父母陪伴麻醉诱导应用于学龄前手术麻醉诱导期患儿中的效果

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摘要目的探讨父母陪伴麻醉诱导应用于学龄前手术麻醉诱导期患儿中的效果。方法选择2017年4月～2019年4月江苏省徐州市儿童医院收治的行气管插管全身麻醉择期手术的学龄前患儿148例，按随机数字表法分为观察组和对照组，每组各74例。对照组行常规干预，观察组在此基础上行麻醉诱导期父母陪伴。比较两组患者心率、血压及氧饱和度、儿童苏醒期躁动评分（PAED）及改良耶鲁焦虑量表评分（mYPAS）、麻醉苏醒期不良反应。结果干预后两组患者心率、收缩压和舒张压水平均低于干预前；观察组心率、收缩压和舒张压水平低于对照组，差异有统计学意义（P ＜ 0.05）。干预后两组患者PAED、mYPAS评分均低于干预前，观察组PAED、mYPAS评分均低于对照组，差异有统计学意义（P ＜ 0.05）。观察组剧烈咳嗽、恶心呕吐发生率低于对照组，差异有统计学意义（P ＜ 0.05）。结论对学龄前手术麻醉诱导期患儿实施父母陪伴可有效避免心率和血压水平异常升高，缓解焦虑情绪，减少躁动，降低麻醉不良反应发生率，值得推广。

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	赵峰尹瑞瑞▲ 吕洁曹露

关键词 ：父母陪伴麻醉诱导, 学龄前, 手术麻醉诱导期, 焦虑, 躁动, 不良反应

Abstract：Objective To investigate the effect of parental accompanying anesthesia induction in preschool children during induction period of surgical anesthesia. Methods A total of 148 preschool children who underwent elective tracheal intubation and general anesthesia were selected from April 2017 to April 2019 in Children′s Hospital of Xuzhou City. They were divided into observation group and control group according to the random number table method, 74 cases in each group. The control group received routine intervention, and the observation group was accompanied by their parents during the induction period. The heart rate, blood pressure, and oxygen saturation, the children′s recovery period arousal score (PAED), the modified Yale preoperative anxiety scale (mYPAS), and the adverse reactions during anesthesia were compared between the two groups. Results The heart rate, systolic blood pressure and diastolic blood pressure of the two groups after intervention were lower than those before intervention; while the heart rate, systolic blood pressure and diastolic blood pressure in the observation were lower than those in control group, and the differences were statistically significant (P ＜ 0.05). The PAED and mYPAS scores of the two groups after intervention were lower than those before intervention, while the PAED and mYPAS scores of the observation group were lower than those of the control group, and the differences were statistically significant (P ＜ 0.05). The incidence of severe cough, nausea and vomiting in the observation group were lower than those in the control group, and the differences were statistically significant (P ＜ 0.05). Conclusion Parental accompanying in the preschool age children induction during period of surgical anesthesia can effectively avoid abnormal rises in heart rate and blood pressure, relieve anxiety, reduce agitation, and decrease the incidence of adverse reactions to anesthesia, which is worthy of promotion.

Key words： Parental accompanying anesthesia induction Preschool age Induction period of surgical anesthesia Anxiety Restlessness Adverse reactions

基金资助:江苏省青年医学重点人才培养项目（QNRC2016 374）。

通讯作者: ▲通讯作者

引用本文:

赵峰尹瑞瑞▲ 吕洁曹露. 父母陪伴麻醉诱导应用于学龄前手术麻醉诱导期患儿中的效果[J]. 中国医药导报, 2020, 17(7): 90-93.
ZHAO Feng YIN Ruirui▲ LYU Jie CAO Lu. Effect of parental accompany anesthesia induction in preschool children during induction period of surgical anesthesia. 中国医药导报, 2020, 17(7): 90-93.

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http://www.yiyaodaobao.com.cn/CN/ 或 http://www.yiyaodaobao.com.cn/CN/Y2020/V17/I7/90

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