皮肤接触对健康新生儿具有镇痛作用。
Skin-to-skin contact is analgesic in healthy newborns.
作者信息
Gray L, Watt L, Blass E M
机构信息
Department of Pediatrics, Boston University School of Medicine, Boston, Massachusetts, USA.
出版信息
Pediatrics. 2000 Jan;105(1):e14. doi: 10.1542/peds.105.1.e14.
OBJECTIVES
To determine whether skin-to-skin contact between mothers and their newborns will reduce the pain experienced by the infant during heel lance.
DESIGN
A prospective, randomized, controlled trial.
SETTING
Boston Medical Center, Boston, Massachusetts.
PARTICIPANTS
A total of 30 newborn infants were studied.
INTERVENTIONS
Infants were assigned randomly to either being held by their mothers in whole body, skin-to-skin contact or to no intervention (swaddled in crib) during a standard heel lance procedure.
OUTCOME MEASURES
The effectiveness of the intervention was determined by comparing crying, grimacing, and heart rate differences between contact and control infants during and after blood collection.
RESULTS
Crying and grimacing were reduced by 82% and 65%, respectively, from control infant levels during the heel lance procedure. Heart rate also was reduced substantially by contact.
CONCLUSION
Skin-to-skin contact is a remarkably potent intervention against the pain experienced during heel stick in newborns.
目的
确定母婴之间的皮肤接触是否会减轻婴儿足跟采血时所经历的疼痛。
设计
一项前瞻性、随机、对照试验。
地点
马萨诸塞州波士顿市的波士顿医疗中心。
参与者
共研究了30名新生儿。
干预措施
在标准足跟采血过程中，将婴儿随机分为两组，一组由母亲全身怀抱，进行皮肤接触；另一组不进行干预（裹在婴儿床里）。
观察指标
通过比较采血期间及采血后接触组和对照组婴儿的哭闹、面部痛苦表情及心率差异，来确定干预措施的有效性。
结果
在足跟采血过程中，接触组婴儿的哭闹和面部痛苦表情分别比对照组婴儿减少了82%和65%。接触也使心率大幅降低。
结论
皮肤接触是一种非常有效的干预措施，可减轻新生儿足跟采血时所经历的疼痛。
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