多感官干预对全麻斜视矫正术患儿的影响

Effect of multisensory intervention in children receiving strabismus surgery under general anesthesia

目的探讨多感官干预模式对于全麻斜视矫正患儿苏醒期躁动的影响。方法将全麻下行斜视矫正术患儿70例,随机分为对照组和干预组各35例。对照组实施苏醒期常规护理,干预组在常规护理基础上实施多感官干预模式。比较两组苏醒期躁动发生率,疼痛,苏醒期不良反应,苏醒室留观时长,脑电双频指数值>60、70、80所需时长。结果干预组苏醒期躁动发生率、术后疼痛程度、苏醒期敷料挣脱发生率显著低于对照组,干预组脑电双频指数>80所需时长、苏醒室留观时长显著短于对照组(均P<0.05)。结论多感官干预作为一种全方位、简便易操作的干预模式,能降低全麻患儿苏醒期躁动发生率、减轻术后疼痛、减少苏醒期不良反应发生,提高苏醒护理质量。

Objective To explore the effect of multisensory intervention mode on emergence agitation during the recovery period in children receiving strabismus surgery under general anesthesia.Methods A total of 70 children receiving strabismus surgery under general anesthesia were randomized into a control group and an intervention group,with 35 cases in each group.The control group was given routine care during the emergence period,while the intervention group additionally received multisensory intervention.The incidence of emergence agitation(EA),pain scores(FLACC),adverse reactions during the emergence period,the length of stay in post-anesthesia unit(PACU)and the time required for bispectral index(BIS)>60,70,and 80 were compared between the two groups.Results The incidence of EA,severity of postoperative pain and the incidence of dressing coming off in the intervention group were significantly lower than those in the control group,and the time required for BIS>80 and the length of stay in PACU were shorter than those of the control group(all P<0.05).Conclusion As a comprehensive,simple and easy-to-operate intervention mode,multisensory intervention can reduce the incidence of EA during the emergence period in children undergoing strabismus surgery under general anesthesia,alleviate their postoperative pain,decrease the incidence of adverse reactions,and finally improve the nursing quality of recovery period.