父母陪护对行包皮环切术患儿疼痛及应激反应的影响

目的探讨父母陪护对行包皮环切术患儿疼痛及应激反应的影响。方法选择择期包皮环切术患儿60例,随机将患儿分为实验组与对照组,每组各30例,实验组患儿在父母陪护局部麻醉后实施手术,对照组患儿采用常规局部麻醉实施手术。观察两组患儿手术过程心率(hear rate,HR)、平均动脉压(mean artery pressure,MAP)、血氧饱和度(pulse oxygensaturation,SpO2)、改良目的疼痛评分法(modified objective pain score,MOPS)评分与视觉模拟评分法(visual analogue scale,VAS)评分情况。结果实验组患儿MOPS评分、VAS评分、术中最快HR、最高MAP明显低于对照组,术中最低SpO2明显高于对照组,两组比较,差异具有统计学意义(均P﹤0.05)。结论对行包皮环切术患儿有父母陪护可以减轻患儿应激反应,提高患儿的疼痛阈值。

Effect of hareatal accomangy on huin and stress reaction in children undergoing circumcision

Objective To explore the effect of parental accompany on relieving pain and acute stress reaction in children with circumcision.Method Sixty children were divided into the experiment group and control group randomly with 30 cases in each group. Parental accompany was applied in the experiment group besides routine nursing method, while in the control group, only routine nursing method was used.The data of HR、MAP、SpO2、MOPS、VAS were recorded and compared during the operation between the two groups. Result There were significant differences in the MOPS,VAS , SpO2, the quickest HR and the highest MAP between the two groups （all P0.05）.Conclusion The method of parental accompany during the operation can alleviate the stress reaction and enhance the threshold of pain in children.