摘要
目的探讨母乳吸吮对足月新生儿足跟采血的影响。方法将产科病房48例接受足跟采血筛查的足月新生儿,随机分为干预组和对照组,各24例。干预组新生儿在足跟采血前2min至采血结束后8min吸吮母乳,对照组新生儿给予常规足跟采血。观察2组新生儿的疼痛面容、啼哭、心率、血氧饱和度指标。结果干预组新生儿足跟采血后疼痛面容和啼哭出现的时间晚于对照组(p均<0.05),啼哭人数少于对照组(p<0.05),疼痛面容和啼哭的持续时间也短于对照组(p均<0.05);干预组新生儿在采血过程中和采血结束后1～4min的血氧饱和度均高于对照组(p均<0.05),采血结束后血氧饱和度的恢复时间也短于对照组(p<0.05)。结论母乳吸吮能有效减轻足月新生儿足跟采血的疼痛程度,有利于维持血氧饱和度稳定,值得推广。
Objective： To explore the influence of breast milk suck on heel drawbolood of full-term newborn. Methods： 48 full-term newborn infants who were taking heel drawblood were randomly divided into control group and intervention group, each group had 24 newborn infants. The infants in intervention group were given breast milk suck from two mintures before heel drawblood to eight minutes afterwards, while the infants in control group were taken heel drawblood following regular procedure without breast milk suck.. The facial features of pain, crying, heart rate, and oxyhemoglobin saturation of the infants were compared with the two groups. Results： The facial features of pain and crying in intervention group came out later than that of the control group （both ps〈0.05）. There were fewer infants in intervention group who cried than that of the control group （P〈0.05）. The duration of the facial features of pain and crying were shorter than that of the control group （both ps〈0.05）. The oxyhemoglobin saturation in the intervention group during heel drawblood and 1-4 mintues afterwards were higher than that of the control group（both ps〈0.05）. The recovery time of oxyhemoglobin saturation after the heel drawblood in the interventino group was shorter than that of the control group （p〈0.05）. Conclusion： Breast milk suck during heel drawbolood of full-term newborn could relieve their pain, and keep the oxyhemoglobin saturation on a maintenance level, which should be widely used in clinical nuring.
