Pereira Da Silva Tiago, Justo Da Silva Lincoln
Clínica Universitária de Pediatria, Faculdade de Medicina de Lisboa/Hospital de Santa Maria, Lisboa.
Acta Med Port. 2010 May-Jun;23(3):437-54. Epub 2010 Jun 14.
For many years, appropriate relevance has not been given for pain in newborn infants, but research brought to light this important subject in neonatal medicine. Pain scores have been organized in scales and validated to be used in clinical practice. Currently, there are several scales based on different pain indicators. These scales should be used according to different circumstances. With the purpose of helping health professionals, a systematic review of neonatal pain scales based on gestational age, duration of painful episode and type of pain indicator was carried out. Data concerning validation of the scales were also analyzed and two scales for use in clinical practice or in research are suggested.
多年来,新生儿的疼痛问题一直未得到应有的重视,但研究揭示了新生儿医学中这一重要课题。疼痛评分已被编制成量表并经验证可用于临床实践。目前,有几种基于不同疼痛指标的量表。这些量表应根据不同情况使用。为了帮助卫生专业人员,我们基于胎龄、疼痛发作持续时间和疼痛指标类型对新生儿疼痛量表进行了系统评价。还分析了有关量表验证的数据,并推荐了两种可用于临床实践或研究的量表。