放松训练对减轻包皮环扎术儿童疼痛的效果观察

目的探讨放松训练对学龄儿童包皮环扎术疼痛的影响。方法157例患儿随机分为干预组与对照组，均局麻下行包皮环扎术，以及采用传统的健康教育。干预组患儿在术前3d实施放松训练，包括渐进性肌肉松弛法、引导想象、深呼吸、音乐等方法。使用VAS视觉模拟尺测评疼痛程度及汉密尔顿焦虑量表（HAMA）评估患儿的恐惧程度并进行比较。结果干预组患儿术中生理指标（血压和心率）均略低于对照组，但差异无统计学意义（P〉O．05）；干预组患儿术中疼痛得分显著低于对照组患儿，两组比较差异有统计学意义（P〈0．01）；干预组手术后在焦虑心理、紧张、失眠、害怕、认知功能、抑郁心境及总分与手术前及对照组比较，均明显下降，差异均有统计学意义（P〈O．05）。结论放松训练能降低儿童恐惧心理，降低手术疼痛程度，使患儿在意识清醒情况下能积极配合手术。

Effect of relaxation training on the pain of children under foreskin cerclage.

Objective To investigate the influence of relaxation training on the pain of school-aged children under foreskin cerclage. Methods One hundred and fifty-seven children were randomly divided into intervention group and control group, which all underwent foreskin cerclage under local anesthesia and received traditional health education. In the intervention group, the children received relaxation training 3 days before surgery, including progres- sive muscle relaxation, guided imagery, deep breath, music, etc. Visual Analog Scale （VAS） was applied to evaluate pain in- tensity, and Hamilton Anxiety Scale （HAMA） was used to assess the patient＇s fear. Results In the intervention group, the intraoperative physiological indexes （blood pressure and heart rate） were slightly lower than those in the control group, but there was no statistically significant difference （P〉0.05）. The intraoperative pain score in the intervention group was signifi- cantly lower than that in the control group （P〈0.01）. In the intervention group, scores of anxiety, tension, insomnia, fear, cognitive function, depressed mood and total score after surgery were significantly lowered compared with before surgery, which were all significantly lower than those in the control group （P〈0.05）. Conclusion Relaxation training can reduce children＇s fear and the pain degree, which makes children in conscious case can actively cooperate with the operation.