CAJ | 학술논문

目的观察心理干预加单纯臂丛麻醉应用于儿童上肢手术的效果.方法通过严格的评估和筛选,选择8～12岁行上肢手术的儿童患者(不包括骨折内固定术)80例,手术时间少于120 min,通过术前术中的心理干预,在单纯臂丛阻滞麻醉下完成手术,观察术中的心率和血压变化、术毕的精神情况和术后随访的心理变化.结果 80例儿童患者均能配合完成手术,术中心率、血压平稳,各时点监测数据差异无统计学意义(P＞0.05),术毕精神安静,术后随访无发现心理障碍.结论通过严格评估和筛选,心理干预加单纯臂丛阻滞麻醉可安全应用于8～12岁儿童行上肢手术,值得临床推广应用.
목적 관찰심리간예가단순비총마취응용우인동상지수술적효과.방법 통과엄격적평고화사선,선택8～12세행상지수술적인동환자(불포괄골절내고정술)80례,수술시간소우120 min,통과술전술중적심리간예,재단순비총조체마취하완성수술,관찰술중적심솔화혈압변화、술필적정신정황화술후수방적심리변화.결과 80례인동환자균능배합완성수술,술중심솔、혈압평은,각시점감측수거차이무통계학의의(P＞0.05),술필정신안정,술후수방무발현심리장애.결론 통과엄격평고화사선,심리간예가단순비총조체마취가안전응용우8～12세인동행상지수술,치득림상추엄응용.
Objective To evaluate the effect of mental intervention combined with simple brachial plexus anesthesia in children' upper extremity operation. Method 80 cases of8 ～ 12 years old children were selected after strict evaluation and screening,of who needed upper extremity operation(fractures internal fixation not included) ,and the surgery time less than 120 minutes. All the operations were completed under the simple brachial plexus anesthesia, and combined with mental intervention preoperatively and intraoperatively. The changes of HR and BP intraoperatively the psyche condition after the operation completed were observed and followed up the mental change postoperatively. Result All the operation were completed. The HR and BP were stable intraoperation (P ＞ 0. 05), the psyche was quiet after the operation completed,and no mental disorder was happened postoperative. Conclusion The mental intervention combined with simple brachial plexus anesthesia was safe in 8 ～ 12 years old children' upper extremity operation, and it deserved to spread and apply.