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| 不同暗示语言防治患儿丙泊酚注射痛效果的比较 |
| Comparison of the effects of different implied languages in the prevention and treatment of propofol injection pain in children |
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| DOI：10.12089/jca.2020.06.011 |
| 中文关键词: 注射痛 丙泊酚 暗示 语言 焦虑评分 |
| 英文关键词: Injection pain Propofol Suggestion Language Anxiety score |
| 基金项目: |
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| 中文摘要: |
目的 探讨不同语言暗示在患儿丙泊酚注射时对疼痛反应的影响。
方法 选取我院拟接受全麻下择期手术的患儿151例，男140例，女11例，年龄4～12岁，ASA Ⅰ或Ⅱ级，随机分为两组：“一般工作语言”组（N组）和 “积极语言”组（P组）。两组患儿在丙泊酚推注前分别给予不同的暗示语言。N组被告知：“我现在要在你手上推麻醉药，你的手臂会有点刺痛，你有不舒服就说，不要动来动去。” P组被告知：“现在我要在你手上推麻醉药，你的手臂可能会有点凉凉麻麻的，这个过程很舒服。”采用视觉模拟焦虑量表（VAS-A）评估患儿在手术床上躺平时(T1)以及暗示语言干预后(T2)时的焦虑评分，采用四分法记录丙泊酚推注时的疼痛分级。
结果 与T1时比较，T2时P组焦虑评分明显降低（P<0.05），N组焦虑评分明显升高（P<0.05）。T2时P组焦虑评分明显低于N组（P<0.05）。P组疼痛发生率明显低于N组（P<0.05）。
结论 与一般工作语言比较，积极语言可明显减轻患儿焦虑感，并降低丙泊酚推注时疼痛发生率。 |
| 英文摘要: |
Ojective To compare the effect of pain relief in children via two different verbal communications before propofol injection.
Methods A total of 151 children undergoing elective surgery, 140 males and 11 females, aged 4-12 years, falling into ASA physical status Ⅰ or Ⅱ, were collected in this study. They were randomly divided into two groups. One group was communicated with a negative language (group N), the child was told immediately before i.v. propofol “I’m going to inject anesthetics on your hand now. You will have a stabbing pain on your arm. If you feel uncomfortable, just speak out, don’t move around”. The other group was communicated with a possitive language (group P), the child was told immediately before i.v. propofol “Now I’m going to inject the anesthetic on your hand. You may feel a little cold and numb. It’s a comfortable process”. The visual analog anxiety scale (VAS-A) was used to evaluate the anxiety scores of children lying flat on the operating bed (T1) and after suggestive language intervention (T2). Injection pain was measured by a four point scale.
Results Compared with T1, the anxiety score in group P was significantly decreased (P < 0.05), and the anxiety score in group N was significantly increased at T2(P < 0.05). Compared with group N, the anxiety value in group P was significantly lower at T2. The incidence of pain in group P was statistically lower than that in group N (P < 0.05).
Conclusion Positive language is more helpful in reducing anxiety and the incidence of propofol injection pain. |
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