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全身按摩对新生儿静脉穿刺时疼痛评分的影响,并与口服葡萄糖和袋鼠护理进行比较:一项随机对照评估者盲法临床研究。

Effect of whole body massage on pain scores of neonates during venous puncture and comparison with oral dextrose and Kangaroo care, a randomized controlled evaluator-blind clinical study.

机构信息

Department of Pediatrics, Division of Neonatology, Çukurova University, Faculty of Medicine, Adana, Turkey.

Department of Pediatrics, Newborn Intensive Care Unit, Çukurova University, Faculty of Medicine, Adana, Turkey.

出版信息

J Perinatol. 2023 May;43(5):590-594. doi: 10.1038/s41372-022-01570-8. Epub 2022 Nov 30.

DOI:10.1038/s41372-022-01570-8
PMID:36450853
Abstract

OBJECTIVE

Newborns in NICUs experience many painful procedures. The aim of the study was to evaluate the effect of whole body massage therapy on pain scores during venipuncture and to compare with oral 10% dextrose and Kangaroo care.

STUDY DESIGN

Newborns with gestational age ≥34 weeks were randomly enrolled to one of three groups: dextrose, massage and Kangaroo care and a blinded investigator scored the pain using NIPS before and during the procedure.

RESULTS

There were 25, 26 and 23 newborns in dextrose, massage and Kangaroo care groups, respectively. Pain scores were similar before and during venipuncture in groups (p > 0.05). 36.5% of newborns (27/74) had severe pain scores. Number of newborns with no pain (score 0-2), moderate pain (score 3-4) and severe pain (score 5-7) were similar in each group.

CONCLUSION

Massage, Kangaroo and oral 10% dextrose had similar effects on pain scores during venipuncture.

摘要

目的

新生儿重症监护病房(NICU)中的新生儿会经历许多有疼痛的操作。本研究旨在评估全身按摩疗法对静脉穿刺时疼痛评分的影响,并与口服 10%葡萄糖和袋鼠护理进行比较。

研究设计

将胎龄≥34 周的新生儿随机分为三组:葡萄糖组、按摩组和袋鼠护理组,由一名盲法研究者在操作前和操作过程中使用 NIPS 对疼痛进行评分。

结果

葡萄糖组、按摩组和袋鼠护理组分别有 25、26 和 23 名新生儿。三组在静脉穿刺前后的疼痛评分相似(p>0.05)。36.5%(27/74)的新生儿有严重的疼痛评分。每组新生儿中无疼痛(评分 0-2)、中度疼痛(评分 3-4)和重度疼痛(评分 5-7)的新生儿数量相似。

结论

按摩、袋鼠护理和口服 10%葡萄糖在静脉穿刺时对疼痛评分的影响相似。

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本文引用的文献

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Massage therapy as a non-pharmacological analgesia for procedural pain in neonates: A scoping review.按摩疗法作为新生儿程序性疼痛的非药物镇痛方法:一项范围综述。
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Is kangaroo mother care effective in alleviating vaccination associated pain in early infantile period? A RCT.袋鼠式护理对减轻婴儿早期疫苗接种相关疼痛有效吗?一项随机对照试验。
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Pediatr Neonatol. 2018 Feb;59(1):71-76. doi: 10.1016/j.pedneo.2017.02.001. Epub 2017 Jul 11.
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Skin-to-skin care for procedural pain in neonates.新生儿程序性疼痛的肌肤接触护理
Cochrane Database Syst Rev. 2017 Feb 16;2(2):CD008435. doi: 10.1002/14651858.CD008435.pub3.
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Sweet Solutions to Reduce Procedural Pain in Neonates: A Meta-analysis.减轻新生儿程序性疼痛的甜蜜解决方案:一项荟萃分析。
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Oral glucose efficacy on neonate's pain responses at the NICU: A quasi experimental trial of two clinical procedures.口服葡萄糖对新生儿重症监护病房中新生儿疼痛反应的疗效:两种临床操作的准实验性试验。
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The Effect of Upper Limb Massage on Infants' Venipuncture Pain.上肢按摩对婴儿静脉穿刺疼痛的影响。
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A comparative study on the efficacy of glucose and sucrose on the vaccination pain: a randomized controlled clinical trial.葡萄糖与蔗糖对预防接种疼痛效果的比较研究:一项随机对照临床试验
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Pain management in newborns.新生儿疼痛管理
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