国际麻醉学与复苏杂志   2020, Issue (11): 0-0
    
全身麻醉患儿苏醒期谵妄非药物干预策略研究进展
储海潮, 田悦1()
1.中国医科大学附属盛京医院麻醉科
Advances in non‑drug intervention strategies for emergence delirium in children under general anesthesia
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摘要:

苏醒期谵妄(emergence delirium, ED)是患儿全身麻醉后常见的临床现象,病理机制尚不清楚,其防治策略主要依据影响因素而建立,包括麻醉药物、术前焦虑、疼痛等。基于患儿生理及心理发育尚不成熟的特质,与药物治疗相比,非药物干预具有舒适、安全、无药物副作用等优势。文章概括了非药物干预措施在降低患儿ED发生率方面的研究进展,着重从术前认知教育、分心干预、调节情绪及其他干预手段4个方面介绍围手术期非药物手段预防ED的临床应用。非药物手段已经成为小儿麻醉领域预防ED研究的新焦点,将为临床实践提供参考。

关键词: 苏醒期谵妄; 非药物治疗; 预防
Abstract:

Emergence delirium (ED) is a common clinical phenomenon in children after general anesthesia. The pathological mechanism by which emergence delirium occurs is still unclear. The prevention and treatment strategies are mainly based on various influencing factors, including anesthetic drugs, preoperative anxiety, pain and so on. Based on the characteristics of immature physical and psychological development in children, non‑drug interventions have the advantages of comfort, safety, and no side effect compared with drug therapy. This article summarizes the research progress of non‑drug interventions in reducing the incidence of ED in children. It focuses on the four aspects of non‑pharmacological psychological methods to prevent ED, which include preoperative cognitive education, distraction intervention, mood regulation and other interventions. Non‑drug interventions have become a new focus in the field of pediatric anesthesia, and can provide the reference for common clinical fields.

Key words: Emergence delirium; Non‑drug therapy; Prevention