摘要
目的:探索新生儿疼痛临床观察,诊断方法及降低疼痛应激的临床对策。方法:对254例新生儿NICU的医疗过程中操作性疼痛进行临床观察,观察其生理表现:迷走神经张力减低,植物神经系统改变;行为表现:包括面部表情(蹙眉、挤眼、鼻唇沟起皱、张口)、哭声、粗大运动及行为状态(睡眠和食欲)的改变等。对新生儿急性疼痛做出评分,得出正确的诊断,并采用综合干预的策略:非药物性干预方法或与局部的药物镇痛法联合使用,或药物镇痛。结果:254例新生儿在NICU的医疗过程中操作性疼痛得到正确的预防,诊断和治疗,对新生儿急性疼痛的再评分显示新生儿生理和行为表现明显改善。结论:NICU内的各种侵袭性操作所致新生儿疼痛,不仅造成婴儿近期的生理、行为紊乱,还将导致严重的远期后果,造成感知行为和神经功能上的损害;预防,诊断和综合干预可降低疼痛应激,有效阻断疼痛危害。
Objective： To explore newborn infants＇ clinical observation, diagnostic methods, and emergent clinical countermeasures of weakening the pain. Methods： Operability pain of 254 cases during medical process was observed, Their physiological performances were firstly observed, including vagal catatonosis and changes of vegetative nervous system. Then their behavioral performances, including facial expressions （knitting the brows, winking, corrugation of nasolabial groove and gape）, cry, big motion, changes of behavior state （sleep and appetite） and so on. Newborn infants＇ acute pain was graded to make confirmed diagnosis, and using the strategy of comprehensive intervention： combining intervention methods of non-drug with local Medicine analgesia or Medicine analgesia. Results： Using the correct prevention,diagnosis and treatment for operability pain of 254 cases in NICU during medical process, it implied the apparent improvement of their physiology and behavior according to the regrading of newborn infants＇ acute pain. Conclusion： All kinds of the invasive operations in NICU resulted in newborn infants＇ pain, not only causing the physiological and behavioral disorder of babies in the near future, but also the severe long-term consequences-damages of apperception and nerve functions. Prevention, diagnosis and comprehensive intervention can reduce the pain stress and effectively block any harm of pain.
出处
《现代生物医学进展》
CAS
2008年第10期1913-1915,共3页
Progress in Modern Biomedicine
关键词
新生儿疼痛
镇痛
Newborn Infants＇ Pain
Analgesia
