Desai Saumil, Nanavati Ruchi Nimish, Nathani Rohit, Kabra Nandkishor
Department of Neonatology, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra, India.
Indian J Palliat Care. 2017 Oct-Dec;23(4):372-378. doi: 10.4103/IJPC.IJPC_84_17.
The objective of our study was to assess the pain associated with suctioning in preterm neonates on assisted ventilation and comparing the use of expressed breast milk (EBM), sucrose, and swaddling to alleviate pain.
Study design: A randomized controlled clinical trial.
Preterm neonates on assisted ventilation.
Major congenital anomalies and severe encephalopathy.
6 months in level III neonatal Intensive Care Unit. In the first phase, we used premature infant pain profile (PIPP) score to assess pain associated with suctioning in preterm neonates on assisted ventilation. In the second phase, the effect of EBM, swaddling, and sucrose on pain relief during suctioning in neonates on assisted ventilation was assessed.
There was a significant increase in pain associated with suctioning in preterm neonates on assisted ventilation (preprocedure PIPP score 7.90 ± 2.50; procedural PIPP score 13.63 ± 2.57; < 0.05). The postintervention mean procedural PIPP score was not significantly different between the EBM, swaddling, and sucrose groups ( = 0.24).
Suctioning is painful for preterm neonates on assisted ventilation. There was no difference between EBM, swaddling, and sucrose in relieving pain associated with suctioning.
我们研究的目的是评估辅助通气的早产儿吸痰时的疼痛情况，并比较使用挤出的母乳（EBM）、蔗糖和襁褓包裹来减轻疼痛的效果。
研究设计：一项随机对照临床试验。
辅助通气的早产儿。
严重先天性畸形和重度脑病。
在三级新生儿重症监护病房进行6个月。在第一阶段，我们使用早产儿疼痛量表（PIPP）评分来评估辅助通气的早产儿吸痰时的疼痛情况。在第二阶段，评估EBM、襁褓包裹和蔗糖对辅助通气新生儿吸痰时疼痛缓解的效果。
辅助通气的早产儿吸痰时的疼痛显著增加（操作前PIPP评分为7.90±2.50；操作时PIPP评分为13.63±2.57；<0.05）。EBM组、襁褓包裹组和蔗糖组干预后的操作时平均PIPP评分无显著差异（=0.24）。
辅助通气的早产儿吸痰时会感到疼痛。EBM、襁褓包裹和蔗糖在减轻吸痰相关疼痛方面没有差异。
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