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早产儿足跟采血时生理及行为反应特点 被引量:4

FEATURES OF PHYSIOLOGICAL AND BEHAVIORAL RESPONSE TO PAIN IN PREMATURE INFANTS
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摘要 目的探讨早产儿足跟采血时生理及行为反应特点。方法2006年5~8月,选取NICU中胎龄32~34周、病情稳定的早产儿42例作为试验组,另选足月儿20例作为对照组,观察其足跟采血时生理指标、行为变化、早产儿疼痛评分简表(PIPP)得分并进行比较。结果早产儿受到疼痛刺激时,心率、经皮血氧饱和度、面部表情均有明显变化,前两项与针刺前比较差异有显著性(t=9.761、6.752,P〈0.001)。与对照组比较,以上指标改变及疼痛评分差异无显著性。结论早产儿与足月儿同样有感受和表达疼痛的能力。 Objective To observe the physiological and behavioral response to pain in premature infants. Methods Forty-two premature infants (gestational age, 32--36 weeks) in NICU, from May to August in 2006, and 20 full-term infants, as controls, were included in this study. Heart rate, oxygen saturation (SPOt), facial expression and score of preterm infant pain profile (PIPP) were recorded before, during and after drawing blood from the heel. Results The heart rate, SPO2, facial expression of the premature infants changed significantly after the procedures, compared with those before and during the procedures (P〈0. 001). However, no statistical differences were found between the premature and full-term infants in terms of the above items. Conclusion Preterm infants can show the ability to feel and express the pain as full-term infants do.
出处 《齐鲁医学杂志》 2008年第4期290-292,共3页 Medical Journal of Qilu
关键词 婴儿 早产 疼痛测定 监测 生理学 Infant, premature Pain measurement Monitoring, physiological
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