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目的:探讨父母陪伴舒适麻醉技术对患儿围术期焦虑的影响。方法:择期在全身麻醉下行扁桃体摘除或腺样体刮除术的患儿142例,年龄2~12岁,ASA分级Ⅰ~Ⅱ级,发育正常,无精神系统及认知功能障碍。随机分为试验组和对照组,试验组患儿在术前对家长进行父母陪伴舒适麻醉技术指导,手术当天由家长陪伴进行麻醉诱导,术毕家长陪伴患儿苏醒。对照组术前常规访视,手术当天由手术室护士和麻醉医师陪伴麻醉诱导及苏醒。结果:年龄大、有手术经历、家长不焦虑、心理控制源类型为内控型的患儿与对照组相比差异有统计学意义。结论:对于年龄大、有手术经历、家长不焦虑且心理控制源为内控型的患儿实施父母陪伴舒适麻醉可以有效减低其焦虑程度。
Objective: To investigate the effect of comfortable anesthesia with parents on perioperative anxiety. Methods: A total of 142 children aged from 2 to 12 years with ASA grading Ⅰ ~ Ⅱ undergoing general anesthesia undergoing tonsillectomy or adenoidectomy were enrolled in this study. Normal development, no mental disorders and cognitive dysfunction were observed. Randomly divided into experimental group and control group, the experimental group of children with parents before surgery to accompany comfort anesthesia technical guidance, accompanied by parents on the day of surgery for anesthesia induction, the completion of surgery to accompany children wake up. The control group was routinely visited preoperatively. On the day of surgery, anesthesia was induced and awakened by operating room nurses and anesthesiologists. Results: There was significant difference between the control group and the age-old children with surgical experience, no anxiety among parents and the type of internal control of mental control. CONCLUSIONS: For patients with older age, surgical experience, parents who are not anxious and whose source of psychological control is internal control, having their parents accompany comfortable anesthesia can effectively reduce their anxiety.