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医疗小丑干预对围麻醉期患儿哭泣与疼痛的影响
程宗燕,曹勍,张玲,廖凤琴,贺林
0
(四川省医学科学院·四川省人民医院手术室)
摘要:
目的 研究医疗小丑对围麻醉期患儿哭泣、疼痛的影响。方法 选择2017年1月~2017年12月在我院小儿外科行疝气择期手术的围麻醉期患儿285例为研究对象,采用随机数字法分为干预组(143例)和对照组(142例),对照组给予常规围麻醉期护理,干预组在对照组的基础上开展医疗小丑干预活动。结果 干预组术前及术后患儿哭泣时间均有明显下降 (P<0.05);干预组患儿在静脉穿刺时、麻醉复苏后以及术后6h三个节点疼痛感受均明显低于对照组(P<0.05);干预组患儿术后止痛剂使用剂量及平均住院日数值均优于对照组(P<0.05)。结论 医疗小丑干预围麻醉期患儿能有效减轻患儿疼痛,缩短哭泣及住院时间,节约住院成本,对临床推广有积极意义。
关键词:  医疗小丑  围麻醉期  小儿外科  影响  手术
DOI:
基金项目:四川省卫计委科研课题(17PJ289)
Clinical clownish intervention for crying and pain in children with perianaesthesia
CHENG Zongyan,CAO Qing,ZHANG Ling,LIAO Fengqin,HE Lin
(Operation Room, Sichuan Provincial People's Hospital)
Abstract:
Objective To study the effect of medical clowns on crying and pain of children under perianaesthesia. Methods From January 2017 to December 2017, 285 children with perianaesthesia underwent hernia elective surgery in the pediatric surgery department of our hospital were selected as subjects for the study. They were divided into 143 children in the intervention group and 142 children in the control group by random number method. Results The crying time of the children in the intervention group decreased significantly before and after surgery (P<0.05). The pain of the children in the intervention group was significantly lower than that of the control group (P<0.05) at the three nodes of vein puncture, anesthesia resuscitation and 6h postoperative. The dosage of postoperative analgesic agents and the mean hospitalization days of the children in the intervention group were better than those in the control group (P<0.05). Conclusion The intervention of clowns in the perianaesthesia period can effectively reduce the pain of children, shorten the crying and hospitalization time, and save the cost of hospitalization, which is of positive significance for clinical promotion.
Key words:  Medical clowns  Perianaesthesia  Pediatric surgery  Influence  Surgery

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