玩具和卡通视频辅助入室对学龄前儿童全麻苏醒期躁动的干预效果

Efficacy of combination of toy and cartoon video-assisted admission in preventing agitation during recovery from general anesthesia in preschool children

目的探讨玩具和卡通视频辅助入室预防学龄前儿童全身麻醉苏醒期躁动的效果。方法2018年7月至2019年10月将广州市妇女儿童医疗中心96例全身麻醉下择期手术患儿按照入组时间分为试验组和对照组各48例。2组患儿术前60 min进入麻醉诱导室,试验组患儿进行玩具和卡通视频护理干预,对照组进行常规护理干预。于患儿进入麻醉后恢复室(PACU)时、进入PACU后10 min和离开PACU时采用儿童麻醉苏醒期躁动评分(PAED)评价患儿躁动程度,记录患儿血压、心率、呼吸频率等生命体征。结果试验组患儿苏醒时间为(17.19±1.76)min,PACU停留时间为(22.47±2.36)min,明显少于对照组的(18.36±2.19)min和(23.82±2.62)min,差异有统计学意义(t值为2.760、2.546,P<0.05)。入PACU后10 min和离开PACU时,试验组PAED评分、收缩压、心率、呼吸频率分别为(7.56±1.86)分、(4.60±1.19)分、(108.12±10.19)mmHg(1 mmHg=0.133 kPa)、(102.72±8.55)mmHg、(112.91±6.10)次/min、(106.39±6.75)次/min、(18.87±1.98)次/min、(17.49±1.68)次/min,明显低于对照组的(13.40±1.47)分、(6.71±2.21)分、(116.73±14.17)mmHg、(107.62±12.44)mmHg、(121.07±8.07)次/min、(114.69±5.78)次/min、(20.96±1.86)次/min、(18.47±1.63)次/min,差异有统计学意义(t值为2.162~16.332,P<0.01)。结论玩具和卡通视频辅助入室可降低学龄前儿童全麻苏醒期躁动和稳定患儿苏醒期间的生命体征。

Objective To evaluate the efficacy of combination of toy and cartoon video-assisted admission in preventing agitation during recovery from general anesthesia in preschool children.Methods Totally 96 children who undergoing elective surgery from July 2018 to October 2019 in Guangzhou Women and Children′s Medical Center were divided into experimental group(n=48)and control group(n=48).Two groups were admitted to the general preoperative waiting room for 60 minutes before the operation,and children in the experimental group recieved toy and cartoon video combination intervention,while children in the control group were subjected to routine nursing intervention.The children′s agitation was assessed by using Pediatric Anesthesia Emergence Delirium Scale(PAED)when children entered the post-anesthesia care unit(PACU),10 minutes after in PACU and leave PACU.In addition,the vital signs such as blood pressure,heart rate,respiratory rate of the two groups were also recorded.Results The emergence time and duration of PACU stay in the experimental group were(17.19±1.76)minutes and(22.47±2.36)minutes,significantly shortern than in the control group(18.36±2.19)minutes and(23.82±2.62)minutes,the difference was statistically significant(t values were 2.760,2.546,P<0.05).10 minutes after in PACU and out of PACU,the PAED scores,systolic pressure,heart rate,respiratory rate was[7.56±1.86,4.60±1.19,(108.12±10.19)mmHg,(102.72±8.55)mmHg,(112.91±6.10)times/minute,(106.39±6.75)times/minute,(18.87±1.98)times/minute,(17.49±1.68)times/minute],significantly lower than those in the control group[13.40±1.47,6.71±2.21,(116.73±14.17)mmHg,(107.62±12.44)mmHg,(121.07±8.07)times/minute,(114.69±5.78)times/minute,(20.96±1.86)times/minute,(18.47±1.63)times/minute],the difference was statistically significant(t values were 2.162-16.332,P<0.05).Conclusion Toy and cartoon video combine-assisted admission can reduce the agitation and stable vital signs during recovery from general anesthesia in preschool children.