父母陪伴下麻醉诱导对患儿围术期影响的Meta分析

doi:10.16460/j.issn1008-9969.2019.06.032

摘要/Abstract

摘要： 目的评价父母陪护下麻醉诱导对患儿围术期的影响。方法检索Cochrane library 、PubMed、EMbase、Sciencedirect、SpringerLink、中国生物医学、中国知网、万方、维普数据库,并追溯纳入文献和相关综述的参考文献,收集由建库至 2018 年 6月患儿全麻手术中,父母陪伴和无父母陪伴麻醉诱导对患儿围手术期干预效果的随机对照试验,利用RevMan 5.3软件进行统计处理。结果纳入中英文文献16篇,研究的样本量为1 430例。Meta分析结果显示：家属陪伴麻醉诱导能降低父母术前焦虑水平[SMD=-0.37, 95%CI（-0.55, -0.19）,P<0.01]、降低麻醉诱导期及苏醒期患儿躁动的发生率[RR=0.67, 95%CI（0.53,0.88）, P<0.05]、减轻苏醒期患儿疼痛感[SMD=-0.38, 95%CI（-0.66,-0.09）,P<0.05]。结论现有证据表明父母陪护下麻醉诱导对患儿手术干预效果有促进作用,因此建议医院结合实际情况进行推广。

关键词: 患儿, 手术, 麻醉诱导, 父母陪伴, Meta分析

Abstract: Objective To evaluate the effect of parent present anesthesia induction on children with general anesthesia. Methods We searched Cochrane library, PubMed, EMbase, Sciencedirect, SpringerLink, CBM, CNKI ,Wanfang and VIP data to collect literatures and the references of related reviews from the inception to June 2018. Randomized controlled trials (RCTs) on effects of general anesthesia with or without parent presence on children undergoing general anesthesia were analyzed by using RevMan 5.3 software. Results Sixteen Chinese and English literatures were included, and the sample size included in the studies was 1,430. Meta-analysis showed that the induction of anesthesia with the presence of family members could reduce preoperative anxiety of parents [SMD=-0.37, 95%CI(-0.55, -0.19), P<0.01], and the incidence of agitation in children during induction and recovery [RR=0.67, 95%CI(0.53, 0.88), P<0.05], and relieve the pain of children during recovery [SMD=-0.38, 95%CI(-0.66,-0.09), P<0.05]. Conclusion Available evidence indicates that parent presence anesthesia has a positive effect on children and it is recommended that the hospital promote parent present anesthesia in light of actual situation.

Key words: children, surgery, anesthesia induction, parent present, Meta-analysis

中图分类号:

R472.3

梁欣, 高祖梅, 张海元, 海容, 邓文芳. 父母陪伴下麻醉诱导对患儿围术期影响的Meta分析[J]. 护理学报, 2019, 26(6): 32-37.

LIANG Xin, GAO Zu-mei, ZHANG Hai-yuan, HAI Rong, DENG Wen-fang. Meta-analysis of Effects of Parent Present Anesthesia Induction on Children with General Anesthesia[J]. Journal of Nursing, 2019, 26(6): 32-37.

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