改良Aldrete量表和Steward量表用于评估接受麻醉胃肠镜检查儿童复苏效果的回顾性分析  

Retrospective comprehensive analysis of modified Aldrete Scale and Steward Scale for evaluating resuscitation effect on children undergoing gastrointestinal endoscopy with anesthesia

作　　者：金国萍[1] 冯静怡 黄瑾瑾[2] 姚周燕 邵宝琴[1] 徐红贞[3] Jin Guoping;Feng Jingyi;Huang Jinjin;Yao Zhouyan;Shao Baoqin;Xu Hongzhen(Department of Endoscopy Center,Children's Hospital,Zhejiang University School of Medicine,National Clinical Research Center for Child Health,Hangzhou 310051,China;Department of Anesthesia and Surgery,Children's Hospital,Zhejiang University School of Medicine,National Clinical Research Center for Child Health,Hangzhou 310051,China;Department of Nursing,Children's Hospital,Zhejiang University School of Medicine,National Clinical Research Center for Child Health,Hangzhou 310051,China)

机构地区：[1]浙江大学医学院附属儿童医院内镜中心、国家儿童健康与疾病临床医学研究中心,杭州310051 [2]浙江大学医学院附属儿童医院麻醉手术部、国家儿童健康与疾病临床医学研究中心,杭州310051 [3]浙江大学医学院附属儿童医院护理部、国家儿童健康与疾病临床医学研究中心,杭州310051

出　　处：《中国实用护理杂志》2023年第17期1288-1293,共6页Chinese Journal of Practical Nursing

基　　金：2022年浙江省卫生健康科技计划(2022KY194)。

摘　　要：目的探究Steward量表和改良Aldrete量表用于评估接受全身麻醉胃肠镜检查儿童患者复苏效果的有效性及安全性。方法采用回顾性病例对照研究,分析2022年7—12月在浙江大学医学院附属儿童医院接受非插管全身麻醉下胃肠镜检查的患儿199例,将患儿根据年龄分为学龄前组36例、低学龄组75例及高学龄组88例。同时进行Steward量表和改良Aldrete量表麻醉苏醒评估,记录患儿的生命体征及达标所需时间,对比2个量表的评分效率及安全性。结果患儿Steward量表达标所需时间(17.5±9.3)min,显著低于改良Aldrete量表的(20.8±12.6)min,两者比较差异有统计学意义(t=2.97,P<0.01)。低学龄组在达到改良Aldrete量表出室标准时血氧饱和度(0.989±0.010)高于Steward量表的(0.980±0.015),两者比较差异有统计学意义(t=2.17,P<0.05)。Steward量表达标时间与患儿年龄呈负相关(r=-0.385,P<0.01)。改良Aldrete量表达标时间与患儿年龄无显著相关(r=-0.089,P>0.05)。结论在全身麻醉胃肠镜检查儿童麻醉复苏评估中,Steward量表虽比改良Aldrete量表评估效率高,但改良Aldrete量表比Steward量表安全性更高,更有利于保障患儿的生命安全。Objective To investigate the efficacy and safety of the Steward Scale(S Scale)and the Modified Aldrete Scale(A Scale)for resuscitation of children undergoing gastrointestinal endoscopy with general anesthesia.Methods A total of 199 underage children who underwent non-intubated gastrointestinal endoscopy with general anesthesia in Children's Hospital,Zhejiang University School of Medicine from July to December 2022 were retrospectively included in this study and divided into preschool group(36 cases),low school-age group(75 cases)and high school-age group(88 cases)according to age.S Scale and A Scale were also performed to evaluate the recovery from anesthesia.The vital signs of the children and the time required for reaching the target were recorded,and the scoring efficiency and safety of the two scales were compared.Results The time required for S Scale to reach the standard(17.50±9.29)min was significantly lower than that of A Scale(20.80±12.61)min,and the difference between the two groups was statistically significant(t=2.97,P<0.01).In the low school-age group,oxygen saturation(0.989±0.010)of A Scale was higher than that of S Scale(0.980±0.015),the difference was significant(t=2.17,P<0.05).The time required for S Scale to reach the standard was negatively correlated with age(r=-0.385,P<0.01).There was no significant correlation between the time required for A scale to reach the standard and the children's age(r=-0.089,P>0.05).Conclusions Although Steward Scale is more efficient than modified Aldrete Scale in evaluating anesthesia resuscitation in underage children undergoing gastrointestinal endoscopy with general anesthesia,modified Aldrete Scale is safer than Steward Scale and is more conducive to ensuring the life safety of children.

关 键 词：麻醉 内窥镜检查 胃肠道 改良Aldrete量表 Steward评分 复苏 

分 类 号：R726.1[医药卫生—儿科]