摘要
目的 构建并应用唇腭裂患儿全身麻醉苏醒期躁动(EA)多维干预体系,以降低唇腭裂患儿EA发生率。方法 专家函询法构建唇腭裂患儿EA多维干预体系。便利选取2021年11月—2022年6月入住四川大学华西口腔医院麻醉复苏室(PACU)的唇腭裂患儿119例,分试验组59例和对照组60例,试验组应用唇腭裂患儿EA多维干预体系干预,对照组常规干预,采用儿童麻醉苏醒期谵妄量表(PAED)及疼痛评估量表(FLACC)评估干预效果。结果 唇腭裂患儿EA多维干预体系包括3项一级指标、6项二级指标、14项三级指标。试验组在PACU内、转出PACU的躁动发生率低于对照组(P<0.05),两组术后生命体征、FLACC疼痛评分及并发症的发生率差异无统计学意义(P>0.05)。结论 唇腭裂患儿EA多维干预体系具有科学性,可降低唇腭裂患儿EA的发生率,但对疼痛及术后并发症的发生尚无确定改善效果。
Objective We constructed and applied a multi-dimensional intervention system under general anesthesia to reduce the incidence of emergence agitation(EA)in pediatric patients with cleft lip and/or palate.Methods Expert consultation was used to construct the intervention system.We conveniently selected 119 pediatric patients with cleft lip and/or palate from the Department of Oral and Maxillofacial Surgery,a university-affiliated tertiary hospital in Sichuan province,from November 2021 to June 2022.The patients were divided into an experimental group of 59 cases and a control group of 60 cases.The intervention system was applied to patients in the experimental group,while routine intervention was administered to patients in the control group.The effect of the intervention was assessed using the Pediatric A-nesthesia Emergence Delirium(PAED)scale and the Face,Legs,Activity,Crying,Consolability(FLACC)scale.Results The multi-dimensional intervention system for EA included 3 primary indicators,6 secondary indicators,and 14 tertiary indicators.Patients in PACU and those leaving from post anesthesia care unit(PACU)in the experimental group had a lower incidence of EA than the control group(P<0.05),while no statistically significant differences in the incidence of postoperative vital signs,FLACC score,and complications were found between the two groups(P>0.05).Conclusion The proposed multi-dimensional intervention system can reduce the incidence of EA in pediatric patients with cleft lip and/or palate but has no definite improvement for the incidence of pain and postoperative complications.
作者
万雪丽
石永乐
张秀芬
王欢
田莉
Wan Xueli;Shi Yongle;Zhang Xiufen;Wang Huan;Tian Li(State Key Laboratory of Oral Diseases&National Clinical Research Center for Oral Diseases&Anesthesia and Resuscitation Room,West China Hospital of Stomatology,Sichuan University,Chengdu 610041,China;State Key Laboratory of Oral Diseases&National Clinical Research Center for Oral Diseases&Dept.of Emergency,West China Hospital of Stomatology,Sichuan University,Chengdu 610041,China)
出处
《国际口腔医学杂志》
CAS
CSCD
2023年第3期272-278,共7页
International Journal of Stomatology
关键词
多维干预
唇腭裂
全身麻醉苏醒期躁动
专家函询
multi-dimensional intervention
cleft lip and/or palate
emergence agitation
expert consultation
