摘要
目的探讨虚拟现实技术联合自制专用面罩对儿童术前焦虑及麻醉诱导的效果。方法选取2021-2023年在该院行手术治疗的180例腺样体肥大患儿为研究对象,按随机数字表法分为对照组、试验1组和试验2组,每组60例。患儿进入麻醉诱导室后对照组由护士安抚患儿缓解焦虑,试验1组、试验2组佩戴PICO 4 VR一体机。对照组、试验1组采用普通面罩连接麻醉机吸入麻醉,患儿意识消失完成外周静脉穿刺操作送入手术室,辅以静脉麻醉药,完成气管插管;试验2组使用自制专用面罩连接麻醉机及负压吸引管完成麻醉诱导,其余同试验1组。比较3组患儿进入麻醉诱导室时(T_(0))、进入麻醉诱导室后10 min(T_(1))、麻醉诱导开始前(T_(2))简化版改良耶鲁术前焦虑量表(mYPAS-SF)评分,以及麻醉诱导时间及术后不良反应发生率。结果3组mYPAS-SF评分组间比较结果显示,T_(1)、T_(2)时试验1组和试验2组较对照组降低(P<0.05)。3组mYPAS-SF评分组内比较结果显示,T_(0)、T_(1)、T_(2)时较入院时明显升高(P<0.05);试验1组和试验2组随时间推移逐渐降低(P<0.05),而对照组无明显变化(P>0.05)。对照组、试验1组、试验2组麻醉诱导时间比较差异有统计学意义(P<0.05),且逐渐减少(P<0.05)。3组呛咳、喉鸣、躁动发生率比较差异有统计学意义(P<0.05),试验1组和试验2组均低于对照组(P<0.05),且试验2组呛咳发生率低于试验1组(P<0.05)。结论虚拟现实技术联合自制专用面罩用于麻醉诱导可减少患儿术前焦虑,缩短麻醉诱导时间,减少术后不良反应。
Objective To explore the effect of virtual reality technology combined with self-made special masks on preoperative anxiety and general anesthesia induction in children.Methods A total of 180 children with adenoid hypertrophy who underwent surgical treatment in this hospital from 2021 to 2023 were selected as the research subjects and divided into the control group,the experiment group 1 and 2 according to the random number table method,with 60 cases in each group.After the children entered the anesthesia induction room,the control group was accompanied by one nurse to play with toys and read books to relieve anxiety.The experiment group 1 and 2 wore the PICO 4 VR all-in-one machine.In the control group and the experiment group 1,the masks were connected to the anesthesia machine for inhalation of sevoflurane.The children lost consciousness and completed the peripheral venous puncture operation and were sent to the operating room.They were assisted with intravenous anesthetics and tracheal intubation was completed.The experiment group 2 completed anesthesia induction by connecting a special mask to an anesthesia machine and a negative pressure suction tube on the basis of the experiment group 1.The simplified Modified Yale Preoperative Anxiety Scale(mYPAS-SF)scores of the three groups were compared at the time of entering the anesthesia induction room(T_(0)),10 min after entering the anesthesia induction room(T_(1)),before the start of anesthesia induction(T_(2)),as well as the anesthesia induction time and the incidence of postoperative anesthesia adverse reactions.Results The comparison results among the three groups of mYPAS-SF scores showed that at T_(1) and T_(2),the scores of the experiment group 1 and 2 were decreased compared with the control group(P<0.05).The mYPAS-SF scores in the three groups showed that the scores at T_(0),T_(1),and T_(2) were significantly higher than those at admission(P<0.05).The levels in the experiment group 1 and 2 gradually were decreased over time(P<0.05),while there was no significant change in the control group(P>0.05).There was a statistically significant difference in the anesthesia induction time among the three groups(P<0.05),and it was gradually decreased(P<0.05).There was a statistically significant difference in the incidence of choking cough,stridor and restlessness among the three groups(P<0.05),both the experiment group 1 and 2 were lower than the control group(P<0.05),and the incidence of choking cough in the experiment group 2 was lower than that in the experiment group 1(P<0.05).Conclusion Virtual reality technology combined with special masks for the induction of general anesthesia can reduce preoperative anxiety in children,shorten the induction time of anesthesia,and reduce adverse reactions of anesthesia.
作者
王吉如
黄月伟
俞雪静
WANG Jiru;HUANG Yuewei;YU Xuejing(Operating Room,Jiaxing Hospital of Traditional Chinese Medicine,Jiaxing,Zhejiang 314000,China)
出处
《重庆医学》
2025年第8期1830-1834,共5页
Chongqing Medical Journal
基金
浙江省医药卫生科技计划项目(2020-2020PY076)。
关键词
虚拟现实技术
儿童
面罩
焦虑
麻醉诱导
virtual reality technology
children
face mask
anxiety
anesthesia induction
