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新生儿疼痛评估。

Assessment of pain in newborn infants.

机构信息

Faculty of Medicine and Health, School of Health Sciences, Örebro University, S-701 85, Örebro, Sweden.

Faculty of Medicine and Health, School of Health Sciences, Örebro University, S-701 85, Örebro, Sweden; School of Nursing, Faculty of Health, Departments of Pediatrics, Psychology & Neuroscience, Dalhousie University, 5850/5890 University Ave, Halifax, NS, B3K 6R8, Canada; Centre for Pediatric Pain Research, IWK Health Centre, Halifax, Canada.

出版信息

Semin Fetal Neonatal Med. 2019 Aug;24(4):101003. doi: 10.1016/j.siny.2019.04.003. Epub 2019 Apr 4.

DOI:10.1016/j.siny.2019.04.003
PMID:30987943
Abstract

Hospitalized newborn infants experience pain that can have negative short- and long-term consequences and thus should be prevented and treated. National and international guidelines state that adequate pain management requires valid pain assessment. Nociceptive signals cause a cascade of physical and behavioral reactions that alone or in combination can be observed and used to assess the presence and intensity of pain. Units that are caring for newborn infants must adopt sufficient pain assessment tools to cover the gestational ages and pain types that occurs in their setting. Pain assessment should be performed on a regular basis and any detection of pain should be acted on. Future research should focus on developing and validating pain assessment tools for specific situations.

摘要

住院新生儿会经历疼痛,这可能会带来短期和长期的不良后果,因此应预防和治疗。国家和国际指南指出,充分的疼痛管理需要有效的疼痛评估。伤害性信号会引发一系列身体和行为反应,这些反应可以单独或组合观察,并用于评估疼痛的存在和强度。照顾新生儿的单位必须采用足够的疼痛评估工具,以涵盖其环境中出现的胎龄和疼痛类型。应定期进行疼痛评估,任何疼痛的发现都应采取行动。未来的研究应侧重于开发和验证特定情况下的疼痛评估工具。

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