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科学现状:新生儿程序性疼痛管理

State of the science: procedural pain management in the neonate.

作者信息

D'Apolito Karen C

机构信息

Neonatal Nurse Practitioner Program, Vanderbilt University School of Nursing, Nashville, Tenn, USA.

出版信息

J Perinat Neonatal Nurs. 2006 Jan-Mar;20(1):56-61. doi: 10.1097/00005237-200601000-00018.

DOI:10.1097/00005237-200601000-00018
PMID:16508464
Abstract

Neonates in the neonatal intensive care unit experience painful procedures. Over the last 10 years, investigators have examined several pharmacologic and nonpharmacolgic treatment strategies to decrease or eliminate the pain associated with mechanical ventilation, endotrachial intubation, insertion of percutaneous or central venous lines, heel stick, and venipuncture. These procedures and others are addressed as well as the reported severity of pain associated with these procedures. Progress has been made in the past decade to establish evidence-based treatments that will help the clinician more effectively relieve neonatal stress and pain when performing many routine procedures.

摘要

新生儿重症监护病房的新生儿会经历痛苦的操作。在过去十年中,研究人员研究了几种药物和非药物治疗策略,以减少或消除与机械通气、气管插管、经皮或中心静脉置管、足跟采血和静脉穿刺相关的疼痛。这些操作以及与之相关的疼痛严重程度都有涉及。在过去十年中已取得进展,确立了基于证据的治疗方法,这将有助于临床医生在进行许多常规操作时更有效地减轻新生儿的应激和疼痛。

相似文献

1
State of the science: procedural pain management in the neonate.科学现状:新生儿程序性疼痛管理
J Perinat Neonatal Nurs. 2006 Jan-Mar;20(1):56-61. doi: 10.1097/00005237-200601000-00018.
2
Efficacy of sucrose as analgesia for procedural pain in neonates.蔗糖对新生儿程序性疼痛的镇痛效果。
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Painful procedures in the NICU.新生儿重症监护病房中的痛苦操作。
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Evidence-based review of oral sucrose administration to decrease the pain response in newborn infants.基于证据的口服蔗糖用于降低新生儿疼痛反应的综述。
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AACN Clin Issues. 2005 Jul-Sep;16(3):373-87. doi: 10.1097/00044067-200507000-00010.
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The ten commandments of pain assessment and management in preterm neonates.早产儿疼痛评估与管理的十诫。
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Efficacy and safety of sucrose for procedural pain relief in preterm and term neonates.蔗糖用于缓解早产和足月新生儿操作疼痛的有效性和安全性。
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Sucrose as analgesia for neonates experiencing "mild" pain.蔗糖对经历“轻度”疼痛的新生儿具有镇痛作用。
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Randomised crossover trial showed that using breast milk or sucrose provided the same analgesic effect in preterm infants of at least 28 weeks.随机交叉试验表明,对于至少 28 周龄的早产儿,使用母乳或蔗糖提供的镇痛效果相同。
Acta Paediatr. 2018 Mar;107(3):436-441. doi: 10.1111/apa.14151. Epub 2017 Dec 19.
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NICU procedures are getting sweeter: development of a sucrose protocol for neonatal procedural pain.新生儿重症监护室的操作正变得更人性化:一种用于新生儿操作疼痛的蔗糖方案的制定。
Neonatal Netw. 2010 Sep-Oct;29(5):271-9. doi: 10.1891/0730-0832.29.5.271.

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Efficacy of Oral Dextrose versus Acetaminophen versus Placebo on Pain Relief during Retinopathy of Prematurity Eye Examinations: A Randomized, Double-Blind Controlled Clinical Trial.口服葡萄糖与对乙酰氨基酚及安慰剂在早产儿视网膜病变眼部检查期间缓解疼痛的疗效比较:一项随机、双盲对照临床试验
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Effect of skin-to-skin contact on preterm infant skin barrier function and hospital-acquired infection.皮肤接触对早产儿皮肤屏障功能及医院获得性感染的影响。
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