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首页> 外文期刊>Journal of International Medical Research >Emergence delirium is related to the invasiveness of strabismus surgery in preschool-age children
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Emergence delirium is related to the invasiveness of strabismus surgery in preschool-age children

机译：ir妄的出现与学龄前儿童斜视手术的侵入性有关

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Objectives To investigate the correlation between preoperative anxiety and emergence delirium (ED), and to identify other factors that contribute to ED (such as invasiveness of surgery), in preschool-age paediatric patients undergoing strabismus surgery. Methods This prospective observational study enrolled Korean children (aged 2–5 years), scheduled for strabismus surgery. After completing the modified Yale Preoperative Anxiety Scale, general anaesthesia was induced. Postoperatively, Pediatric Anesthesia Emergence Delirium (PAED) scores (used as an index of the degree of ED) and a four-point delirium scale (ED incidence), were collected and measured every 5?min. Patients were categorized according to the degree of surgical invasiveness: group U-S, single-muscle correction in a unilateral eye; group U-M, multiple-muscle correction in a unilateral eye; group B-S, single-muscle correction in bilateral eyes; group B-M, multiple-muscle correction in bilateral eyes. Results A total of 90 paediatric patients participated in the study. Maximum PAED scores did not correlate with the presence of preoperative anxiety. The maximum PAED score of group B-M was significantly higher than scores observed in other groups. Conclusions Preoperative anxiety was not related to ED in preschool-age paediatric patients undergoing strabismus surgery. The incidence and severity of ED was higher in patients who underwent more complicated strabismus surgery, compared with those undergoing simpler procedures.
机译：目的探讨斜视手术的学龄前儿童患儿术前焦虑与出现del妄（ED）的相关性，并找出其他导致ED的因素（例如手术的侵入性）。方法这项前瞻性观察研究纳入了计划进行斜视手术的韩国儿童（2至5岁）。在完成修改后的耶鲁术前焦虑量表后，进行全身麻醉。术后每5分钟收集并测量小儿麻醉性Deli妄（PAED）评分（用作ED程度的指标）和四点del妄量表（ED发生率）。根据手术侵入程度对患者进行分类：U-S组，单眼单眼矫正; U-S组，单眼矫正。 U-M组，单眼多肌矫正; B-S组，双眼单眼矫正; B-M组，双眼多肌矫正。结果共有90名儿科患者参加了研究。最大PAED分数与术前焦虑的存在无关。 B-M组的最大PAED得分显着高于其他组中观察到的得分。结论学龄前儿童斜视手术患者的术前焦虑与ED无关。与接受较简单手术的患者相比，接受更复杂斜视手术的患者的ED发生率和严重程度更高。

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