白噪声疗法用于减轻小儿全身麻醉苏醒期躁动的效果研究

A study on the effect of white noise therapy in attenuating emergence agitation in children undergoing general anesthesia

目的探讨白噪声疗法对于小儿全身麻醉苏醒期躁动(EA)的作用。方法选取2020-04/2021-02期间在我院全身麻醉下行择期手术的104例患儿为研究对象,年龄4~10岁,ASA分级Ⅰ或Ⅱ级,将患儿随机分为对照组(n=52)和试验组(n=52)。在麻醉苏醒期给予对照组患儿麻醉恢复室(PACU)常规护理措施;试验组除了常规的护理措施外,还播放白噪声音频进行有效干预。在苏醒过程中使用麻醉苏醒期躁动量化评分表(PAED)对患儿进行评分并记录躁动持续时间及患儿PACU停留时间。结果试验组患儿EA发生率及躁动持续时间明显低于对照组(P<0.05)。结论白噪声疗法在全身麻醉患儿苏醒期运用,能有效减轻全身麻醉新生儿患者苏醒期间躁动,提升麻醉质量。

Objective To investigate the effect of white noise therapy on emergence agitation(EA)in children undergoing general anesthesia.Methods From April 2020 to February 2021,a total of 104 children,aged from 4-10 years old,ASA classificationⅠorⅡ,under general anesthesia who underwent elective surgery were selected and divided into two groups,the observation group(n=52)and the experimental group(n=52).Children in the observation group were awakened from anesthesia in the PACU under normal care;the experimental group was awakened surrounding by the white noise besides the normal care.All of the children were measured by PAED while their duration of EA and duration of PACU stay were recorded.Results The incidence of EA of the experimental group was lower than the control group,and the duration of EA of the experimental group was shorter than the control group,the differences was statistically significant(P<0.05).Conclusion The white noise therapy can effectively attenuate EA in children undergoing general anesthesia,and improve the quality of anesthesia.