Effect of dexmedetomidine combined with animation intervention on postoperative adverse behavior changes in children undergoing laparoscopic high ligation of hernia sac under general anesthesia
Objective To study the effects of dexmedetomidine combined with animation intervention on postoperative adverse behavior changes in children undergoing laparoscopic high ligation of hernia sac under general anesthesia.Methods A total of 120 children who received laparoscopic high ligation of hernia sac under general anesthesia in hospital from February 2020 to February 2022 were enrolled.The patients were randomized 1∶1∶1 into group A(dexmedetomidine combined with animation intervention),group B(dexmedetomidine intervention)and group C(animation intervention).The differences of perioperative anxiety,the degree of cooperation during induction period,emergence agitation and postoperative adverse behavior changes among the three groups were analyzed.Results The modified Yale Perioperative Anxiety Scale(mYPAS)scores in group A were significantly lower than those of group B and group C(immediately after entering the operating room:(52.19±11.46)points vs(60.07±12.74)points vs(59.74±12.30)points;before anesthesia induction:(54.27±12.09)points vs 65.92±13.45 points vs 63.48±13.20 points;12h after surgery:(40.60±7.68)points vs(47.25±8.59)points vs 46.15±8.11 points,P<0.05).The induction compliance checklist(ICC)scores in group A were significantly lower than those of group B and group C(immediately after entering the operating room:(3.35±0.70)points vs(4.22±1.09)points vs(4.30±1.04)points;before anesthesia induction(3.67±0.82)points vs(4.93±1.15)points vs(4.62±1.26)points,P<0.05).The highest score of pediatric anesthesia emergence delirium(PAED)([6.19±0.30]points vs[7.05±0.38]points vs[7.07±0.39]points)and PAED score after leaving postanesthesia care unit(PACU)([4.21±0.25]points vs[5.41±0.28]points vs[5.60±0.29]points)in group A were significantly lower than those of group B and group C(P<0.05).The incidence of adverse behavior in group A was lower than that in group B and group C on day 1,7 and 30 after surgery(all P<0.05).Conclusion Dexmedetomidine combined with animation intervention can effectively improve perioperative anxiety,the degree of cooperation during induction period,emergence agitation and postoperative adverse behavior changes in children undergoing laparoscopic high ligation of hernia sac under general anesthesia,which is worthy of popularization.
laparoscopic high ligation of hernia sacdexmedetomidineanimationadverse behavior changegeneral anesthesia
NETL
NSTL
维普
万方数据
