术前麻醉诱导及术后苏醒期父母陪伴对患儿麻醉诱导前焦虑与苏醒期躁动的影响  

Effects of Preoperative Induction of Anesthesia and Parental Companionship during Postoperative Recovery on Anxiety and Restlessness during Recovery

作　　者：王馨 胡月 黄陈红[1] WANG Xin;HU Yue;HUANG Chen-hong(Department of Anesthesiology,First People's Hospital of Yichang City,Yichang,Hubei Province,443000 China)

机构地区：[1]宜昌市第一人民医院麻醉科,湖北宜昌443000

出　　处：《系统医学》2020年第21期187-189,共3页Systems Medicine

摘　　要：目的探讨术前麻醉诱导及术后苏醒期父母陪伴对患儿麻醉诱导前焦虑与苏醒期躁动的影响。方法选择2018年10月—2019年9月于院该行全麻手术的患儿78例,以随机数字表法将其分为对照组与研究组,各39例。对照组采取常规护理,研究组在术前麻醉诱导及术后苏醒期时由父母陪伴。对比两组麻醉诱导前焦虑与麻醉苏醒期10 min与30 min躁动评分、苏醒期躁动的发生率及苏醒进程。结果研究组麻醉诱导前焦虑评分(48.5±2.6)分与麻醉苏醒期10 min躁动评分(11.0±0.4)分、30 min(4.6±0.2)分均低于对照组(59.6±2.8)分、(14.2±0.5)分、(7.5±0.6)分,差异有统计学意义(t=18.412、31.210、28.635,P<0.05);研究组麻醉苏醒期躁动的发生率5.13%低于对照组23.08%,差异有统计学意义(χ^2=5.186,P<0.05);研究组呼之睁眼时间(7.2±0.4)min、拔管时间(10.2±0.5)min均低于对照组(9.6±0.6)、(15.5±0.6)min,差异有统计学意义(t=20.785、42.378,P<0.05)。结论术前麻醉诱导及术后苏醒期父母陪伴可以有效改善患儿麻醉诱导前焦虑与苏醒期躁动问题,值得临床应用。Objective To investigate the effects of preoperative anesthesia induction and parental companionship during postoperative recovery on anxiety and restlessness during recovery period.Methods A total of 78 children who underwent general anesthesia in the hospital from October 2018 to September 2019 were selected and divided into a control group and a study group,with 39 cases each group by a random number table method.The control group took routine care,and the study group was accompanied by parents during the preoperative induction of anesthesia and the postoperative recovery period.The anxiety before induction of anesthesia and the 10 min and 30min agitation scores during the anesthesia recovery period,the incidence of agitation during the recovery period,and the recovery process were compared between the two groups.Results The score of anxiety before induction of anesthesia in the study group(48.5±2.6)points,the score of 10 min agitation(11.0±0.4)points and 30 min(4.6±0.2)points during the recovery from anesthesia were lower than those of the control group(59.6±2.8)points and(14.2±0.5)points,(7.5±0.6)points,the difference was statistically significant(t=18.412,31.210,28.635,P<0.05);the incidence of restlessness in the study group during the recovery from anesthesia was 5.13%,which was lower than the control group’s 23.08%,the difference was statistically significant(χ^2=5.186,P<0.05);the eye-opening time(7.2±0.4)min and the extubation time(10.2±0.5)min in the study group were lower than the control group’s(9.6±0.6)min,(15.5±0.6)min,the difference was statistically significant(t=20.785,42.378,P<0.05).Conclusion Preoperative induction of anesthesia and the companionship of parents during the recovery period after surgery can effectively improve the anxiety and restlessness during the recovery period of anesthesia in children,and it is worthy of clinical application.

关 键 词：术前麻醉诱导 术后苏醒期 父母陪伴 患儿 焦虑 苏醒期躁动 

分 类 号：R47[医药卫生—护理学]