降低新生儿重症监护病房视网膜检查前滴眼的不适。
Reducing discomfort of eye drops prior to retinal examination in the neonatal intensive care unit.
机构信息
Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
Section of Ophthalmology, Department of Surgery, University of Calgary, Calgary, AB, Canada.
出版信息
J Perinatol. 2020 Dec;40(12):1857-1862. doi: 10.1038/s41372-020-00852-3. Epub 2020 Oct 15.
OBJECTIVE
To evaluate the effectiveness in reducing pain by giving oral sucrose and non-pharmacological comfort measures prior to topical administration of mydriatic eye drops on premature infants undergoing retinopathy of prematurity (ROP) screening eye exams in a neonatal intensive care unit (NICU).
STUDY DESIGN
A prospective quality improvement study was conducted in the NICU where infants were given oral sucrose prior to administration of mydriatic eye drops while a second person performed facilitated tucking and containment. Premature Infant Pain Profile (PIPP) scores were recorded during eye drop administration and compared to a group that did not receive any comfort measures.
RESULT
Sixty-eight infants were enrolled. Mean PIPP scores increased an average of 1.5 (SD = 1.5) during administration of mydriatic drops without comfort measures compared to 0.6 (SD = 0.8) when comfort measures were used. This difference was statistically significant (p < 0.001).
CONCLUSIONS
Oral sucrose and simple comfort measures can be effective in reducing pain associated with mydriatic eye drops.
目的
评估在新生儿重症监护病房（NICU）对早产儿进行早产儿视网膜病变（ROP）筛查性眼部检查时，在给予散瞳滴眼剂之前给予口服蔗糖和非药物性舒适措施，以减轻疼痛的效果。
研究设计
在 NICU 中进行了一项前瞻性质量改进研究，在给予散瞳滴眼剂之前，婴儿先给予口服蔗糖，同时第二个人进行协助包裹和固定。在给予散瞳滴眼剂期间记录早产儿疼痛状况评分（PIPP），并与未接受任何舒适措施的组进行比较。
结果
共纳入 68 名婴儿。与未使用任何舒适措施时 PIPP 评分平均增加 1.5（SD=1.5）相比，使用舒适措施时 PIPP 评分平均增加 0.6（SD=0.8）。这一差异具有统计学意义（p<0.001）。
结论
口服蔗糖和简单的舒适措施可有效减轻散瞳滴眼相关疼痛。
Zotero 插件