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新生儿镇痛:一项关于营养性和非营养性吸吮刺激效果的病例对照研究。

Analgesia in newborns: a case-control study of the efficacy of nutritive and non-nutritive sucking stimuli.

作者信息

Lima Ana Henriques, Hermont Ana Paula, Friche Amélia Augusta de Lima

出版信息

Codas. 2013;25(4):365-8. doi: 10.1590/s2317-17822013005000002. Epub 2013 Aug 16.

Abstract

PURPOSE

To verify the nutritive and non-nutritive stimuli efficacy in the newborn's response to pain during venipuncture.

METHODS

The main sample was composed of 64 newborns that were randomly divided into three groups. The first group (n=20) received nutritive sucking stimulus that was performed through maternal breastfeeding. The second group (n=21) received non-nutritive sucking stimulus that was performed through the introduction of the researcher little finger in the newborn's oral cavity. The third group or control group (n=23) did not receive any analgesia stimulus. The newborns were evaluated using the Neonatal Infant Pain Scale, and the responses to painful stimuli were compared.

RESULTS

The nutritive as well as non-nutritive suction methods provided a comforting effect, resulting in lower pain response scores (p<0.05). There was no difference between the analgesia provided by both methods (p>0.05).

CONCLUSION

The nutritive and the non-nutritive sucking stimuli proved to be efficacious tools in relieving pain among newborns.

摘要

目的

验证在新生儿静脉穿刺时,营养性和非营养性刺激对新生儿疼痛反应的效果。

方法

主要样本由64名新生儿组成,他们被随机分为三组。第一组(n = 20)接受通过母乳喂养进行的营养性吸吮刺激。第二组(n = 21)接受通过将研究人员的小手指放入新生儿口腔进行的非营养性吸吮刺激。第三组即对照组(n = 23)未接受任何镇痛刺激。使用新生儿疼痛量表对新生儿进行评估,并比较对疼痛刺激的反应。

结果

营养性和非营养性吸吮方法均提供了安慰效果,导致疼痛反应评分较低(p<0.05)。两种方法提供的镇痛效果之间没有差异(p>0.05)。

结论

营养性和非营养性吸吮刺激被证明是缓解新生儿疼痛的有效工具。

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