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目的:分析国内外早产儿疼痛评估工具的研究、应用现状,为早产儿疼痛评估提供参考。方法:检索PubMed、中国期刊全文数据库(CNKI)和万方医学网数据库近10年有关早产儿疼痛评估的文献。结果:共纳入270篇文献。其中临床实验类文献212篇.有30篇(14.15%)未采用明确的疼痛评估工具,91篇(42.92%)未对评估工具的信效度作出评价直接使用,92篇(43.40%)未明确指出评估量表得分对临床疼痛管理的指导意义。结论:国内外早产儿疼痛评估工具使用不规范的现象普遍存在,可能误导疼痛治疗,有必要进一步对早产儿疼痛评估进行规范。
OBJECTIVE: To analyze the research and application status of pain assessment tools in preterm infants at home and abroad, and to provide a reference for the assessment of pain in preterm infants. Methods: The literature about PubMed, Chinese Journal Full-text Database (CNKI) and Wanfang Medical Network database for the past 10 years about the assessment of pain in preterm infants was searched. Results: A total of 270 articles were included. Among them, there were 212 articles in clinical trials.30 (14.15%) did not use definite pain assessment tools, 91 (42.92%) did not evaluate the reliability of assessment tools directly, 92 (43.40%) were not clear Pointed out that the assessment scale score for the guidance of clinical pain management. Conclusion: The nonstandard use of pain assessment tools in preterm infants at home and abroad is ubiquitous and may mislead the pain treatment. It is necessary to further regulate the assessment of pain in premature infants.