Suhrabi Zainab, Taghinejad Hamid, Valian Kobra, Sayehmiri Kourosh, Taheri Safoura
Lecturer, Department of Midwifery, Ilam University of Medical Sciences , Ilam, IR Iran .
Assistant Professor, Department of Nursing, Ilam University of Medical Sciences , Ilam, IR Iran .
J Clin Diagn Res. 2014 Oct;8(10):PC01-3. doi: 10.7860/JCDR/2014/10057.5053. Epub 2014 Oct 20.
This study was performed to compare the effectiveness of two analgesics for the management of vaccination pain.
A total of 90 neonates to be vaccinated against Hepatitis B were assigned to Glucose, Sucrose and control groups at Shahid Mostafa Khomini hospital. 2cc oral Glucose 25% and 2cc oral Sucrose 25% with Syringe were given for 30 sec then 2 min later Hepatitis-B vaccine injected by vaccinator and pain intensity measured by Neonatal Infant Pain Scale (NIPS) during 1-2 min. The third group (control) no intervention was performed. The collected data were analysed by SPSS18 Software and ANOVA and LSD tests were used.
Research results showed that there were no significant differences between groups in term of Apgar score, delivery type, sex, head circumstance, weight and height. By comparison of pain severity in two groups, mean and Standard deviation of pain, group that received Glucose solution had more intensity than Sucrose group (3 ± 1.66 vs. 2.90 ± 1.44), but this difference was not significant statistically (p=0.78). Comparison of pain intensity in control and intervention groups showed that the pain intensity in control group is higher than intervention groups (p<0.001).
Patients who received Glucose or Sucrose had lower pain intensity in comparison with the other. The pain intensity in patients who received sucrose was less than the glucose group, but this difference was not significant statistically.
本研究旨在比较两种镇痛药在处理疫苗接种疼痛方面的有效性。
在沙希德·穆斯塔法·霍梅尼医院,将总共90名即将接种乙肝疫苗的新生儿分为葡萄糖组、蔗糖组和对照组。用注射器给予2毫升25%的口服葡萄糖和2毫升25%的口服蔗糖,持续30秒,然后2分钟后由接种人员注射乙肝疫苗,并在1至2分钟内用新生儿疼痛量表(NIPS)测量疼痛强度。第三组(对照组)不进行干预。收集的数据用SPSS18软件进行分析,并使用方差分析和LSD检验。
研究结果表明,在阿氏评分、分娩方式、性别、头围、体重和身高方面,各组之间没有显著差异。通过比较两组的疼痛严重程度、疼痛的平均值和标准差,接受葡萄糖溶液的组比蔗糖组的疼痛强度更高(3±1.66对2.90±1.44),但这一差异在统计学上不显著(p = 0.78)。对照组和干预组的疼痛强度比较表明,对照组的疼痛强度高于干预组(p<0.001)。
与另一组相比,接受葡萄糖或蔗糖的患者疼痛强度较低。接受蔗糖的患者的疼痛强度小于葡萄糖组,但这一差异在统计学上不显著。