一项关于家长存在与镇静前期药物的有效性进行比较的研究,以减少接受全身麻醉的儿童的焦虑
Shalini Jain1, Suruchi Patel1, Kishore Kumar Arora1
1Department of Anaesthesiology, MGM Medical College and MY Hospital, Indore, Madhya Pradesh, India.
International journal of applied & basic medical research
|August 24, 2023
概括
在接受全身麻醉的儿童中,米达佐拉姆前期治疗显著降低了手术前的焦虑,比父母的存在更有效. 米达佐拉姆还导致了更快的麻醉诱导,并减少了父母的焦虑.
科学领域:
- 儿科麻醉学 儿科麻醉学
- 儿童心理学 儿童心理学
- 药理学 药理学是指药理学的学科.
背景情况:
- 儿童手术前的焦虑是影响心理和生理结果的一个重要问题.
- 减轻这种焦虑的常见策略包括镇静药前期治疗和麻醉诱导期间父母的存在.
研究的目的:
- 为了比较米达佐拉姆前期药物治疗与家长的存在在降低患有全身麻醉的儿科患者手术前焦虑的疗效.
主要方法:
- 一项涉及60名儿童 (4-12岁,ASA等级1-2) 接受选择性手术的研究.
- 患者被分为两组:米达佐拉姆前期治疗 (M组) 和父母的存在 (P组).
- 对儿童来说,使用修改的耶鲁手术前焦虑量表 (mYPAS) 和父母的州特征焦虑量表 (STAI) 来评估焦虑.
主要成果:
- 米达佐拉姆在麻醉面具引入期间显著降低了焦虑 (平均mYPAS 31.30 vs 63.19,P=0.001).
- 在米达佐拉姆小组中,父母的焦虑程度较低 (平均STAI为41.10与45.63,P=0.001).
- 麻醉诱导在米达佐拉姆组更快 (5.53分 vs 8.77分,P=0.001).
结论:
- 在减少儿童手术前焦虑方面,米达佐拉姆前期治疗比父母的存在更有效.
- 米达佐拉姆促进了更好的服从和更短的麻醉诱导时间.
- 父母的焦虑也减少了米达佐拉姆前期治疗.
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