摘要
目的:观察足跟采血时疼痛对早产儿行为状态的影响以及采用喂服25%葡萄糖水和吸吮安慰奶嘴两种方式减轻或缓解早产儿足跟采血时疼痛的效果。方法:选择新生儿病区的活产早产儿120例随机编入非营养性吸吮(NNS)组、喂服25%葡萄糖水(GS)组和对照组(未干预组)各40例,记录3组早产儿在穿刺过程中(穿刺均一次成功)以及穿刺后5 min每1 min的疼痛评分,即新生儿疼痛评分量表(NIPS)评分以及新生儿面部编码系统评分简表(NFCS)评分,测评3组早产儿的哭闹形态、呼吸形式、上肢动作、下肢动作、觉醒状态以及面部表情活动并记录分值。结果:穿刺过程中,NNS组和GS组早产儿NIPS和NFCS疼痛评分明显低于对照组,差异有统计学意义(P<0.05),NNS组和GS组间差异无统计学意义(P>0.05)。穿刺后1 min和2 min 3组早产儿的疼痛评分差异均有统计学意义(P<0.05),3 min后3组早产儿熟睡差异无统计学意义(P>0.05)。结论:葡萄糖水和非营养性吸吮可以有效缓解早产婴儿对足跟采血所产生的疼痛刺激,采血过程中可以明显减轻。
Objective： To observe behavior changes and pain scores of pronatis during the heel prick to collect blood and alleviate the pain of pronatis from heel prick when intervene with glucose （25%） feeding （GS） and non -nutritive sucking （NNS） . Methods： 120 pronatis were randomized into three groups, which accepted nursing intervention as non -nutritive sucking, glucose （25 % ） feeding （intervention group） , and control group, there were 40 cases in each group. The marks of NIPS and NFCS were observed and recorded in every group during the intervention and every minute of whole five minutes after the intervention. Marks of crying form, respiratory patterns, upper limbs action, lower limbs action, wakefulness and facial expression activities were evaluated and recorded. Results： There was significant difference in the pain scores among the three groups during the intervention. The pain mark of NNS group and GS group were obvious lower than that of control group （ F = 41.96, P 〈 0. 05 ; F = 29. 741, P 〈 0. 05 ）, but there was no significant difference between the two interven- tions （P 〉 0. 05 ） . There was significant difference after the intervention lasted two minutes. （ P 〈 0. 05 ）, but there was no significant difference after the two minute. Conclusion： Non - nutritive sucking and glucose feeding （25%） can effectively alliviate pain of pronatis caused by heel prick. The painful stimuli of the intervention groups is lower than that of control group.
出处
《中国妇幼保健》
CAS
北大核心
2014年第1期72-74,共3页
Maternal and Child Health Care of China
