行为训练和镜像技术为自闭症谱系障碍儿童选择性麻醉做准备:对实施的程序进行前性评估
Pascale Mellado-Cairet1, Myriam Brebion2, Romuald Henry3
1Department of Pediatric Anesthesia and Intensive Care, Necker Enfants Malades University Hospital, AP-HP Centre-Université Paris Cité, Paris, France - pascale.cairet@aphp.fr.
Minerva anestesiologica
|June 26, 2024
概括
使用正增强和镜像技术的手术前行为训练改善了自闭症谱系障碍 (ASD) 儿童的面具诱导遵守. 这种药物在近60%的患者中取得了良好到优秀的结果,减少了焦虑和不必要的行为.
科学领域:
- 儿科麻醉学 儿科麻醉学
- 自闭症谱系障碍研究研究
- 行为心理学 行为心理学
背景情况:
- 患有自闭症谱系障碍 (ASD) 的儿童通常需要全身麻醉.
- 负面的麻醉经验可以增加ASD儿童的焦虑和行为问题.
- 在这种人群中,有效的手术前准备对于管理麻醉至关重要.
研究的目的:
- 通过行为训练和镜像技术来评估手术前准备计划的有效性.
- 为了评估ASD儿童在麻醉的面具诱导期间的合规性.
- 调查这种准备对儿童焦虑和行为的影响.
主要方法:
- 对患有自闭症的儿童进行日间全身麻醉的前性观察性研究.
- 在手术前利用积极强化和镜像技术的行为训练.
- 使用诱导合规性检查清单 (ICC) 评分评估面具的诱导合规性.
主要成果:
- 这项研究包括了43名儿童 (年龄为1至17岁).
- 中位数ICC得分为3,其中18.6%是优秀的,39.5%是良好的合规.
- 16.3%的患者在诱导期间需要克制,这表明有改善的余地.
结论:
- 行为和镜像技术可以促进ASD儿童的面具诱导.
- 这种准备计划在近60%的患者中实现了良好的至极好的遵守.
- 进一步的研究可以优化儿科麻醉的术前策略.
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