综合疼痛干预减轻新生儿足跟采血急性疼痛刺激的效果

Comprehensive pain intervention relieves newborns' acute pain stimulus

目的探讨综合疼痛干预减轻新生儿足跟采血急性疼痛刺激的效果。方法将100例新生儿随机分为对照组与干预组,每组各50例,对照组按常规进行足跟采血,干预组从足跟采血前5 min至采血结束后5 min实施综合疼痛干预措施。比较两组新生儿采血前30 s至采血后30 s心率及血氧饱和度、急性疼痛行为评分情况、采血时啼哭持续时间及疼痛面容持续时间。结果两组新生儿各项疼痛指标比较,均P<0.001,差异具有统计学意义。干预组新生儿急性疼痛行为评分、采血时啼哭持续时间、疼痛面容持续时间明显少于或短于对照组;两组新生儿采血前30 s、采血后30 s心率及血氧饱和度比较,均P>0.05,差异无统计学意义,采血时30 s新生儿心率比较,P<0.01,差异具有统计学意义,干预组新生儿心率明显少于对照组。结论新生儿接受足跟采血时,采用婴儿辐射保暖台保暖、奶头吸吮、10%的葡萄糖水吸吮、抚摸、屈曲体位综合疼痛干预措施,能够有效减轻新生儿侵入性操作导致的急性疼痛行为反应。

Objective To study the effect of comprehensive pain intervention on newborns ＇ acute pain stimulus on heel ＇s blood collection. Methods One hundred neonates were equally randomized into control group and treatment group. In the former,blood collection was done from heel without any intervention and in the latter the comprehensive intervention was done five minutes before blood collection from heel and 5 minutes after that. The two groups were compared in terms of heart rate, blood oxygen saturation,acute pain stimulus, crying time during collection and time for facial expressions 30 seconds before collection and 30 seconds after that.Results The score on pains and crying time during collection and time of pain face in the intervention group were significantly lower or shorter than those in the control group and the time for crying and painful facial expressions was both significantly shorter than those in the control group（P0.001）. There was insignificant different in blood oxygen saturation（P〉0.05） and significant in the heart rate（P〈0.01） 30 seconds before and after collection. Conclusion The comprehensive intervention by radiation warming, nipple or 10% glucose sucking, caressing and curled-up position can relieve effectively the pains from neonatal invasive operation.