[母亲声音刺激对减轻住院新生儿程序性疼痛的临床效果]
[Clinical effect of maternal voice stimulation in alleviating procedural pain in hospitalized neonates].
作者信息
Chen Yu-Shuang, Tan Yan-Juan, Zhou Le-Shan
机构信息
Central South University, Changsha 410013, China.
出版信息
Zhongguo Dang Dai Er Ke Za Zhi. 2019 Jan;21(1):58-63. doi: 10.7499/j.issn.1008-8830.2019.01.011.
Abstract
OBJECTIVE
To study the clinical effect of maternal voice stimulation in alleviating procedural pain in neonates during heel blood collection.
METHODS
A total of 72 neonates who were admitted to the neonate intensive care unit were randomly divided into an intervention group (n=35) and a control group (n=37). Heel blood collection was performed by the routine method in the control group. The intervention group listened to their mothers' voice from 1 minute before heel blood collection to the end of the procedure. Pain score, incidence of crying, and vital signs were recorded before and after heel blood collection.
RESULTS
Compared with the control group, the heart rate was significantly reduced, the blood oxygen saturation significantly increased, the incidence of crying and the pain score were significantly reduced in the intervention group during the procedure of heel blood collection (P<0.05).
CONCLUSIONS
Maternal voice stimulation helps to reduce procedural pain and maintain stable vital signs in neonates.
摘要
目的
探讨母亲声音刺激对减轻新生儿足跟采血过程中程序性疼痛的临床效果。
方法
将72例入住新生儿重症监护病房的新生儿随机分为干预组（n=35）和对照组（n=37）。对照组采用常规方法进行足跟采血。干预组在足跟采血前1分钟至采血结束期间聆听母亲的声音。记录足跟采血前后的疼痛评分、啼哭发生率和生命体征。
结果
与对照组相比，干预组在足跟采血过程中心率显著降低，血氧饱和度显著升高，啼哭发生率和疼痛评分显著降低（P<0.05）。
结论
母亲声音刺激有助于减轻新生儿程序性疼痛并维持生命体征稳定。
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Neurosci Biobehav Rev. 2018 May;88:42-50. doi: 10.1016/j.neubiorev.2018.03.009. Epub 2018 Mar 10.
2
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Acta Paediatr. 2017 Oct;106(10):1564-1568. doi: 10.1111/apa.13944. Epub 2017 Jul 5.
3
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4
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Pediatrics. 2016 Feb;137(2):e20154271. doi: 10.1542/peds.2015-4271. Epub 2016 Jan 25.
5
Epidemiology of painful procedures performed in neonates: A systematic review of observational studies.新生儿实施疼痛性操作的流行病学：观察性研究的系统评价
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6
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