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目的 探索新生儿疼痛临床诊断评估方法及降低疼痛应激的临床对策。方法 采用自行制定的新生儿疼痛量表 ,对入选住院新生儿 1 0 0例分 2组 ,评估及对照组各 5 0例 ,在常规医疗操作 (足跟采血、静脉穿刺等 )过程中及处理后进行评分 ,评分内容包括面部表情、啼哭程度、上下肢活动、生理指标等 ;轻中度以上疼痛给予非药物止痛 (抚触或喂糖水等 ) ,重度以上予小剂量止痛药口服。结果 入选新生儿在上述操作过程中疼痛评分均存在轻中重度疼痛 ,两组比较无明显差异 (P >0 0 5 ) ;中度以上疼痛评估组给予相应处理 ,6 0分钟后对两组新生儿再行评分 ,两组相比 ,经统计学处理P <0 0 1 ,有非常显著性差异。结论 新生儿疼痛在医疗操作中常见 ,可用疼痛量表综合评估 ,临床据评分程度予相应止痛处理可减轻疼痛对新生儿造成的不利影响。
Objective To explore the clinical diagnostic evaluation of neonatal pain and clinical measures to reduce pain stress. Methods A neonatal pain scale was used. 100 newborns admitted to hospital were divided into two groups, 50 cases in control group and 50 cases in control group. During routine medical operation (heel bleeding, venipuncture, etc.) and treatment After grading, the score includes facial expression, crying level, upper and lower extremities activities, physiological indicators, etc .; mild to moderate pain given non-drug analgesic (touching or fed with water, etc.), severe over a small dose of oral painkillers. Results The newborn infants had mild to moderate pain during the above operation, there was no significant difference between the two groups (P> 0.05); moderate pain evaluation group was given the corresponding treatment, 60 minutes after the two groups of freshmen Children again score, compared to the two groups, the statistical treatment P <0 0 1, there is a very significant difference. Conclusion Neonatal pain is common in medical practice. It can be evaluated comprehensively by using the pain scale. According to the degree of clinical evaluation, pain relief can reduce the adverse effects of pain on the newborn.