Department of Pediatrics, Stanford University School of Medicine, Stanford, CA, USA.
Acta Paediatr. 2017 Sep;106(9):1438-1444. doi: 10.1111/apa.13936. Epub 2017 Jul 18.
A framework for defining pain terms such as acute, persistent, prolonged or chronic pain to newborns was derived from the scientific literature on neonatal pain assessments, previous attempts to define chronic pain and the clinical and neurophysiological features of neonatal pain. This novel framework incorporates the temporal features, localising characteristics, and secondary effects of the pain experienced, as well as the behavioural and physiological response patterns of newborns.
Although not evidence-based, this framework provides an initial starting point for defining commonly used neonatal pain terms. It will require future revision/refinement based on the accumulating evidence for non-acute pain.
从新生儿疼痛评估的科学文献、以前定义慢性疼痛的尝试以及新生儿疼痛的临床和神经生理学特征中得出了用于定义疼痛术语(如急性、持续性、延长性或慢性疼痛)的框架。这个新框架包含了所经历疼痛的时间特征、定位特征和次要影响,以及新生儿的行为和生理反应模式。
尽管不是基于证据的,但这个框架为定义常用的新生儿疼痛术语提供了一个初步的起点。它将需要根据非急性疼痛的累积证据进行未来的修订/完善。