放松训练对减轻包皮环扎术儿童疼痛的效果观察.PDFVIP

海南医学2014年4月第25卷第8期 doi:10.3969/j.issn.1003-6350.2014.08.0464 ·临床经验· 放松训练对减轻包皮环扎术儿童疼痛的效果观察 龚 科，刘双庆 (四川泸州医学院附属医院精神科，四川 泸州 646000) 【摘要】 目的 探讨放松训练对学龄儿童包皮环扎术疼痛的影响。方法 157例患儿随机分为干预组与对 照组，均局麻下行包皮环扎术，以及采用传统的健康教育。干预组患儿在术前3 d 实施放松训练，包括渐进性肌 肉松弛法、引导想象、深呼吸、音乐等方法。使用VAS 视觉模拟尺测评疼痛程度及汉密尔顿焦虑量表(HAMA)评 估患儿的恐惧程度并进行比较。结果 干预组患儿术中生理指标(血压和心率)均略低于对照组，但差异无统计 学意义(P0.05) ；干预组患儿术中疼痛得分显著低于对照组患儿，两组比较差异有统计学意义(P＜0.01) ；干预组 手术后在焦虑心理、紧张、失眠、害怕、认知功能、抑郁心境及总分与手术前及对照组比较，均明显下降，差异均有 统计学意义(P＜0.05)。结论 放松训练能降低儿童恐惧心理，降低手术疼痛程度，使患儿在意识清醒情况下能 积极配合手术。 【关键词】 松弛训练；儿童；包皮环扎术；疼痛 【中图分类号】R726.1 【文献标识码】A 【文章编号】 1003—6350（2014 ）08—1196—03 Effectofrelaxationtrainingonthepainofchildrenunderforeskincerclage. GONGKe,LIUShuang-qing. DepartmentofPsychiatry,theAffiliatedHospitalofLuzhouMedicalCollege,Luzhou646000,Sichuan,CHINA 【Abstract】 Objective To investigate the influence of relaxation training on the pain of school-aged children under foreskin cerclage. Methods One hundred and fifty-seven children were randomly divided into intervention group and control group, which all underwent foreskin cerclage under local anesthesia and received traditional health education. In the intervention group, the children received relaxation training 3 days before surgery, including progres- sive muscle relaxation, guided imagery, deep breath, music, etc. Visual Analog Scale (VAS) was applied to evaluate pain in- tensity, and Hamilton Anxiety Scale (HAMA) was used to assess the patients fear. Results In the intervention group, the intraoperative physiological indexes (blood pressure and heart rate) were slightly lower than those in the control group, but there was no statistically signi