中国口腔颌面外科杂志 ›› 2019, Vol. 17 ›› Issue (2): 163-165.doi: 10.19438/j.cjoms.2019.02.013

• 论著 • 上一篇    下一篇

家长陪伴的麻醉诱导在儿童口腔颌面手术中应用效果评价

劳蔚, 董翔, 刘锦星   

  1. 上海交通大学医学院附属第九人民医院 麻醉科,上海 200011
  • 修回日期:2018-11-28 出版日期:2019-03-20 发布日期:2019-04-12
  • 通讯作者: 刘锦星,E-mail:liujinxing323@163.com
  • 作者简介:劳蔚(1977-),女,硕士,主治医师,E-mail:jackielao17@163.com

A clinical study on parental accompaniment for induction of anesthesia in children receiving oral and maxillofacial surgery

LAO Wei, DONG Xiang, LIU Jin-xing   

  1. Department of Anesthesiology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine. Shanghai 200011, China
  • Revised:2018-11-28 Online:2019-03-20 Published:2019-04-12

摘要: 目的:探讨家长陪伴能否提高口腔颌面外科手术患儿麻醉诱导期的安全性。方法:采用随机对照研究,入选120例2~6岁口腔颌面外科手术患儿,随机分为2组,每组各60例。2组家长均进行术前宣教,试验组(P组)患儿家长在麻醉诱导期陪伴患儿,对照组(N组)患儿则无家长陪伴。在麻醉诱导时记录并比较2组患儿的血压、心率、氧饱和度,以及诱导时的配合度。采用SPSS 17.0软件包进行数据分析。结果:有家长陪伴的患儿与无家长陪伴的患儿相比,在麻醉诱导期心率及氧饱和度明显平稳,配合度也较好。结论:麻醉诱导期家长陪伴能有效提高口腔颌面外科手术患儿围术期麻醉安全性,是一项值得开展及推广的医患合作新途径。

关键词: 口腔颌面外科手术, 麻醉诱导, 儿童, 家长陪伴

Abstract: PURPOSE: To explore the effect of parent presence for induction of anesthesia in children receiving oral and maxillofacial surgery. METHODS: One hundred and twenty children receiving oral and maxillofacial surgery were included in this study and divided randomly into two groups. Children in group P received induction of anesthesia with parent presence; while children in group N received induction of anesthesia without parental accompaniment. The children's blood pressure, heart rate, oxygen desaturation and degree of adaptability during induction period of anesthesia were recorded and compared using SPSS 17.0 software package. RESULTS: During induction period of anesthesia, children with parental accompaniment had a more stable heart rate, oxygen desaturation and a better degree of adaptability than those without parent presence. CONCLUSIONS: From our results, parental accompaniment during induction of anesthesia does have positive effect for children receiving oral and maxillofacial surgery.

Key words: Oral and maxillofacial surgery, Induction of anesthesia, Children, Parental accompaniment

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