婴儿幼儿出现妄想的风险因素 接受sevoflurane麻醉的婴儿幼儿出现妄想的风险因素及其对术后负面行为变化的影响
Wanlu Zhao1, Kinji Hashimoto2, Weisi Ding1
1Department of Anesthesiology, People's Hospital, Peking University, Beijing, China.
Pediatric research
|November 20, 2025
概括
突发性妄想 (ED) 影响了超过一半的接受 fundus 检查的幼儿. 关键的风险因素包括麻醉暴露,手术前焦虑和手术后疼痛,这也与负面行为相关.
科学领域:
- 儿科麻醉学 儿科麻醉学
- 儿科眼科医生 儿科眼科医生
- 行为儿科 行为儿科
背景情况:
- 塞沃隆麻醉是儿科 fundus 检查的标准.
- 出现妄想 (ED) 和术后行为变化 (NPOBC) 是这个人群中常见的担忧.
研究的目的:
- 在接受 fundus 检查的儿科患者中调查ED的发生率.
- 确定与ED相关的风险因素.
- 探索ED和NPOBC之间的关系.
主要方法:
- 对155名0-3岁儿童进行前性观察性研究.
- 使用小儿麻醉突发 Delirium (PAED) 尺度评估ED.
- NPOBC是使用出院外科手术 (PHBQ-AS) 的医院后行为问卷进行评估的.
主要成果:
- 勃起障碍的发病率为51%;30.2%的人经历了NPOBC.
- 勃起障碍的危险因素包括产前史,麻醉暴露,术前焦虑和术后疼痛.
- 麻醉暴露和ED发生与更高的NPOBC分数有关.
结论:
- 观察到负面情绪和行为的高发病率.
- 建议优化术后止痛和手术前焦虑干预措施.
- 对麻醉暴露,ED和NPOBC的进一步研究是有必要的.
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