全麻诱导期家长陪同对小儿与家长心理焦虑的缓解作用

目的 观察家长陪同缓解全麻诱导期小儿与家长心理焦虑的状况.方法 249对患儿与家长随机分为三组各83例,对照组常规术前护理,观察组常规护理并由家长陪同,药物组常规护理并口服咪达唑仑.记录麻醉诱导前患儿与家长心理焦虑评分.结果 观察组和药物组患儿的焦虑评分均明显低于对照组（P＜0.05）;药物组患儿的焦虑评分均明显低于观察组（P＜0.01）.观察组家长的焦虑评分低于其他家长,差异有统计学意义（P＜0.01）.结论 家长陪同可缓解全麻诱导期小儿与家长的心理焦虑.

Parental presence relieve anxiety of children and parents during induction of general anesthesia

Objective To observe the effect of parental presence on anxiety relieve for children and their parents during induction of general anesthesia. Methods A total of 249 pairs of children （ASA I - II ） and their par- ents were randomly assigned to three groups： control group （group C）： received standard of care; parental presence group （group B）： received parental presence during induction of anesthesia; and oral midazolam （group A）. Anxiety levels were recorded before anesthesia. Result Children in group A （P〈0.01） and group B （P〈0.05） exhibited sig- nificantly lower anxiety as compared with group C. Children in group A were less anxious during induction of anes- thesia as compared with group B （P〈0.05）. Parents in group B were less anxious than others. Conclusion Parental presence is effective in the reduction of preoperative anxiety.