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目的探讨不同干预方法缓解新生儿疼痛的效果。方法将160例住院新生儿随机分为对照组(未干预组)、拥抱抚触(TTS)组、吸吮8%葡萄糖水(GS)组和非营养性吸吮(NNS)组各40例,在采足跟血疼痛刺激前、刺激后20s、1min、2min、3min分别记录心率、呼吸频率、经皮氧饱和度和哭声持续时间。结果穿刺后20s各组心率、穿刺后1min各组呼吸均较穿刺前增快,差异有统计学意义(P<0.01);1min时TTS组心率恢复至穿刺前水平;2min时TTS组呼吸频率,GS组和NNS组心率和呼吸频率恢复至穿刺前水平;3min时对照组恢复至穿刺前水平。各组经皮血氧饱和度穿刺前后差异无统计学意义(P>0.05)。穿刺后哭声持续时间TTS组、GS组和NNS组均短于对照组,差异有统计学意义(P<0.01),且TTS组哭声持续时间短于GS组和NNS组(P<0.05)。结论新生儿对急性疼痛很敏感,TTS、吸吮GS和NNS对新生儿均有明显止痛作用,可在临床治疗护理中应用,以减轻新生儿操作性疼痛。
Objective To explore the effect of different interventions on relieving neonatal pain. Methods Totally 160 in-hospital newborns were randomly divided into control group (untreated group), hugging touch group (TTS), sucking 8% glucose water group (GS) and non-nutritive sucking group (NNS) Heel pain, pain, stimulation before 20s, 1min, 2min, 3min were recorded heart rate, respiratory rate, percutaneous oxygen saturation and cessation duration. Results The heart rate of each group after 20 seconds of puncturing was significantly higher than that before puncturing 1 minute after puncturing (P <0.01), and the heart rate of TTS group recovered to the level of pre puncture at 1 minute. The respiratory rate, Heart rate and respiratory rate in GS group and NNS group returned to the pre-puncture level; at 3 minutes, the control group returned to the pre-puncture level. There was no significant difference in percutaneous oxygen saturation between the two groups (P> 0.05). The duration of crying after puncture was shorter in TTS group, GS group and NNS group than in control group (P <0.01), and duration of crying in TTS group was shorter than that in GS group and NNS group (P <0.05) . Conclusion The newborn is very sensitive to acute pain. TTS, sucking GS and NNS have significant analgesic effects on newborns. It can be used in clinical nursing to reduce the operational pain in neonates.