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环抱式母乳喂养缓解新生儿足跟采血疼痛的效果分析:一项随机对照试验。

Effect analysis of embracing breast milk sucking to relieve pain of neonatal heel blood sampling: a randomized controlled trial.

机构信息

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.

出版信息

Ann Palliat Med. 2021 Apr;10(4):4384-4390. doi: 10.21037/apm-21-329.


DOI:10.21037/apm-21-329
PMID:33966439
Abstract

BACKGROUND: 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. METHODS: 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. RESULTS: 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). CONCLUSIONS: 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.

摘要

背景: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。

方法: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。

结果: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)。

结论: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。

相似文献

[1]
Effect analysis of embracing breast milk sucking to relieve pain of neonatal heel blood sampling: a randomized controlled trial.

Ann Palliat Med. 2021-4

[2]
Non-nutritive sucking, oral breast milk, and facilitated tucking relieve preterm infant pain during heel-stick procedures: A prospective, randomized controlled trial.

Int J Nurs Stud. 2017-10-8

[3]
Effect of non-nutritive sucking and sucrose alone and in combination for repeated procedural pain in preterm infants: A randomized controlled trial.

Int J Nurs Stud. 2018-4-7

[4]
The Effect of Swaddling on Pain, Vital Signs, and Crying Duration during Heel Lance in Newborns.

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[5]
Evaluation of Methods to Minimize Pain in Newborns during Capillary Blood Sampling for Screening: A Randomized Clinical Trial.

Int J Environ Res Public Health. 2022-1-13

[6]
Pain relief effect of breast feeding and music therapy during heel lance for healthy-term neonates in China: a randomized controlled trial.

Midwifery. 2015-3

[7]
Neonatal pain response to automatic lancet versus needle heel-prick blood sampling: A prospective randomized controlled clinical trial.

Pediatr Int. 2020-3

[8]
Effect of skin contact between mother and child in pain relief of full-term newborns during heel blood collection.

Clin Exp Obstet Gynecol. 2015

[9]
The Effects of Manual and Automatic Lancets on Neonatal Capillary Heel Blood Sampling Pain: A Prospective Randomized Controlled Trial.

J Pediatr Nurs. 2021

[10]
The Effect of Breastfeeding on the Newborn's Comfort and Pain Levels During Heel Blood Collection.

Compr Child Adolesc Nurs. 2024-3

引用本文的文献

[1]
A Bayesian network meta-analysis of non-pharmacological interventions for neonatal pain management: a clinical effectiveness comparison.

Front Pediatr. 2025-5-22

[2]
Breastfeeding or breast milk for procedural pain in neonates.

Cochrane Database Syst Rev. 2023-8-29

[3]
Recent Advances in Phenylketonuria: A Review.

Cureus. 2023-6-15

[4]
Non-pharmacological management of infant and young child procedural pain.

Cochrane Database Syst Rev. 2023-6-14

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