父母陪伴下麻醉诱导对儿科手术的影响:一项随机对照试验的综合meta分析

Xin Liang, Zijing Zhang, Zumei Gao, Wen-ling Deng, Wenbin He, Haiyuan Zhang
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引用次数: 1

摘要

目的:评价父母陪伴下全麻儿童麻醉诱导的效果。方法:采用RevMan 5.3软件,基于中英文数据库,收集儿童术前焦虑、麻醉配合、麻醉及恢复激动、术后疼痛及父母术前焦虑干预的随机对照试验结果。我们检索了Cochrane Library、Pubmed、Medline、EMbase、Sciencedirect、SpringerLink、中国生物医学、中国知网、万方、微普等数据库,收录了15篇文章(中文5篇,英文10篇),样本量1390个,其中对照组700例,检测组690例。结果:我们的研究结果表明,在父母的陪伴下,父母和孩子的焦虑水平、麻醉诱导和苏醒期躁动的发生率降低,同时麻醉协调性增强,苏醒后的疼痛减轻。结论:由于父母陪伴对儿童手术效果的影响,医院可酌情推荐父母陪伴的风险和费用干预。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Anesthesia Induction’s Effect on Pediatric Surgery under Parental Accompany: A Comprehensive Meta-Analysis of Randomized Controlled Trials
Objective: To evaluate the effect of anesthesia induction under parental company for children receiving general anesthesia. Methods: The RCT results were collected on children’s preoperative anxiety, anesthesia coordination, anesthesia and recovery agitation, postoperative pain and parental preoperative anxiety intervention with or without parental accompany using RevMan 5.3 software based on Chinese and English database. We searched Cochrane Library, Pubmed, Medline, EMbase, Sciencedirect, SpringerLink, China Biomedical, CNKI, Wanfang, Weipu and other databases, and included 15 articles (5 Chinese, 10 English) with 1390 samples size, containing 700 cases of control group and 690 cases of testing group. Results: Our results showed that parents’ and children’s anxiety level, the incidence of restlessness during anesthesia induction and wake-up period were reduced, while the anesthesia coordination was enhanced and the pain of children after wake-up was alleviated under parental accompany. Conclusion: The risk and cost-free intervention of parental accompany could be recommended as appropriate in hospitals for its contribution to children’s surgery effect.
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