this gap, the Integrated Nursing of Neurooncology Committee and the Tumor Neurology Committee of China Anti-Cancer Association have developed this expert consensus. Based on current evidence and multidisciplinary expert opinions, the consensus was formulated through two rounds of the Delphi method and expert meetings, with the goal of standardizing perioperative nursing practices, improving the quality of care, and ultimately promoting the recovery of neurological function in patients.
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基本信息:
DOI:10.13455/j.cnki.cjcor.113494-20250916-0366
中图分类号:R473.73
引用信息:
[1]高洪艳,姚利琴,刘洋,等.唤醒状态下切除脑功能区胶质瘤围手术期护理专家共识[J].中国肿瘤临床与康复,2025,32(11):677-691.DOI:10.13455/j.cnki.cjcor.113494-20250916-0366.
基金信息:
中央高水平医院临床科研业务费及中国癌症基金会北京希望马拉松专项基金(LC2022B18)~~