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儿童麻醉后的心理变化:氟烷与氯胺酮的比较。

Psychological changes in children after anaesthesia: a comparison between halothane and ketamine.

作者信息

Modvig K M, Nielsen S F

出版信息

Acta Anaesthesiol Scand. 1977;21(6):541-4. doi: 10.1111/j.1399-6576.1977.tb01258.x.

Abstract

The psychological reactions to hospitalization, anaesthesia, and operation in a group of 107 children from 1 to 12 years old, anaesthetized with ketamine or halothane after randomization were investigated through questionnaires, which the parents answered 1 month postoperatively. The percentage of replies was 96.3%. Fifty-three children were anaesthetized with ketamine and 50 with halothane. Thirteen children in the ketamine group and nine in the halothane group reacted with negative personality changes; the reactions were of less than 1 month's duration and were most frequent in the youngest children. The parents' preparation of the children had no influence on the results. The number of personality changes caused by the two anaesthetic agents did not differ significantly. Furthermore, the investigation showed the nine children reacted for the better. Thirty-six per cent of the parents felt insufficiently informed of what the hospitalization implied for their child.

摘要

对一组107名1至12岁儿童进行了研究,这些儿童在随机分组后分别用氯胺酮或氟烷麻醉,通过问卷调查对其住院、麻醉和手术的心理反应进行了调查,问卷由家长在术后1个月回答。回复率为96.3%。53名儿童用氯胺酮麻醉,50名用氟烷麻醉。氯胺酮组有13名儿童、氟烷组有9名儿童出现负面性格变化;这些反应持续时间不到1个月,在最小的儿童中最为常见。家长对孩子的准备工作对结果没有影响。两种麻醉剂引起的性格变化数量没有显著差异。此外,调查显示有9名儿童反应好转。36%的家长觉得对住院对孩子意味着什么了解不足。

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