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一种幼儿教育机器在小儿心胸外科手术后镇痛与镇静中的应用及效果

Application and effects of an early childhood education machine on analgesia and sedation in children after cardiothoracic surgery.

作者信息

Chen Li-Li, Lei Yu-Qing, Liu Jian-Feng, Cao Hua, Yu Xian-Rong, Chen Qiang

机构信息

Department of Cardiac Surgery, Fujian Maternity and Child Health Hospital, Affiliated Hospital of Fujian Medical University, Fuzhou, China.

Fujian Key Laboratory of Women and Children's Critical Diseases Research, Fujian Maternity and Child Health Hospital, Fuzhou, China.

出版信息

J Cardiothorac Surg. 2021 May 1;16(1):118. doi: 10.1186/s13019-021-01490-2.

Abstract

OBJECTIVE

To study the effect of an early childhood education machine on sedation and analgesia in children after cardiothoracic surgery.

METHODS

A prospective randomized controlled study was conducted in a provincial hospital in China. Fifty-two patients (aged from 1 to 5 years) underwent cardiothoracic surgery (including: ventricular septal defect, patent ductus arteriosus, atrial septal defect, pulmonary stenosis, pulmonary sequestration and congenital cystic adenomatoid lung malformation) were divided into the study group (n = 26) and the control group (n = 26). The patients in the study group underwent intervention with an early childhood education machine (uniform type) in addition to routine standard treatment and nursing, while the patients in the control group only received routine standard treatment and nursing. Richmond agitation sedation score (RASS) and face, legs, activity, cry, consolability (FLACC) score of all of the patients were evaluated, and the negative emotions (self-rating anxiety scale (SAS) score and self-rating depression scale (SDS) score) of the parents of the two groups were compared.

RESULTS

There was no significant difference in the general clinical data between the two groups. The RASS and FLACC scores in the study group were significantly lower than those in the control group, and the SAS and SDS scores of the parents in the study group were significantly lower than those in the control group.

CONCLUSION

The application of an early childhood education machine for children after cardiothoracic surgery can effectively reduce postoperative agitation, improve sedation and analgesia of the patients, and ease the pessimistic mood of the patients' parents.

摘要

目的

研究一款幼儿教育机对心胸外科手术后儿童镇静和镇痛的效果。

方法

在中国一家省级医院进行了一项前瞻性随机对照研究。52例年龄在1至5岁之间接受心胸外科手术(包括:室间隔缺损、动脉导管未闭、房间隔缺损、肺动脉狭窄、肺隔离症和先天性囊性腺瘤样肺畸形)的患者被分为研究组(n = 26)和对照组(n = 26)。研究组患者在接受常规标准治疗和护理的基础上,使用一款幼儿教育机(统一型号)进行干预,而对照组患者仅接受常规标准治疗和护理。评估所有患者的里士满躁动镇静评分(RASS)和面部、腿部、活动、哭闹、安抚度(FLACC)评分,并比较两组患者家长的负面情绪(自评焦虑量表(SAS)评分和自评抑郁量表(SDS)评分)。

结果

两组患者的一般临床资料无显著差异。研究组的RASS和FLACC评分显著低于对照组,研究组患者家长的SAS和SDS评分显著低于对照组。

结论

心胸外科手术后儿童使用幼儿教育机可有效减少术后躁动,改善患者的镇静和镇痛效果,并缓解患者家长的悲观情绪。

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