论文部分内容阅读
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(NIPS),对入选住院新生儿100例分2组,治疗组及对照组各50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。治疗组轻度疼痛给予非药物疗法之抚触安慰,中重度以上疼痛予非药物疗法之抚触或/和喂配方奶;对照组不予任何处理,60min后对两组新生儿再行评分。结果100例新生儿在上述操作过程中疼痛评分均存在轻、中、重度疼痛,两组比较差异无显著性(P>0.05);治疗组轻、中、重度疼痛均给予上述非药物疗法相应处理,60min后对两组新生儿再行评分,两组相比,差异有非常显著性(P<0.01)。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,临床据评分程度予早期相应止痛处理可减轻疼痛对新生儿造成的不利影响,非药物疗法简便安全,易推广,近期疗效好。
Objective To explore the clinical diagnostic evaluation of neonatal pain and clinical measures to reduce pain stress. Methods The neonatal pain scale (NIPS) was used in this study. 100 newborns were enrolled in this study. The patients were divided into two groups (n = 50 in each group) and the control group (n = 50). During the routine medical operation (heel prick, venipuncture, Scoring after treatment, the score includes facial expressions, crying, upper and lower extremity activities, physiological indicators. Mild pain in the treatment group was given non-drug therapy of touch comfort, moderate to severe pain to non-drug therapy touch or / and feeding formula; control group without any treatment, 60min after the two groups of newborns and then score. Results All the 100 newborns had mild, moderate and severe pain scores during the above operation, with no significant difference between the two groups (P> 0.05). The mild, moderate and severe pain in the treatment group was given the corresponding non-drug therapy After 60 minutes, the two newborns were re-rated. There was significant difference between the two groups (P <0.01). Conclusion Neonatal pain is commonly used in medical practice. It can be evaluated comprehensively with the pain scale. According to the clinical score, early pain relief can reduce the adverse effects of pain on the newborn. Nonpharmacological therapy is simple, safe and easy to promote.