术前父母焦虑对口腔全麻手术患儿围术期的影响  

Effect of preoperative parental anxiety on perioperative period of children undergoing oral general anesthesia surgery

作　　者：文江帆 余秀梅 徐荷棱 施小彤[1] 沈浩林[1] 陈思杏 WEN Jiangfan;YU Xiumei;XU Heleng;SHI Xiaotong;SHEN Haolin;CHEN Sixing(Operation and Anesthesia Department,Affiliated Stomatological Hospital of Guangxi Medical University,Nanning 530021,China)

机构地区：[1]广西医科大学附属口腔医院手术麻醉科,广西南宁530021

出　　处：《临床医学研究与实践》2025年第12期46-49,共4页Clinical Research and Practice

基　　金：广西壮族自治区卫生健康委员会自筹经费科研课题(No.Z-A20220745,No.Z20201132)。

摘　　要：目的探讨术前父母焦虑对口腔全麻手术患儿围术期的影响。方法选择2021年1月至2024年3月在广西医科大学附属口腔医院择期全麻下行口腔手术治疗的200例患儿,术前根据父母焦虑视觉模拟量表(VAS-A)评分将患儿分为父母焦虑组(A组)和父母不焦虑组(B组),每组100例。比较两组的围术期相关指标。结果A组等待区和麻醉诱导时的中文版改良耶鲁术前焦虑量表(Cm-YPAS)评分高于B组,差异具有统计学意义(P<0.05)。A组苏醒时、苏醒后30 min的Aono和疼痛行为评估量表(FLACC)评分高于B组(P<0.05)。A组的苏醒期躁动发生率、镇痛药追加率及不良反应发生率高于B组(P<0.05)。结论术前父母焦虑会明显增加口腔全麻手术患儿在等待区和麻醉诱导时的焦虑程度,同时也会增加患儿术后躁动、疼痛和不良反应发生情况。Objective To explore the effect of preoperative parental anxiety on perioperative period of children undergoing oral general anesthesia surgery.Methods A total of 200 children undergoing elective oral surgery under general anesthesia in the Affiliated Stomatological Hospital of Guangxi Medical University from January 2021 to March 2024 were selected.According to the Visual Analogue Scale for Anxiety(VAS-A)score of parental,the children were divided into parental anxiety group(group A)and parental non-anxiety group(group B),with 100 cases in each group.The perioperative related indexes of the two groups were compared.Results The score of Chinese Version of the Modified Yale Preoperative Anxiety Scale(Cm-YPAS)in the waiting area and anesthesia induction in the group A was higher than that in the group B,and the difference was statistically significant(P<0.05).The scores of Aono and Face,Legs,Activity,Cry,Consolability Behavioral Scale(FLACC)in the group A were higher than those in the group B at waking up and 30 min after waking up(P<0.05).The incidence of agitation during recovery period,the additional rate of analgesics and the incidence of adverse reactions in the group A were higher than those in the group B(P<0.05).Conclusion Preoperative parental anxiety will significantly increase the anxiety level of children undergoing oral general anesthesia surgery in the waiting area and anesthesia induction,and will increase the incidence of postoperative agitation,pain and adverse reactions.

关 键 词：父母焦虑 全麻 口腔手术 患儿 围术期 

分 类 号：R614[医药卫生—麻醉学]