Department of Obstetrics, Haian People's Hospital, Nantong, China.
Department of Obstetrics and Gynecology, Women's Hospital of Nanjing Medical University, Nanjing Maternity and Child Health Care Hospital, Nanjing, China.
Ann Palliat Med. 2021 Apr;10(4):4384-4390. doi: 10.21037/apm-21-329.
Heel blood sampling of newborns plays an important role in the diagnosis of neonatal hypothyroidism, phenylketonuria, and other inherited metabolic diseases. Embracing breast milk sucking (EBMS) can increase the newborn's sense of security and can relieve pain. The purpose of the present study was to explore the effect of EBMS on alleviating the pain of neonatal heel blood sampling.
A total of 96 neonates undergoing heel blood screening were selected from June 2019 to June 2020, and were randomly divided into 2 groups (n=48 in each group). The control group was given routine intervention, and the observation group was given EBMS intervention. The success rate and time-consuming of 1-time blood collection, heel congestion after blood collection, crying time and bleeding time of newborns, blood oxygen saturation and heart rate index, and pain were compared between the 2 groups.
The success rate of 1-time blood collection in the observation group was higher than that in the control group, and the blood collection time was shorter than that in the control group (P<0.05). The heel congestion in the observation group was better than that in the control group (P<0.05). The crying time and bleeding time of newborns in the observation group were significantly shorter than those in the control group (P<0.05). The blood oxygen saturation of the observation group was higher, and the heart rate was lower than the control group (P<0.05). The total Neonatal Infant Pain Scale (NIPS) score of the observation group was lower than that of the control group (P<0.05).
EBMS can improve the success rate of 1-time blood collection; shorten the time of blood collection; ensure that blood oxygen saturation and heart rate are at normal values; and effectively reduce the occurrence of heel congestion after blood collection, crying time and bleeding time of newborn heel blood collection, and neonatal pain.
新生儿足跟采血在新生儿甲状腺功能减退症、苯丙酮尿症等遗传代谢性疾病的诊断中起着重要作用。母乳喂养（EBMS）可以增加新生儿的安全感，并缓解疼痛。本研究旨在探讨 EBMS 缓解新生儿足跟采血疼痛的效果。
选取 2019 年 6 月至 2020 年 6 月行足跟血筛查的 96 例新生儿，随机分为 2 组（每组 48 例）。对照组给予常规干预，观察组给予 EBMS 干预。比较两组 1 次采血成功率和耗时、采血后足跟淤血情况、新生儿哭闹时间和出血时间、血氧饱和度和心率指标以及疼痛情况。
观察组 1 次采血成功率高于对照组，采血时间短于对照组（P<0.05）。观察组足跟淤血情况优于对照组（P<0.05）。观察组新生儿哭闹时间和出血时间明显短于对照组（P<0.05）。观察组血氧饱和度较高，心率低于对照组（P<0.05）。观察组新生儿疼痛评分（NIPS）总分低于对照组（P<0.05）。
EBMS 能提高 1 次采血成功率；缩短采血时间；保证血氧饱和度和心率处于正常值；有效减少足跟采血后足跟淤血、新生儿足跟采血哭闹时间和出血时间的发生，减轻新生儿疼痛。
