首页|咪达唑仑口服液缓解儿童术前焦虑对术后胃肠功能恢复的影响

咪达唑仑口服液缓解儿童术前焦虑对术后胃肠功能恢复的影响

Effect of midazolam oral liquid for relieving preoperative anxiety on postoperative recovery of gastrointestinal function in children

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目的 探讨咪达唑仑口服液缓解儿童术前焦虑对术后胃肠功能恢复的影响.方法 90例行腹腔镜下腹股沟斜疝疝囊高位结扎术的患儿随机均分为试验组和对照组.试验组术前30 min给予咪达唑仑口服液0.5 mg/kg,对照组给予同等剂量的5%葡萄糖溶液.比较两组患儿术后首次排气和排便时间、进食-恶心-呕吐-查体-症状持续时间系统(I-FEED)评分、简化版改良耶鲁术前焦虑量表(mYPAS-SF)评分、父母状态-特质焦虑量表(STAI)评分、Ramsay镇静评分、亲子分离评分、术后FLACC疼痛评分、术后行为恢复量表(PHBQ)评分和手术医生满意度.结果 与对照组相比,试验组患儿术后首次排气和排便时间缩短,术后第1天时I-FEED评分降低,出等候区、走向手术室及麻醉诱导前mYPAS-SF评分及出等候区时父母STAI评分降低,出等候区时Ramsay镇静评分及亲子分离评分增加(P<0.05).两组患儿术后第1、2、3天时FLACC疼痛评分和PHBQ评分比较差异无统计学意义(P>0.05).试验组手术医生满意度评分高于对照组(P<0.05).结论 术前应用咪达唑仑口服液能有效缓解患儿术前焦虑,有助于促进术后胃肠功能的恢复.
Objective To observe the effect of midazolam oral liquid for relieving preoperative anxiety on the postoperative recovery of gastrointestinal function in children.Methods Ninety children undergoing laparoscopic high ligation of hernia sac in oblique inguinal hernia were equally divided into two groups of A and B with 45 cases each.The children in group A were given midazolam oral liquid 0.5 mg/kg 30 minutes before surgery,and those in group B were given 5%glucose solution with the same dose.The first exhaust and defecation time after surgery,intake,feeling nauseated,emesis,physical examinationand duration of symptoms(I-FEED)score,modified Yale Preoperative Anxiety Scale-short form(mYPAS-SF)score,parents's State-Trait Anxiety Inventory(STAI)score,Ramsay sedation score,parent-child separation score,Post-Hospital Behavior Questionnaire(PHBQ)score,FLACC pain score and doctor's satisfaction were compared between the two groups.Results Compared with group B,the first exhaust and defecation time after surgery was shortened,I-FEED score in the 1st day after surgery was decreased,mYPAS-SF scores at leaving waiting area,walking to the operating room and before anesthesia induction and parents's STAI score at leaving waiting area were decreased,and Ramsay sedation score and parent-child separation score at leaving waiting area were increased in group A(P<0.05).There were no statistical differences in the FLACC pain score and PHBQ score in the 1st,2nd and 3rd day after surgery between the two groups(P>0.05).The doctor's satisfaction score in group A was higher than that in group B(P<0.05).Conclusion The use of midazolam oral liquid can effectively relieve the anxiety before surgery,promote the postoperative recovery of gastrointestinal function in children.

MidazolamPreoperative anxietyGastrointestinal functionChildren

陈新月、张雪、高睿嘉、黄雨、毛诗梦、王兵、冯继英

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222000 江苏连云港,锦州医科大学连云港市第一人民医院研究生培养基地

连云港市第一人民医院麻醉科

咪达唑仑 术前焦虑 胃肠功能 儿童

2024

江苏医药
江苏省人民医院(南京医科大学第一附属医院)

江苏医药

影响因子:0.707
ISSN:0253-3685
年,卷(期):2024.50(5)
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