Vetter T R
Department of Anesthesiology, Children's Hospital Medical Center of Akron, OH 44308.
Anesth Analg. 1993 Jul;77(1):96-9. doi: 10.1213/00000539-199307000-00019.
This observational outpatient study was undertaken prospectively to assess the effect of age and gender on the frequency of children's difficulty with preoperative parental separation and to examine five simple clinical factors as predictors of problematic preoperative behavior. Although gender had no significant effect, 2- to 6-yr-old children were more likely than children 7 to 8 yr old to exhibit problematic behavior on parental separation (P < 0.05). In 2- to 6-yr-old children, three factors were significant predictors of problematic behavior: not taking a preoperative family tour (P < 0.05), having undergone previous surgery (P < 0.05), and preoperatively displaying a dependent or withdrawn affect (P < 0.05). Instead of implementing the routine use of a sedative, optimal management seems to involve sedating only 2- to 6-yr-old children who display one or more of these significant predictive risk factors.
这项前瞻性观察性门诊研究旨在评估年龄和性别对儿童术前与父母分离困难频率的影响，并检验五个简单临床因素作为术前问题行为的预测指标。尽管性别没有显著影响，但2至6岁的儿童比7至8岁的儿童在与父母分离时更有可能表现出问题行为（P < 0.05）。在2至6岁的儿童中，有三个因素是问题行为的显著预测指标：未进行术前家庭参观（P < 0.05）、曾接受过手术（P < 0.05）以及术前表现出依赖或退缩情绪（P < 0.05）。最佳管理似乎不是常规使用镇静剂，而是仅对表现出一种或多种这些显著预测风险因素的2至6岁儿童进行镇静。
