实用临床医药杂志2017，Vol.21Issue(18)：104-106,122,4.DOI:10.7619/jcmp.201718033
新生儿重症监护病房新生儿疼痛的评估及干预
Evaluation and intervention of neonatal pain in ICU neonates
摘要
Abstract
Objective To study the assessment of neonatal pain in the ICU neonates and to analyze the impact of the relevant interventions.Methods Neonates were divided into control group (untreated),NNS group (non-nutritive sucking),NNS + GS group (non-nutritive sucking and glucose).Before and after the procedure,heart rate,respiratory rate and oxygen saturation (SpO2) were monitored using Multi-Parameter Monitor ECG.Neonatal pain was evaluated using the preterm infant pain profile (PIPP).Results The success rate of one-time puncture in the control group was significantly lower than that in the NNS group and NNS + GS group,and it was significantly lower in the NNS group than that in the NNS group (P ＜ 0.05).The PIPP score of NNS group and NNS + GS group,and NNS + GS group was significantly lower than NNS group (P ＜ 0.05).After radial artery puncture,the heart rate and respiration were significantly increased,and SpO2 was significantly decreased (P ＜ 0.01).The heart rate,respiration and SpO2 of NNS group and NNS + GS group were significantly lower than that of control group (P ＜ 0.01),and can be quickly restored to prepuncture.Conclusion Heart rate,respiratory rate,SpO2 can be used as physiological indicators to evaluate neonatal pain.PIPP score is simple and practical to be applied in clinical practice.Non-nutritive sucking,non-nutritional sucking combination with glucose can relieve neonatal pain,and analgesic effects of non-nutritional sucking combined with glucose are better.关键词
新生儿疼痛/非营养性吸吮/桡动脉穿刺/葡萄糖Key words
neonatal pain/non-nutritive sucking/radial artery puncture/glucose分类
医药卫生引用本文复制引用
周晓君,孙琳,王珊珊,朱丕雷..新生儿重症监护病房新生儿疼痛的评估及干预[J].实用临床医药杂志,2017,21(18):104-106,122,4.基金项目
山东省中医药管理局资助课题(2015-364) （2015-364）
