摘要
近十年来新生儿疼痛引起新生儿科临床医生护士的广泛关注。侵入性护理操作是患病新生儿经常、反复经历的疼痛刺激，对新生儿科造成一系列近期及远期不良影响，如生理反应、激素和代谢水平变化、食欲减退、痛觉改变、认知行为改变等。该文综述了新生儿操作性疼痛的护理进展：药物干预（阿片类、非类固醇类镇痛药、局部麻醉）、环境和行为干预（包括体位、抚触诱导、音乐疗法、非营养性吸吮、口服糖水、母乳喂养），为临床护理提供依据。新生儿科医护工作者应充分认识到防治新生儿疼痛的意义，尽量减少操作性疼痛对新生儿的近期及远期不良影响。
Pain in infants has prevalently attracted the attention of neonatal doctors and nurses during the latest decade. Sick neonates suffer from frequent and repetitive algogenic stimulations. Pain produced by invasire nursing procedures is the main painful stimulation in neonates, which leads to a series of short - and long - term detrimental effects, such as physiological responses, hormonal and metabolic changes, anorexia, algesia change, cognitive and behavioral change, and so on. It expatiated nursing progress of neonatal procedural pain： pharmacological interventions （ including opioids, non - steroidal anti - inflammatory drugs, local anaesthetic agents）, environmental and behavioral interventions （ including positioning, transmitting tactile sensation, music therapy, non - nutritive sucking, feeding of sweet compounds such as sucrose, glucose, and saccharine, bread feeding）, so as to provide a basis for clinical nursing care. Neonatal clinicians should be fully aware of the significance of management of pain in infants, and do our best to minimize harmful consequences of pain produced by invasive procedures in neonates.
出处
《国际护理学杂志》
2007年第3期225-228,共4页
international journal of nursing
关键词
新生儿
疼痛
侵入性护理操作
护理干预
Neonates
Pain
Invasive nursing procedures
Nursing interventions
