父母陪伴下多元化兴趣诱导联合语言唤醒对腹股沟斜疝患儿麻醉配合度、焦虑及苏醒的影响

Effects of multiple interest induction combined with verbal arousal in the company of parents on the degree of anesthesia coordination,anxiety and recovery of children with indirect inguinal hernia

目的 分析腹股沟斜疝手术麻醉患儿应用父母陪伴下多元化兴趣诱导联合语言唤醒干预后患儿焦虑情绪、麻醉配合度及苏醒情况。方法 将我院89例腹股沟斜疝全麻患儿采用掷币法分组,常规组44例给予常规围术期护理,多元组45例增加父母陪伴下多元化兴趣诱导联合语言唤醒模式干预,对比两组患儿干预后麻醉配合程度、焦虑程度及麻醉苏醒情况变化。结果 多元组麻醉诱导程度优良率高于常规组,麻醉诱导期合作量表(ICC)、斯宾思儿童焦虑量表(SCAS)、小儿麻醉苏醒期躁动量表(PAED)、改良耶鲁焦虑量表(m YPAS)评分及呼之睁眼时间、自主呼吸恢复时间低于常规组(P<0.05);两组手术时间、出血量及麻醉药物用量无统计学意义(P>0.05)。结论 父母陪伴下多元化兴趣诱导联合语言唤醒模式能够有效缓解腹股沟斜疝手术麻醉患儿的焦虑情绪,提升麻醉配合度,且术后苏醒质量高。

Objective To analyze the anxiety,anesthesia coordination and recovery of children with indirect inguinal hernia surgery anesthesia after the application of multiple interest induction combined with language arousal intervention accompanied by parents. Methods In our hospital,89 children with indirect inguinal hernia under general anesthesia were divided into groups by coin toss,44 cases in the conventional group were given routine perioperative care,and 45 cases in the multivariate group were given diversified interest induction combined with verbal arousal mode intervention accompanied by parents. Changes in the degree of anesthesia cooperation,anxiety and recovery from anesthesia after intervention between two groups were compared. Results The excellent and good rate of induction of anesthesia in the multivariate group is higher than that in the conventional group. Anesthesia Induction Cooperative Scale(ICC),Spence Child Anxiety Scale(SCAS),Pediatric Anesthesia Recovery Agitation Scale(PAED),and Modified Yale Anxiety Scale(mYPAS)score,eye-opening time and spontaneous breathing recovery time were lower than those in the conventional group(P<0.05). The operation time,blood loss and anesthetic drug consumption of the two groups were not statistically significant(P>0.05). Conclusion The diversified interest induction combined with verbal arousal mode accompanied by parents can effectively alleviate the anxiety of children undergoing anesthesia for indirect inguinal hernia surgery,improve the coordination of anesthesia,and have a high quality of postoperative recovery.