Pierucci Robin
Southwest Michigan Neonatology, PC, Bronson Children's Hospital, Kalamazoo, MI, USA.
Homer Stryker Medical School, Western Michigan University, Kalamazoo, MI, USA.
Linacre Q. 2020 Aug;87(3):311-316. doi: 10.1177/0024363920924877. Epub 2020 May 21.
Despite pain as the fifth vital sign in adult and pediatric care, many still dismiss the fact that immature human beings (whether a fetus, a preterm, or term baby) are capable of being affected by pain. Studies have demonstrated that avoiding, minimizing, and treating pain in babies, particularly when premature, improves their outcomes. Informed by the evidence, treating neonatal pain has become the medical standard of care for physicians in neonatology and anesthesiology. This article provides a brief overview of relevant publications that explain the clinical evolution that has led to the treatment of neonatal pain. This article also examines three arguments against the existence of fetal pain and presents evidence that refutes them. Informed by the research, a revised definition of pain is offered.
尽管疼痛被视为成人及儿科护理中的第五大生命体征，但仍有许多人忽视了未成熟的人类（无论是胎儿、早产儿还是足月儿）会受到疼痛影响这一事实。研究表明，避免、减轻和治疗婴儿的疼痛，尤其是早产儿的疼痛，可改善其预后。基于这些证据，治疗新生儿疼痛已成为新生儿科和麻醉科医生的医疗护理标准。本文简要概述了相关出版物，这些出版物解释了导致新生儿疼痛治疗的临床演变。本文还审视了三种反对胎儿疼痛存在的观点，并给出了反驳这些观点的证据。基于该研究，提出了疼痛的修订定义。
