术前应用右美托咪定联合心理指导对小儿术后焦虑、苏醒期躁动的影响  

The effect of dexmedetomidine combined with psychological guidance on anxiety and recovery restlessness in children after surgery

作　　者：葛晓丹 齐金莲[1] 胡靖 邱永升[1] GE Xiaodan;QI Jinlian;HU Jing(Children's Hospital Affiliated to Zhengzhou University,Henan Children's Hospital,Zhengzhou Children's Hospital,Zhengzhou 450000,China)

机构地区：[1]郑州大学附属儿童医院/河南省儿童医院/郑州市儿童医院,郑州450000

出　　处：《国际精神病学杂志》2024年第4期1262-1264,1268,共4页Journal Of International Psychiatry

摘　　要：目的观察患儿术前应用右美托咪定联合心理指导对患儿焦虑、苏醒期躁动的作用。方法选取2021年10月~2022年10月于本院治疗的80例需行小儿肝血管瘤手术的患儿作为受试者,随机分为联合组和对照组,每组40例。联合组术前给予右美托咪定联合心理指导,对照组术前仅给予右美托咪定。采用父母分离焦虑量表(Parental separation Anxiety Scale,PSAS)进行两组患儿围手术期焦虑情况,并对比两组患儿的Ramsay评分以及苏醒期躁动率。结果干预之后,联合组的PSAS得分情况显著优于对照组(P<0.05);与苏醒即刻比较,两组患儿的Ramsay评分均有所降低(P<0.05);联合组苏醒即刻与术后两小时Ramsay评分均低于对照组(P<0.05);对照组的苏醒期躁动发生率为22.50%(9/40),明显高于联合组5.00%(2/40),差异均有统计学意义(P<0.05)。结论患儿在手术中使用右美托咪定联合心理引导,更可以减轻患儿在手术后的苏醒期躁动,缓解焦虑。Objective To observe the effects of dexmedetomidine combined with psychological guidance on anxiety and agitation during recovery in children after surgery.Methods A total of 80 children requiring pediatric hepatic hemangioma surgery treated in our hospital from October 2021 to October 2022 were selected as subjects and randomly divided into combination group and control group,with 40 cases in each group.The combination group was given dexmedetomidine combined with psychological guidance before surgery,and the control group was given only dexmedetomidine before surgery.The Parental Separation Anxiety Scale(PSAS)were used to assess the perioperative anxiety of two groups of children,and the Ramsay scores and recovery restlessness rates were compared between the two groups.Results After intervention,the PSAS score of the combination group was significantly better than that of the control group(P<0.05).The Ramsay score in both groups was lower than that in the immediate wake up(P<0.05).Ramsay scores immediately after recovery and 2 hours after operation in combination group were lower than those in control group(P<0.05).The incidence of agitation in the control group was 22.50%(9/40),which was significantly higher than that in the combined group(5.00%)(P<0.05).Conclusion The use of dexmedetomidine combined with psychological guidance during operation can alleviate agitation and anxiety in the postoperative recovery period.

关 键 词：右美托咪定 心理指导 焦虑 苏醒期躁动 

分 类 号：R749.99[医药卫生—神经病学与精神病学]