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Objective@#To investigate the effect of preoperative play intervention during anesthesia induction in children.@*Methods@#Totally 120 children who met the inclusion criteria undergoing elective surgery divided into control group (n=60) and study group (n=60) by random number table. The study group admitted to the anesthesia induction room, and performed therapeutic play nursing intervention on the children for 60 minutes before the operation. The children in the control group were admitted to the general preoperative waiting room for 60 minutes before the operation, and they were subjected to routine nursing intervention. The children′s anxiety was assessed using modified Yale Perioperative Anxiety Scale (mYPAS) when the children entered the operating room before the intervention and during anesthesia induction; the children′s compliance with anesthesia induction was assessed using the Induction Compliance Checklist (ICC) . Pediatric Anesthesia Emergence Delirium Scale (PAED) score was used to observe emergence agitation. The vital signs of the two groups were observed before and after intervention.@*Results@#There was no significant difference in the mYPAS score between the study group (32.23±4.71) points and the control group (31.58±3.72) points (P>0.05). The mYPAS score (31.92±4.03) points was lower in the study group than in the control group (59.76±5.14) points (t=-33.016, P<0.01). The ICC score of the study group (1.55±0.76) points was lower than the control group (3.04±0.62) points. The PAED score of the study group (4.76±0.92) points was lower than the control group (7.52±1.36) points (t=11.767, -13.020, P<0.05). The systolic blood pressure (96.25±3.06) mmHg (1 mmHg=0.133 kPa), diastolic blood pressure (59.39±2.77) mmHg, heart rate (118.37±15.26) times/min, and respiratory (29.75±3.17) times/min in the study group were lower than the control group (103.46±3.21) mmHg, (62.72±2.94) mmHg, (124.58±16.41) times/min, (34.81±2.96) times/min (t=12.593, 6.385, 2.146, 9.037, P<0.05) .@*Conclusion@#Preoperative play intervention for children before anesthesia induction can reduce the anxiety and fear level of children, and the children′s compliance of anesthesia is improved, and reduce the incidence of agitation during recovery.
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Objective To investigate the effect of preoperative play intervention during anesthesia induction in children. Methods Totally 120 children who met the inclusion criteria undergoing elective surgery divided into control group (n=60) and study group (n=60) by random number table. The study group admitted to the anesthesia induction room, and performed therapeutic play nursing intervention on the children for 60 minutes before the operation .The children in the control group were admitted to the general preoperative waiting room for 60 minutes before the operation, and they were subjected to routine nursing intervention. The children′s anxiety was assessed using modified Yale Perioperative Anxiety Scale (mYPAS) when the children entered the operating room before the intervention and during anesthesia induction; the children′ s compliance with anesthesia induction was assessed using the Induction Compliance Checklist(ICC). Pediatric Anesthesia Emergence Delirium Scale (PAED) score was used to observe emergence agitation. The vital signs of the two groups were observed before and after intervention. Results There was no significant difference in the mYPAS score between the study group (32.23±4.71) points and the control group (31.58 ± 3.72) points (P>0.05). The mYPAS score (31.92 ± 4.03) points was lower in the study group than in the control group (59.76±5.14) points (t=-33.016, P<0.01). The ICC score of the study group (1.55 ± 0.76) points was lower than the control group (3.04 ± 0.62) points. The PAED score of the study group (4.76 ± 0.92) points was lower than the control group (7.52 ± 1.36) points (t=11.767,-13.020, P<0.05). The systolic blood pressure (96.25 ± 3.06) mmHg (1 mmHg=0.133 kPa), diastolic blood pressure (59.39±2.77) mmHg, heart rate (118.37±15.26) times/min, and respiratory (29.75± 3.17) times/min in the study group were lower than the control group (103.46±3.21) mmHg, (62.72±2.94) mmHg, (124.58 ± 16.41) times/min, (34.81 ± 2.96) times/min(t=12.593, 6.385, 2.146, 9.037, P<0.05). Conclusion Preoperative play intervention for children before anesthesia induction can reduce the anxiety and fear level of children, and the children′s compliance of anesthesia is improved, and reduce the incidence of agitation during recovery.
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Objective To explore the safety and feasibility of blocking blood flow in interstitial tubal pregnancy treated with laparoscopic opening-taking embryo operation.Methods The clinical data of 98 patients with lump interstitial tubal pregnancies (requesting reserve procreate function) from January 2006 to December 2013 were chosen.Among them,56 patients were in study group (January 2010-December 2013) and 42 patients were in control group (January 2006-December 2009).All patients were treated with opening-taking embryo by laparoscopic operation.In study group,we first blocked the uterine artery and ovarian artery blood supply of pregnancy lump,secondly opened pregnancy lump and stripped gestation sac with hydraulic pressure separation during operation.Whereas,in control group,we opened pregnancy lump and taken out pregnancy tissues according to convention method without blocking blood flow.Operation success rate,operation blood volume,operation time,persistent ectopic pregnancy (PEP) happening rate,fallopian tube unobstructed information,and pregnancy information after operation were compared between two groups.Results In study group,operation success rate was 96.4％,which was significantly higher than that in control group (61.9％) (P ＜0.01) ; operation blood volume was[(20.7 ± 10.4)ml],which was significantly less than that in control group [(60.7 ± 18.4) ml] (P ＜ 0.01) ; operation time [(46.6 ±14.2) min] was significantly shorter than that in control group [(66.5 ± 19.4) min] (P ＜ 0.01) ; there was no PEP in study group,while there were 5 PEPs (11.9％) in control group.Fallopian tube unobstructed rate after operation in study group (76.9％) was significantly higher than that in control group (41.7％) (P ＜ 0.05).Conclusions Application of blocking blood flow in opening-taking embryo by laparoscopic operation on lump interstitial tubal pregnancies is safe and effective.