家长陪护对静脉麻醉复合骶麻小儿患者麻醉复苏期躁动的影响

The Impact of Parental Accompaniment in Children on Postoperative Recovery Period after Intravenous Anesthesia Combined with Caudal Block

目的 ：探讨家长陪护对静脉麻醉复合骶麻小儿患者麻醉复苏期躁动的影响。方法 ：采用随机对照法将某二甲医院2~6周岁静脉麻醉复合骶麻小儿患者60例作为研究对象,随机分为干预组和对照组。干预组采用在患儿麻醉复苏期安排家长陪护;对照组采取常规麻醉复苏方法。监测两组患儿术后睁眼时间、镇静评分、躁动评分和不良反应的发生率。结果：两组患儿睁眼时间和镇静评分无统计学差异,干预组患儿躁动评分、不良反应的发生率明显低于对照组。结论：家长陪护有利于减少静脉麻醉复合骶麻患儿复苏期躁动和不良反应发生率,减少患儿的心理创伤。

Objective To observe the impact of parental accompaniment in children on postoperative recovery period after intravenous anesthesia combined with caudal block. Methods The randomized controlled trial involved 60 children having operations under intravenous anesthesia combined with caudal block in our hospital. The children of observation group had parents accompanied during postoperative recovery period, while those of control group took conventional methods of anesthesia recovery. The wake-up time, the sedation scales and the incidence of restlessness and adverse reactions of both groups were recorded. Results The incidence of adverse reactions and the results of recovery indexes of observation group were significantly better than the results of control group. Conclusion Parental accompaniment improves the quality of the recovery and reduces the psychological trauma in children on postoperative period after intravenous anesthesia combined with caudal block.