四川医学2018，Vol.39Issue(4)：467-471,5.DOI:10.16252/j.cnki.issn1004-0501-2018.04.028
袋鼠式护理联合非营养性吸吮对缓解早产儿微量血糖采血疼痛的作用
Effect of Kangaroo Mother Care Combined with Non Nutritive Sucking on Alleviating the Pain of Trace Blood Glucose Collection in Premature Infants
何婧 1刘蓓蓓 1罗敏 1罗利琼 1黄海蓉 1何丹 1王肜1
作者信息
- 1. 四川省妇幼保健院新生儿科,四川成都610000
- 折叠
摘要
Abstract
Objective To study the effect of Kangaroo Mother Care(KMC) combined with Non Nutritive Sucking(NNS) on alleviating the pain caused by trace blood glucose collection in premature infants.Methods From May 2016 to April 2017,100 preterm infants who were hospitalized in the Department of Neonatal of our hospital and received monitoring of trace blood glucose were selected as subjects.According to the method of random digital table,they were randomly divided into observation group(n =52) and control group(n =48).Thirty minutes after KMC,the preterm infants in the observation group were given continuous NNS and trace blood sugar extraction at the same time,after blood collection,NNS was continued for 2 minutes,and KMC lasted for 2 hours totally;The preterm infants in the control group received trace blood glucose collection in the warm box according to the routine procedure;Blood samples were both collected from the heel of preterm infants in both groups.The pain degree of preterm infants was evaluated by the pain score scale of preterm infants(PIPP).The PIPP score and crying rate at the time of blood collection and difference of heart rate and oxygen saturation before,during and after blood collection was compared between the two groups.Results ①At the time of trace blood glucose collection,for premature infants in the observation group,the heart rate was (148.46 ± 5.12)times/min and the oxygen saturation was(84.85 ± 5.64)％ at 30 seconds of the beginning of the blood collection,while the heart rate was (158.596 ± 4.48) times/min,the blood oxygen saturation was (79.87 ± 6.23) ％,and the PIPP score was (5.56 ± 1.62) at 60 seconds,which were all lower than those of the control group at 30 seconds:the heart rate was (163.78 ± 5.27) times/min,the blood oxygen saturation was (76.86 ± 8.98) ％ and PIPP score was (10.03 ± 1.58),and the differences were all statistically significant(P ＜ 0.01).②At the time of trace blood glucose collection,the incidence of crying in the observation group was 50％,which was significantly lower than that in the control group (x2 =6.621) (P ＜ 0.01).Conclusion KMC combined with NNS can effectively relieve the pain stimulation of premature infants caused by collecting trace blood sugar.关键词
袋鼠式护理/非营养吸允/疼痛/采血/早产儿Key words
kangaroo mother Care/non nutritive sucking/pain/blood collection/premature infants分类
医药卫生引用本文复制引用
何婧,刘蓓蓓,罗敏,罗利琼,黄海蓉,何丹,王肜..袋鼠式护理联合非营养性吸吮对缓解早产儿微量血糖采血疼痛的作用[J].四川医学,2018,39(4):467-471,5.
