新生儿重症监护病房入院时接受侵入性操作的情况。
Exposure to invasive procedures in neonatal intensive care unit admissions.
作者信息
Barker D P, Rutter N
机构信息
Department of Neonatal Medicine and Surgery, Nottingham City Hospital.
出版信息
Arch Dis Child Fetal Neonatal Ed. 1995 Jan;72(1):F47-8. doi: 10.1136/fn.72.1.f47.
Abstract
The nature and numbers of invasive procedures were studied in 54 consecutive infants admitted to a neonatal intensive care unit. Over 3000 procedures were recorded, 74% in infants below 31 weeks of gestation. One infant (23 weeks' gestation, birth weight 560 g) underwent 488 procedures. Heel prick blood sampling was the most common procedure (56%), followed by endotracheal suction (26%) and intravenous cannula insertion (8%). Invasive procedures which would cause pain or distress to a child are frequently performed on infants admitted to the neonatal intensive care unit. A reduction in the number of procedures, modifying them, or providing adequate analgesia could relieve some of this pain and distress.
摘要
对入住新生儿重症监护病房的54例连续婴儿的侵入性操作的性质和数量进行了研究。记录了3000多次操作，其中74%发生在妊娠31周以下的婴儿中。一名婴儿（妊娠23周，出生体重560克）接受了488次操作。足跟采血是最常见的操作（56%），其次是气管内吸引（26%）和静脉插管（8%）。会给儿童带来疼痛或痛苦的侵入性操作在入住新生儿重症监护病房的婴儿中经常进行。减少操作数量、对其进行改进或提供充分的镇痛措施可以减轻部分此类疼痛和痛苦。
相似文献
1
Exposure to invasive procedures in neonatal intensive care unit admissions.新生儿重症监护病房入院时接受侵入性操作的情况。
Arch Dis Child Fetal Neonatal Ed. 1995 Jan;72(1):F47-8. doi: 10.1136/fn.72.1.f47.
2
[Analgesia with saccharose during heel capillary prick. A randomized study in 37 newborns of over 33 weeks of amenorrhea].
Arch Pediatr. 1999 Jun;6(6):610-6. doi: 10.1016/s0929-693x(99)80290-5.
3
Predictive factors for survival for out-born infants born between 23 and 24 weeks of gestation in the post-surfactant era: fourteen years' experience in a single neonatal care unit, 1987-2000.表面活性剂时代后孕周为23至24周的宫外出生婴儿生存的预测因素：1987 - 2000年在单一新生儿护理单位的14年经验
Pediatr Int. 2008 Oct;50(5):640-3. doi: 10.1111/j.1442-200X.2008.02640.x.
4
Assessment of Neonatal Pain During Heel Prick: Lancet vs Needle-A Randomized Controlled Study.足跟采血时新生儿疼痛的评估：柳叶刀采血法与针头采血法的随机对照研究
J Trop Pediatr. 2017 Oct 1;63(5):346-351. doi: 10.1093/tropej/fmw093.
5
Paternal vs maternal kangaroo care for procedural pain in preterm neonates: a randomized crossover trial.早产新生儿程序性疼痛的父系袋鼠式护理与母系袋鼠式护理对比：一项随机交叉试验
Arch Pediatr Adolesc Med. 2011 Sep;165(9):792-6. doi: 10.1001/archpediatrics.2011.130.
6
Risk adjusted and population based studies of the outcome for high risk infants in Scotland and Australia. International Neonatal Network, Scottish Neonatal Consultants, Nurses Collaborative Study Group.苏格兰和澳大利亚高危婴儿结局的风险调整及基于人群的研究。国际新生儿网络、苏格兰新生儿顾问、护士协作研究小组。
Arch Dis Child Fetal Neonatal Ed. 2000 Mar;82(2):F118-23. doi: 10.1136/fn.82.2.f118.
7
Randomised study showed that recorded maternal voices reduced pain in preterm infants undergoing heel lance procedures in a neonatal intensive care unit.随机研究表明，在新生儿重症监护病房接受足跟采血的早产儿中，录制的母亲声音可以减轻疼痛。
Acta Paediatr. 2017 Oct;106(10):1564-1568. doi: 10.1111/apa.13944. Epub 2017 Jul 5.
8
Epidemiologic Trends in Neonatal Intensive Care, 2007-2012.2007-2012 年新生儿重症监护的流行病学趋势。
JAMA Pediatr. 2015 Sep;169(9):855-62. doi: 10.1001/jamapediatrics.2015.1305.
9
Neonatal Pain And Preventive Strategies: An Experience In A Tertiary Care Unit.新生儿疼痛与预防策略：三级护理病房的经验
J Ayub Med Coll Abbottabad. 2017 Jan-Mar;29(1):42-44.
10
The frequency of painful procedures in neonatal intensive care units in South Korea.韩国新生儿重症监护病房中痛苦操作的频率。
Int J Nurs Pract. 2014 Aug;20(4):398-407. doi: 10.1111/ijn.12202. Epub 2013 Oct 11.
引用本文的文献
1
Prematurity is a risk factor of disorders of gut-brain interaction in adults: A case-control study.早产是成人肠道与大脑相互作用紊乱的一个风险因素：一项病例对照研究。
World J Clin Pediatr. 2025 Sep 9;14(3):103590. doi: 10.5409/wjcp.v14.i3.103590.
2
Enhanced Recovery After Surgery (ERAS) consensus recommendations for opioid-minimising pharmacological neonatal pain management.术后加速康复（ERAS）共识推荐用于减少阿片类药物的新生儿药理学疼痛管理。
BMJ Paediatr Open. 2024 Oct 8;8(1):e002824. doi: 10.1136/bmjpo-2024-002824.
3
An Assessment of Individual Preference for a Novel Capillary Blood Collection System.一种新型毛细血管采血系统的个体偏好评估。
Patient Prefer Adherence. 2024 Mar 1;18:531-541. doi: 10.2147/PPA.S437969. eCollection 2024.
4
Non-pharmacological interventions for the prevention of pain during endotracheal suctioning in ventilated neonates.非药物干预措施预防机械通气新生儿气管内吸痰时的疼痛。
Cochrane Database Syst Rev. 2024 Jan 18;1(1):CD013353. doi: 10.1002/14651858.CD013353.pub2.
5
Challenges in management of refractory pain and sedation in infants.婴儿难治性疼痛与镇静管理中的挑战
Front Pharmacol. 2024 Jan 3;14:1259064. doi: 10.3389/fphar.2023.1259064. eCollection 2023.
6
Orientin Reduces the Effects of Repeated Procedural Neonatal Pain in Adulthood: Network Pharmacology Analysis, Molecular Docking Analysis, and Experimental Validation.洋川芎内酯 A 可减轻成年后反复程序性新生儿疼痛的影响：网络药理学分析、分子对接分析和实验验证。
Pain Res Manag. 2023 Nov 24;2023:8893932. doi: 10.1155/2023/8893932. eCollection 2023.
7
Indications, Measurements, and Complications of Ten Essential Neonatal Procedures.十种基本新生儿操作的适应症、测量方法及并发症
Int J Pediatr. 2023 Sep 5;2023:3241607. doi: 10.1155/2023/3241607. eCollection 2023.
8
Sink Drains in a Neonatal Intensive Care Unit: A Retrospective Risk Assessment and Evaluation.新生儿重症监护病房的水槽排水：回顾性风险评估与评估。
Int J Environ Res Public Health. 2023 Aug 31;20(17):6692. doi: 10.3390/ijerph20176692.
9
Functional Duration of Peripheral Intravenous Cannula in Neonates with or without Splint: A Randomized Controlled Trial.外周静脉留置针在有或无夹板新生儿中的功能持续时间：一项随机对照试验。
Indian J Pediatr. 2024 Aug;91(8):794-800. doi: 10.1007/s12098-023-04756-w. Epub 2023 Aug 14.
10
The influence of skin-to-skin contact on Cortical Activity during Painful procedures in preterm infants in the neonatal intensive care unit (iCAP mini): study protocol for a randomized control trial.皮肤接触对新生儿重症监护病房（iCAP mini）中早产儿疼痛操作时皮质活动的影响：一项随机对照试验的研究方案。
Trials. 2022 Jun 20;23(1):512. doi: 10.1186/s13063-022-06424-4.
本文引用的文献
1
Invasive procedures in children receiving intensive care.接受重症监护的儿童的侵入性操作。
BMJ. 1993 Jun 5;306(6891):1512-3. doi: 10.1136/bmj.306.6891.1512-a.
2
Pain relief can reduce hypoxemia in distressed neonates during routine treatment procedures.在常规治疗过程中，缓解疼痛可减少窘迫新生儿的低氧血症。
Pediatrics. 1994 Mar;93(3):379-83.
3
Heel blood sampling in preterm infants: which technique?早产儿足跟采血：采用哪种技术？
Arch Dis Child Fetal Neonatal Ed. 1994 Nov;71(3):F206-8. doi: 10.1136/fn.71.3.f206.
4
5
Making heel pricks less painful.减轻足跟采血的疼痛感。
Arch Dis Child. 1983 Mar;58(3):226-8. doi: 10.1136/adc.58.3.226.
6
Nasotracheal intubation in the neonate: physiologic responses and effects of atropine and pancuronium.
J Pediatr. 1984 Aug;105(2):303-9. doi: 10.1016/s0022-3476(84)80137-7.
7
Methemoglobinemia associated with a prilocaine-lidocaine cream and trimetoprim-sulphamethoxazole. A case report.
Acta Anaesthesiol Scand. 1985 May;29(4):453-5. doi: 10.1111/j.1399-6576.1985.tb02232.x.
8
Hyperalgesia in premature infants.早产儿的痛觉过敏
Lancet. 1988 Feb 6;1(8580):292. doi: 10.1016/s0140-6736(88)90365-0.
9
Use of analgesic agents for invasive medical procedures in pediatric and neonatal intensive care units.儿科和新生儿重症监护病房中侵入性医疗操作的镇痛剂使用
J Pediatr. 1992 Oct;121(4):647-9. doi: 10.1016/s0022-3476(05)81164-3.
10
Adverse effects of routine procedures on preterm infants.常规操作对早产儿的不良影响。
Lancet. 1978 Apr 22;1(8069):864-6. doi: 10.1016/s0140-6736(78)90204-0.
Zotero 插件