Tou Sio-Ian, Huang Chia-Yu, Yen Hung-Rong
Department of Pediatrics, Chung Kang Branch, Cheng-Ching General Hospital, Taichung 407, Taiwan.
Department of Family Medicine, Taichung Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Taichung 427, Taiwan.
Children (Basel). 2023 Jun 7;10(6):1024. doi: 10.3390/children10061024.
To evaluate the effect of acupoint stimulation compared to other interventions on pain control in neonates who underwent heel lance, we searched for randomized controlled trials across six databases (CINAHL, Cochrane Library, EMBASE, Medline, PubMed, and Web of Science) published up to January 2023. Studies comparing acupoint stimulation and other interventions for controlling heel lance pain in neonates were included. These reports measured at least one of the following variables: pain score, crying time, oxygenation saturation, heart rate, respiration rate, and duration of the procedure. The data were independently extracted by two authors, and the PRISMA guidelines for study selection were followed. A total of 79 articles were screened, and 10 studies, with results on 813 neonates, were included in the final selection. The pain scores recorded during the heel lance procedure were not significantly different between the acupoint stimulation cohort and the control cohort (SMD of -0.26, 95% confidence interval (CI) from -0.52 to 0.01; = 0.06; I = 68%). After processing the subgroup analyses, significant differences were found in the comparisons of acupuncture vs. usual care (SMD of -1.25, 95% CI from -2.23 to 0.27) and acupressure vs. usual care (SMD of -0.62, 95% CI from -0.96 to -0.28); nonsignificant differences were found in other comparisons. Our results demonstrate that acupoint stimulation may improve pain score during the heel lance procedure.
为了评估与其他干预措施相比，穴位刺激对接受足跟采血的新生儿疼痛控制的效果，我们检索了截至2023年1月在六个数据库（护理学与健康领域数据库、考克兰图书馆、荷兰医学文摘数据库、医学索引数据库、医学期刊数据库和科学网）中发表的随机对照试验。纳入了比较穴位刺激与其他干预措施以控制新生儿足跟采血疼痛的研究。这些报告测量了以下至少一个变量：疼痛评分、哭闹时间、氧饱和度、心率、呼吸频率和操作持续时间。数据由两名作者独立提取，并遵循PRISMA研究选择指南。共筛选了79篇文章，最终纳入10项研究，涉及813名新生儿的结果。在足跟采血过程中记录的疼痛评分在穴位刺激组和对照组之间没有显著差异（标准化均数差为-0.26，95%置信区间为-0.52至0.01；P = 0.06；I² = 68%）。在进行亚组分析后，发现针刺与常规护理比较（标准化均数差为-1.25，95%置信区间为-2.23至0.27）以及指压与常规护理比较（标准化均数差为-0.62，95%置信区间为-0.96至-0.28）存在显著差异；其他比较未发现显著差异。我们的结果表明，穴位刺激可能会改善足跟采血过程中的疼痛评分。
