口服蔗糖联合音乐疗法对新生儿足跟采血疼痛的影响

Analgesic Effect of Combination of Oral Sucrose Solution and Music Therapy During Heel Lance in Term Neonates

目的观察口服蔗糖溶液联合音乐疗法缓解新生儿足跟采血疼痛的效果。方法选取我院及台山市人民医院2015年1月1日—2018年12月31日新生儿180例,随机分成对照组、蔗糖组、音乐组和联合组,每组45例。对照组新生儿予常规足跟采血处理。蔗糖组新生儿在足跟采血前2 min口腔内缓慢注射1 mL 25%蔗糖溶液。音乐组新生儿足跟采血前20 min开始用智能手机播放音乐新生儿专用音乐。联合组新生儿结合蔗糖组和音乐组新生儿干预方式。记录四组新生儿足跟采血时心率、氧饱和度、哭闹例数、哭闹持续时间、足跟抽血时间、新生儿疼痛评估量表(neonatal infant pain scale,NIPS)评分和早产儿疼痛量表(premature infant pain profile,PIPP)评分。结果足跟采血时蔗糖组、音乐组和联合组新生儿心率低于对照组新生儿,而氧饱和度高于对照组新生儿(P<0.05);足跟采血时联合组新生儿心率低于蔗糖组和音乐组新生儿,而氧饱和度高于蔗糖组和音乐组新生儿(P<0.05)。蔗糖组、音乐组和联合组新生儿足跟采血时哭闹例数、哭闹持续时间和足跟采血时间小于对照组新生儿(P<0.05),联合组新生儿足跟采血时哭闹持续时间和足跟采血时间小于蔗糖组和音乐组新生儿(P<0.05)。蔗糖组、音乐组和联合组新生儿足跟采血时NIPS评分和PIPP评分均低于对照组新生儿(P<0.05)。联合组新生儿足跟采血时NIPS评分和PIPP评分均低于蔗糖组和音乐组新生儿(P<0.05)。结论口服蔗糖溶液联合音乐疗法较单纯口服蔗糖溶液和单纯音乐疗法可进一步降低新生儿足跟采血疼痛。

Objective To observe the analgesic effect of combination of oral sucrose solution and music therapy during heel lance in term neonates.Methods 180 term neonates from 1st January 2015 to 31st December 2019 were assigned the control group,the sucrose group,the music group and the combination group randomly(n=45).Neonates in the control group received regular heel lance nursing.Neonates in the sucrose group received 25%oral sucrose solution 1 mL 2 min before heel lance.Neonates in the music group listened to the neonate-specialized music 20 min before heel lance with smart phone.Neonates in the combination group received the intervention combined the sucrose group and the music group.Heart rates,oxygen saturation,percentage of crying,crying time,heel lance time,neonatal infant pain scale(NIPS)scores and premature infant pain profile(PIPP)scores were recorded.Results The heart rate of the newborns in sucrose group,music group and combined group was lower than that in the control group,while the oxygen saturation was higher than that in the control group(P<0.05);The heart rate in the combined group was lower than that in the sucrose group and music group,while the oxygen saturation was higher than that in the sucrose group and music group(P<0.05).The number of crying cases,duration of crying and time of heel blood collection in sucrose group,music group and combined group were less than those in control group(P<0.05),the duration of crying and the time of heel blood collection in the combined group were shorter than those in the sucrose group and music group(P<0.05).The scores of nips and PIPP in the sucrose group,music group and combined group were lower than those in the control group(P<0.05).The scores of nips and PIPP in the combined group were lower than those in the sucrose group and music group(P<0.05).Conclusion Combination of oral sucrose solution and music therapy have a better analgesic effect during heel lance in term neonates than oral sucrose solution and music therapy.