Zhongguo Dang Dai Er Ke Za Zhi. 2023 Feb 15;25(2):109-127. doi: 10.7499/j.issn.1008-8830.2210052.
Pain disrupts neonatal vital signs and internal environment homeostasis and affects the recovery process, and recurrent pain stimulation is one of the important risk factors for neurodevelopmental disorders and some chronic diseases. In order to standardize pain management practice in neonatal wards in China and effectively prevent and reduce the adverse effects of pain on the physical and mental development of neonates, National Clinical Research Center for Child Health and Diseases (Children's Hospital of Chongqing Medical University) convened a multidisciplinary panel to formulate the evidence-based guideline for neonatal pain management in China (2023 edition) following the principles and methods for the guideline development issued by the World Health Organization. Based on the best evidence and expert consensus, this guideline gives 26 recommendations for nine clinical issues, i.e., the classification and definition of neonatal pain, common sources of pain, pain assessment principles, pain assessment methods, analgesic principle, non-pharmaceutical analgesic methods, pharmaceutical analgesic methods, parental participation in pain management, and recording methods for pain management, so as to provide medical staff with guidance and a decision-making basis for neonatal pain assessment and analgesia management.
疼痛会扰乱新生儿的生命体征和内环境稳态,影响恢复过程,而反复的疼痛刺激是神经发育障碍和一些慢性疾病的重要危险因素之一。为规范我国新生儿病房的疼痛管理实践,有效预防和减少疼痛对新生儿身心健康发育的不良影响,国家儿童健康与疾病临床医学研究中心(重庆医科大学附属儿童医院)按照世界卫生组织发布的指南制定原则和方法,召集多学科专家小组制定了《中国新生儿疼痛管理循证指南(2023年版)》。本指南基于最佳证据和专家共识,针对新生儿疼痛的分类与定义、常见疼痛来源、疼痛评估原则、疼痛评估方法、镇痛原则、非药物镇痛方法、药物镇痛方法、家长参与疼痛管理以及疼痛管理记录方法这九个临床问题给出了26条推荐意见,旨在为医护人员进行新生儿疼痛评估和镇痛管理提供指导和决策依据。