产后早期皮肤接触治疗对早产儿疼痛评分的影响

Effects of Early Skin-to-Skin Contact on Preterm Infant Pain Profile

目的:探讨产后早期皮肤接触治疗对早产儿疼痛刺激的耐受程度的影响。方法:收集我院早产母婴100例行随机对照研究,实验组给予早期皮肤接触,以未行皮肤接触者为对照组,早产儿足跟采血,并监测血氧饱和度、心率、面部表情及体温的变化。结果:从足跟采血开始,实验组与对照组均出现心率的增加及血氧饱和度的减低,但实验组两指标的变化程度均著低于对照组(P<0.05,P<0.05),且在120s处已经明显向基线水平靠拢。面部表情观察显示,实验组的整体水平均明显要优于对照组。观察过程中,两组新生早产儿的体温未发现统计学差异(P>0.05)。结论:产后早期皮肤接触可多方面提高28-37周早产儿对疼痛的耐受,有助于发育成长。

Objective： To investigate the effects of early skin-to-skin contact（SSC）on the preterm in- fants. Methods： One hundred preterm-infants were involved in this randomized study. Infants in SSC group were given early skin-to-skin contact as well as conventional treatment, and those in control group only received conventional treatment. When each infant received heel lancing for blood sampling, the changes of heart rate, 02 saturation, facial actions, and body temperature were recorded as the reactions for pain. Results： During blood sampling, both groups showed in- creased heart rate and decreased 02 saturation, but these reactions to pain were much milder in SCC group （P〈0.05, P〈0.05）, and turned back to normal within 120 seconds. Facial actions in SSC group were milder than in control group too. No difference in body temperature changes was found between the two groups. Conclusion： Early skin-to-skin contact may help improve the pain profile of preterm infants.