Obu Herbert A, Chinawa Josephat M
Department of Paediatrics, University of Nigeria Teaching Hospital, Enugu 01129, Nigeria.
Niger Med J. 2014 May;55(3):183-7. doi: 10.4103/0300-1652.132034.
Pain control in newborns is poorly understood and often neglected in neonatal practice in many settings in our environment. Managing pain among newborns can be quite challenging and the effectiveness of various interventions used to ameliorate pain in this category of patients are either unknown or poorly understood by many a people engaged in the care of newborns in one way or the other. A search for published works on neonatal analgesia was performed using Google and PubMed. The Cochrane Database of Systematic Reviews was also searched. The areas of focus were definition, pathophysiology and management of pain in neonates. Relevant information was extracted and processed. Contrary to what is widely believed in many quarters, howbeit erroneously, there is compelling evidence that newborns do indeed feel pain. Supportive care, comprising of use of sucrose, glucose, breastfeeding, kangaroo mother care are worthwhile measures in ameliorating pain in the newborn. Novel therapies (such as sensorial saturation and swaddling) have been evaluated and proven useful. The use of sedation did not show any beneficial results.
在我们所处环境的许多地方，新生儿疼痛控制在新生儿实践中未得到充分理解且常常被忽视。在新生儿中管理疼痛颇具挑战性，许多直接或间接参与新生儿护理的人员对用于改善这类患者疼痛的各种干预措施的有效性要么并不知晓，要么了解甚少。我们使用谷歌和PubMed搜索了已发表的关于新生儿镇痛的研究。还检索了Cochrane系统评价数据库。重点关注的领域是新生儿疼痛的定义、病理生理学和管理。提取并处理了相关信息。与许多地方广泛但错误地认为的情况相反，有令人信服的证据表明新生儿确实会感到疼痛。支持性护理，包括使用蔗糖、葡萄糖、母乳喂养、袋鼠式护理，是减轻新生儿疼痛的有价值措施。新型疗法（如感官饱和疗法和襁褓包裹法）已得到评估并证明有效。使用镇静剂未显示出任何有益效果。
