Bellieni Carlo V, Cordelli Duccio M, Marchi Simonetta, Ceccarelli Simona, Perrone Serafina, Maffei Marianna, Buonocore Giuseppe
Department of Pediatrics, Obstetrics and Reproductive Medicine, University of Siena, Italy.
Clin J Pain. 2007 Mar-Apr;23(3):219-21. doi: 10.1097/AJP.0b013e31802e3bd7.
Sensorial saturation (SS) is a procedure in which touch, massage, taste, voice, smell, and sight compete with pain, producing almost complete analgesia during heel prick in neonates. SS is an apparently complex maneuvre, but when correctly explained it is easily learnt. In the present paper, we studied its feasibility, assessing whether a long training is really needed to achieve good results.
We enrolled 66 consecutive babies and divided them randomly into 3 groups which received the following forms of analgesia: glucose plus sucking (A), SS performed by nurses (B), SS performed by mothers (C). We did not use perfume on the caregivers' hands, so that babies could smell the natural scent of the hands. We assessed pain level by the ABC scale.
Median scores of groups A, B, and C were: 1 (0 to 6), 0 (0 to 4), and 0 (0 to 6), respectively. Mean scores were: 0.6, 0.6, and 1.7 and standard errors were 0.38, 0.22, and 0.32, respectively. Scores of groups B and C were significantly lower than that of A (P=0.03 and 0.006, respectively). No significant difference was found between values of scores of groups B and C.
Even without the use of perfume on the hands, SS was effective as an analgesic maneuvre. It made no difference whether SS was performed by mothers who applied it for the first time or experienced nurses. SS is rapid to learn and any caregiver (mother, pediatrician or nurse) can effectively use it.
感觉饱和（SS）是一种通过触摸、按摩、味觉、声音、嗅觉和视觉来对抗疼痛的方法，在新生儿足跟采血时可产生几乎完全的镇痛效果。SS看似是一个复杂的操作，但正确讲解后很容易掌握。在本文中，我们研究了其可行性，评估是否真的需要长时间培训才能取得良好效果。
我们连续纳入66名婴儿，并将他们随机分为3组，分别接受以下镇痛方式：葡萄糖加吸吮（A组）、护士实施的SS（B组）、母亲实施的SS（C组）。我们未在护理人员手上使用香水，以便婴儿能闻到手的自然气味。我们通过ABC量表评估疼痛程度。
A组、B组和C组的中位数得分分别为：1（0至6）、0（0至4）和0（0至6）。平均得分分别为：0.6、0.6和1.7，标准误分别为0.38、0.22和0.32。B组和C组的得分显著低于A组（分别为P = 0.03和0.006）。B组和C组得分值之间未发现显著差异。
即使手上不使用香水，SS作为一种镇痛操作也是有效的。首次实施SS的母亲或经验丰富的护士实施SS并无差异。SS易于掌握，任何护理人员（母亲、儿科医生或护士）都能有效使用。
