Eriksson Mats, Gradin Maria
Department of Paediatrics, Orebro University Hospital, Orebro, Sweden.
Acta Paediatr. 2008 Jul;97(7):870-4. doi: 10.1111/j.1651-2227.2008.00826.x. Epub 2008 May 7.
The aim of this study was to investigate the degree to which Swedish neonatal units have adopted the national guidelines for prevention and treatment of pain in newborn infants.
A survey was sent to all units in Sweden that provide neonatal care. For a list of potentially painful procedures, compiled from the national neonatal pain guidelines, the units were asked if they would use pharmacological and/or behavioural interventions, and in each case to specify the treatment.
The response rate was 80.4%. Eighty-eight percent of the units had written guidelines for pain management, and 59% of these had been updated within the last 2 years. For almost every presented case, all units reported that they used either pharmacological or behavioural treatment or both. The survey showed a wide variation in morphine and paracetamol dosing and the absence of a paracetamol loading dose in a fourth of the units.
This study suggests that a majority of Swedish neonatal units have adopted pain management guidelines in concordance with the Swedish national guidelines, and kept them up-to-date. For most painful situations a variety of behavioural and pharmacological interventions are used, often in combination.
本研究旨在调查瑞典新生儿病房采用国家新生儿疼痛防治指南的程度。
向瑞典所有提供新生儿护理的病房发送了一份调查问卷。对于从国家新生儿疼痛指南中汇编的一系列可能引起疼痛的操作，询问各病房是否会采用药物和/或行为干预措施，并在每种情况下具体说明治疗方法。
回复率为80.4%。88%的病房有疼痛管理书面指南，其中59%在过去两年内进行了更新。对于几乎每一个列出的案例，所有病房都报告称他们使用了药物治疗或行为治疗或两者兼用。调查显示，吗啡和对乙酰氨基酚的给药剂量差异很大，四分之一的病房没有使用对乙酰氨基酚负荷剂量。
本研究表明，大多数瑞典新生儿病房已采用与瑞典国家指南一致的疼痛管理指南，并使其保持最新。对于大多数疼痛情况，通常会联合使用多种行为和药物干预措施。
