早产儿静脉穿刺疼痛干预效果研究

Study on intervention effect of venipuncture pain in premature infants

目的探讨非药物干预方法对早产儿静脉穿刺疼痛的干预效果。方法将120例新生儿重症监护病房(NICU)早产儿按照入院顺序随机分为对照组、体位干预组、非营养性吸吮组、体位联合非营养性吸吮组,每组30例,评价三种干预方法对减轻早产儿静脉穿刺疼痛的效果。结果三个干预组NFCS疼痛分值、心率、呼吸频率均低于对照组且联合组最低,经皮血氧饱和度高于对照组且联合组最高,差异均有统计学意义(P<0.05);联合组啼哭发生率低于其他各组(P<0.01),三个干预组啼哭持续时间均低于对照组,联合组最低,差异有统计学意义(P<0.05)。结论体位干预、非营养性吸吮、两者联合均能降低早产儿静脉穿刺疼痛。体位干预与非营养性吸吮两种干预方式联合使用止痛效果优于单独使用。

Objective To investigate the effect of non-drug intervention on venipuncture pain in premature infants.Methods One hundred and twenty preterm infants in neonatal intensive care unit(NICU)were randomly divided into the control group,the postural intervention group,the non-nutritive sucking group,the postural combined non-nutritive sucking group,with 30 cases in each group.The effects of three intervention methods on alleviating venipuncture pain in preterm infants were evaluated.Results NFCS pain score,heart rate and respiratory rate in the three intervention groups were lower than those in the control group,with the lowest in the combined group;while percutaneous oxygen saturation was higher than that in the control group,with the highest in the combined group;the differences were statistically significant(P<0.05).The incidence of crying in the combined group was lower than that in other groups(P<0.01),the duration of crying in the three intervention groups was lower than that in the control group,and the combined group had the lowest crying duration,with statistical significance(P<0.05).Conclusion Postural intervention,non-nutritive sucking and the combination of both can reduce the pain of venipuncture in premature infants.The combined use of postural intervention and non-nutritive sucking has better analgesic effect than single use.