耻骨上膀胱穿刺抽吸术或尿道插管术：在未行包皮环切术的男婴中哪种更痛？
Suprapubic Bladder Aspiration or Urethral Catheterization: Which is More Painful in Uncircumcised Male Newborns?
作者信息
Badiee Zohreh, Sadeghnia Alireza, Zarean Noushin
机构信息
Department of Pediatrics, School of Medicine, and Child Growth and Development Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
出版信息
Int J Prev Med. 2014 Sep;5(9):1125-30.
BACKGROUND
The aim was to compare the intensity of pain caused by suprapubic aspiration (SPA) and urethral catheterization for urine sampling in premature infants.
METHODS
A prospective randomized controlled design with 80 premature infants in Alzahra University Hospital, Isfahan, Iran was conducted. Premature newborns who needed urine samples for microbiologic analysis were randomly assigned into two groups: SPA group and urethral catheterization group. Newborn faces and upper parts of the body were videotaped during the study and the pain was assessed during urine collection using Premature Infant Pain Profile (PIPP) score. Furthermore, crying time compared between groups.
RESULTS
The mean crying time was significantly higher in SPA than urethral catheterization group (77 vs. 34.4 s) (P < 0.001). The PIPP score was significantly lower in urethral catheterization group (13.4) than SPA group (11.5) P < 0.001. The success rate of SPA was 53% compared with 71% success rate of urethral catheterization.
CONCLUSIONS
SPA is more painful than urethral catheterization in premature male infants as assessed by PIPP score and is more likely leads to procedure failure.
背景
目的是比较耻骨上穿刺抽吸（SPA）和尿道插管在早产儿尿液采样时引起的疼痛强度。
方法
在伊朗伊斯法罕的阿尔扎赫拉大学医院对80名早产儿进行了一项前瞻性随机对照设计。需要进行微生物分析尿液样本的早产新生儿被随机分为两组：SPA组和尿道插管组。研究期间对新生儿的面部和身体上部进行录像，并使用早产儿疼痛量表（PIPP）评分在尿液采集过程中评估疼痛。此外，比较两组之间的哭闹时间。
结果
SPA组的平均哭闹时间显著高于尿道插管组（77秒对34.4秒）（P<0.001）。尿道插管组的PIPP评分（13.4）显著低于SPA组（11.5）（P<0.001）。SPA的成功率为53%，而尿道插管的成功率为71%。
结论
根据PIPP评分评估，SPA在早产男婴中比尿道插管更痛苦，并且更有可能导致操作失败。
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