早期疼痛管理对新生儿疼痛刺激后的疼痛度及早期生长发育的影响分析

Analysis of the effect of early pain management on pain level and early growth and development of neonates after painful stimulation

目的分析早期疼痛管理对新生儿疼痛刺激后的疼痛度及早期生长发育产生的影响。方法110例新生儿为研究对象,按照随机数字表法将其分为管理组与常规组,各55例。常规组接受常规干预,管理组在常规组基础上接受早期疼痛管理。比较两组新生儿疼痛刺激前后疼痛度评分及出生时和干预3个月体格发育指标、神经发育指标。结果疼痛刺激后,管理组新生儿疼痛度评分(5.00±0.68)分低于常规组的(6.01±1.51)分(P<0.05)。出生3个月,管理组新生儿头围(41.23±4.21)cm、身高(63.98±5.14)cm和体质量(8.01±1.21)kg均高于常规组的(39.56±3.51)cm、(61.02±4.63)cm、(7.03±1.22)kg(P<0.05)。出生3个月,管理组大运动、交往、语言、精细动作、适应能力得分分别为(79.89±3.65)、(77.89±4.16)、(76.59±4.55)、(78.55±3.98)、(79.96±3.65)分,均高于常规组的(75.46±4.16)、(73.56±3.98)、(72.56±3.65)、(72.56±4.98)、(75.01±3.89)分(P<0.05)。结论对新生儿实施早期疼痛管理有助于降低其疼痛刺激后的疼痛度,且有助于加速其体格和神经发育,具有一定推广应用价值。

Objective To analyze the effect of early pain management on pain level and early growth and development of neonates after painful stimulation.Methods A total of 110 neonates were selected as the research subjects.According to the random number table method,they were divided into a management group and a routine group,with 55 cases in each group.The routine group received routine intervention,and the management group received early pain management on the basis of the routine group.Both groups were compared in terms of pain scores before and after painful stimulation,the physical and neural development indicators at birth and 3 months after intervention.Results After painful stimulation,the pain score of neonates in the management group was(5.00±0.68)points,which was lower than(6.01±1.51)points in the routine group(P<0.05).At 3 months after birth,the head circumference,length,weight,and in the management group were(41.23±4.21)cm,(63.98±5.14)cm and(8.01±1.21)kg,which were higher than(39.56±3.51)cm,(61.02±4.63)cm and(7.03±1.22)kg in the routine group(P<0.05).At 3 months after birth,the scores of general motor,communication,language,fine motor and adaptive ability in the management group were(79.89±3.65),(77.89±4.16),(76.59±4.55),(78.55±3.98)and(79.96±3.65)points,which were higher than(75.46±4.16),(73.56±3.98),(72.56±3.65),(72.56±4.98)and(75.01±3.89)points in the routine group(P<0.05).Conclusion Early pain management for neonates can help reduce the pain level and accelerate their physical and neurological development,which has a certain promotion and application value.