自制玩具在学龄前患儿颅脑肿瘤切除术行麻醉诱导期配合中的应用  

Application of self-designed toys in anesthesia induction in preschool children with craniocerebral tumor resection

作　　者：杨绮莉[1] 周怡[1] 李乐 Yang Yili;Zhou Yi;Li Le(Operating Room,Cancer Hospital,San Yet-sun University,Guangzhou,510061,China)

机构地区：[1]中山大学附属肿瘤医院手术室,广东广州510060

出　　处：《现代临床护理》2018年第6期10-13,共4页Modern Clinical Nursing

摘　　要：目的自制玩具在学龄前患儿颅脑肿瘤切除术行麻醉诱导期配合中的应用效果。方法将60例行颅脑肿瘤切除术学龄前患儿按手术先后次序编号,根据随机数字表法,随机分为对照组和观察组,每组30例。对照组在麻醉诱导期进行常规护理,观察组在常规护理基础上,在麻醉诱导期利用手套自制玩具对学龄前手术患儿进行干预,比较两组患儿麻醉诱导时心率、血压值及合作度的差异。结果观察组患儿麻醉诱导时心率和血压值低于对照组;麻醉诱导时合作度优于对照组,两组比较,差异均有统计学意义(P<0.05)。结论在麻醉诱导期利用手套自制玩具对学龄前手术患儿进行干预,有利于减轻学龄前手术患儿生理应激反应,提高其麻醉诱导配合度,并且取材容易,值得临床推广应用。Objective To study the effect of self-designed toys on anesthesia induction in preschool children with craniocerebral tumor resection（CTR）. Methods Sixty preschoold children undergoing CTR were randomized into control and observation groups by random digit table. The controls received routine nursing and those in the observation group were intervened with self-designed toys during anesthesia induction. The two groups were compared in terms of heart rate, mean arterial pressure, and cooperation. Result The heart rate and mean arterial pressure in the observation group were significantly lower and cooperation level significantly better than that in the control group（P 0.05）. Conclusions The self-designed toys are effective in relief of stress reaction and increase of the cooperation level during anesthesia induction for CTR. Meanwhile it is easy to acquire materials for the toys,thus worthy of clinical promotion.

关 键 词：颅脑肿瘤切除术 儿童 学龄前 麻醉诱导 生理应激 自制玩具 

分 类 号：R473.6[医药卫生—护理学]