Abstract: Objective　To study the effect of parents′company on restlessness during recovery from general anesthesia with sevoflurane in dental clinic. Methods　A total of 120 children，who underwent oral treatment under sevoflurane general anesthesia in the Affiliated Stomatological Hospital of Chongqing Medical University from June to December 2017，were selected and randomly divided into an accompanying group and an unaccompanied group. Children in the accompanying group were accompanied by their parents during the induction period of anesthesia before treatment and the recovery period after treatment. Children in the unaccompanied group were accompanied without their parents duning the induction period of anesthesia before treatment and the recovery period after treatment. The pediatric anesthesia emergence delirium scale（PAED） was used to score the children′s agitation during anesthesia recovery period，and the incidence of agitation was calculated. Results　The PAED score of the accompanying group was 9.18 ± 3.41，and the PAED score of the unaccompanied group was 10.57 ± 3.62. The difference in PAED score between the two groups was statistically significant（t = 2.04，P = 0.03）. The incidence of restlessness in the accompanying group（26.67%）was significantly lower than that in the unaccompanied group（50.00%），and the difference was statistically significant（χ2 = 6.91，P = 0.01）. Conclusion　Parents′company during the induction period of anesthesia before treatment and during the recovery period after treatment can reduce the occurrence of children′s restlessness，improve parents′satisfaction with oral treatment，and promote good doctor-patient relations.

Key words: perioperative period, preschool children, sevoflurane, agitation, company

摘要： 目的　研究家长陪同对口腔门诊患儿七氟烷全身麻醉苏醒期躁动的影响。方法　选取2017年6—12月于重庆医科大学附属口腔医院行七氟烷全身麻醉口腔治疗患儿120例，随机分为陪同组和未陪同组，每组60例。陪同组患儿在治疗前麻醉诱导期及治疗后苏醒期均有家长陪同，未陪同组患儿在麻醉诱导期及苏醒期均无家长陪同。采用小儿麻醉苏醒期躁动量化评分表（pediatric anesthesia emergence delirium scale，PAED）对患儿麻醉苏醒期躁动情况进行评分，并计算躁动发生率。结果　陪同组PAED评分为（9.18 ± 3.41）分，未陪同组PAED评分为（10.57 ± 3.62）分，两组PAED评分比较，差异有统计学意义（t = 2.04，P = 0.03）。陪同组躁动发生率（26.67%）明显低于非陪同组（50.00%），差异有统计学意义（χ2 = 6.91，P = 0.01）。结论　治疗前麻醉诱导期及治疗后苏醒期有家长陪同，可减少患儿躁动的发生，提高家长对口腔治疗的满意度，促进良好的医患关系。

关键词: 围术期, 学龄前患儿, 七氟烷, 躁动, 陪同