小儿术前焦虑水平与七氟烷麻醉苏醒期躁动的相关性研究

发布时间：2018-04-09 03:37

本文选题：儿童　切入点：术前焦虑　出处：《华中科技大学学报(医学版)》2017年02期

【摘要】：目的研究小儿术前焦虑水平和七氟烷麻醉苏醒期躁动的相关性。方法选择120例择期手术的患儿,通过改良耶鲁小儿术前焦虑评分(Modified Yale Preoperative Anxiety Scale,mYPAS)测定小儿术前访视期间(T1)、手术等候室等待期间(T2)、小儿进入手术室后(T3)和七氟烷吸入诱导开始时(T4)的焦虑程度;通过小儿麻醉苏醒期躁动评分(pediatric anesthesia emergence delirium scale,PAED)测定小儿七氟烷麻醉苏醒期躁动的评分。结果控制年龄的影响后,T1和T2的焦虑评分和苏醒期躁动的相关性无统计学意义。T3和T4的焦虑评分和苏醒期躁动的相关性有统计学意义,且T4的焦虑与苏醒期躁动之间呈较强的正相关,相关系数为0.708(P0.01)。结论小儿七氟烷麻醉苏醒期躁动与小儿进入手术室时和麻醉诱导时的焦虑程度相关。
[Abstract]:Objective to study the correlation between preoperative anxiety and restlessness during sevoflurane anesthesia in children.Methods 120 cases of children undergoing elective operation were selected.The anxiety levels of children with modified Yale Preoperative Anxiety scale YPASwere measured by modified Yale Preoperative Anxiety scale YPASs during preoperative visit, waiting room during operation, T3) and T4 at the beginning of sevoflurane inhalation induction.The restlessness of sevoflurane in children was measured by pediatric anesthesia emergence delirium scale.Results there was no significant correlation between anxiety scores of T 1 and T 2 and restlessness in waking period. There was no significant correlation between anxiety scores of T 3 and T 4 and restlessness during recovery.There was a strong positive correlation between anxiety of T _ 4 and restlessness in recovery period, and the correlation coefficient was 0.708 (P _ (0.01)).Conclusion the restlessness during sevoflurane anesthesia in children is related to the anxiety when children enter the operating room and when anesthesia is induced.
【作者单位】：华中科技大学同济医学院附属协和医院麻醉科;
【分类号】：R726.1

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