摘要
目的探讨不同语言暗示在患儿丙泊酚注射时对疼痛反应的影响。方法选取我院拟接受全麻下择期手术的患儿151例,男140例,女11例,年龄4~12岁,ASAⅠ或Ⅱ级,随机分为两组:"一般工作语言"组(N组)和"积极语言"组(P组)。两组患儿在丙泊酚推注前分别给予不同的暗示语言。N组被告知:"我现在要在你手上推麻醉药,你的手臂会有点刺痛,你有不舒服就说,不要动来动去。" P组被告知:"现在我要在你手上推麻醉药,你的手臂可能会有点凉凉麻麻的,这个过程很舒服。"采用视觉模拟焦虑量表(VAS-A)评估患儿在手术床上躺平时(T1)以及暗示语言干预后(T2)时的焦虑评分,采用四分法记录丙泊酚推注时的疼痛分级。结果与T1时比较,T2时P组焦虑评分明显降低(P<0.05),N组焦虑评分明显升高(P<0.05)。T2时P组焦虑评分明显低于N组(P<0.05)。P组疼痛发生率明显低于N组(P<0.05)。结论与一般工作语言比较,积极语言可明显减轻患儿焦虑感,并降低丙泊酚推注时疼痛发生率。
Objective To compare the effect of pain relief in children via two different verbal communications before propofol injection. Methods A total of 151 children undergoing elective surgery, 140 males and 11 females, aged 4-12 years, falling into ASA physical status Ⅰ or Ⅱ, were collected in this study. They were randomly divided into two groups. One group was communicated with a negative language(group N), the child was told immediately before i.v. propofol "I’m going to inject anesthetics on your hand now. You will have a stabbing pain on your arm. If you feel uncomfortable, just speak out, don’t move around". The other group was communicated with a possitive language(group P), the child was told immediately before i.v. propofol "Now I’m going to inject the anesthetic on your hand. You may feel a little cold and numb. It’s a comfortable process". The visual analog anxiety scale(VAS-A) was used to evaluate the anxiety scores of children lying flat on the operating bed(T1) and after suggestive language intervention(T2). Injection pain was measured by a four-point scale. Results Compared with T1, the anxiety score in group P was significantly decreased(P < 0.05), and the anxiety score in group N was significantly increased at T2(P < 0.05). Compared with group N, the anxiety value in group P was significantly lower at T2. The incidence of pain in group P was statistically lower than that in group N(P < 0.05). Conclusion Positive language is more helpful in reducing anxiety and the incidence of propofol injection pain.
作者
吴祎洁
王志琴
方向明
WU Yijie;WANG Zhiqin;FANG Xiangming(Department of Anesthesiology,the First Affiliated Hospital,School of Medicine,Zhejiang University,Hangzhou 310003,China)
出处
《临床麻醉学杂志》
CAS
CSCD
北大核心
2020年第6期567-570,共4页
Journal of Clinical Anesthesiology
关键词
注射痛
丙泊酚
暗示
语言
焦虑评分
Injection pain
Propofol
Suggestion
Language
Anxiety score
