探讨护理干预在小儿腹股沟疝疝囊高位结扎术麻醉苏醒期间躁动中的应用效果。

选取2017年6月至2018年8月，新疆医科大学第一附属医院收治的腹股沟疝患儿92例，均采用腹腔镜下疝囊高位结扎术，按随机数字表法分为对照组和研究组，每组46例。对照组给予常规护理，研究组根据不同年龄给予相应护理。比较2组患儿麻醉苏醒室（PACU）停留时间、苏醒时间、苏醒期躁动情况及苏醒期不良反应发生情况。

研究组PACU停留时间及苏醒时间均较对照组明显缩短，差异有统计学意义（t=3.089、3.327，P=0.003、0.001），而2组手术时间比较，差异无统计学意义（t=0.573，P=0.568）。研究组入PACU即刻、5、15、30、45 min后躁动评分显著低于对照组，差异均有统计学意义（F=4.920、4.679、5.698、7.546、16.983，P=0.029、0.033、0.019、0.007、<0.001）。研究组总不良反应发生率显著低于对照组（4.35%比21.74%，χ²=6.133，P=0.013）。

针对小儿腹股沟疝疝囊高位结扎术后麻醉苏醒期躁动应用护理干预，可使其快速苏醒，有效改善患儿的躁动情况，降低苏醒期并发症发生率。

To explore the application effect of age-based nursing intervention for awake period agitation in pediatric inguinal hernia sac high ligation.

92 children with inguinal hernia admitted to the First Affiliated Hospital of Xinjiang Medical University hospital from June 2017 to August 2018 were selected, and divided into the study group and the control group according to random number table methods with 46 cases in each group. All patients underwent laparoscopic hernia sac high ligation. The control group was given the routine nursing, and the study group was given relevant nursing according to different ages. The PACU residence time, recovery time, occurrence of awake period agitation and adverse effects in awake period were compared between the two groups.

The PACU residence time and recovery time in the study group were significantly shorter than those in the control group (t=3.089、3.327, P=0.003、0.001), and there was no significant difference in operation time between the two groups (t=0.573, P=0.568). The scores of agitation immediately, 5 minutes, 15 minutes, 30 minutes and 45 minutes after PACU admission were significantly lower in the study group than those in the control group (F=4.920、4.679、5.698、7.546、16.983, P=0.029、0.033、0.019、0.007、<0.001). The incidence of total adverse effects in the study group was significantly lower than that in the control group (4.35% vs 21.74%, χ²=6.133, P=0.013).

Age-based nursing intervention for awake period agitation in pediatric inguinal hernia can make rapid wake, effectively improve the occurrence of agitation in children, reduce the incidence of complications in the awake period.