Rushforth J A, Levene M I
Academic Unit of Paediatrics and Child Health, General Infirmary, Leeds.
Arch Dis Child Fetal Neonatal Ed. 1994 May;70(3):F174-6. doi: 10.1136/fn.70.3.f174.
A bedside technique for evaluating the behavioural response of healthy neonates to pain was assessed. Thirty six term infants (median gestational age 40 weeks; median postnatal age 4 days) and 31 preterm infants (median gestational age 34 weeks; median postnatal age 4 days) were assessed at the cotside for their response to heel preparation and heel lance for routine blood sampling. The facial actions of brow bulge, eye squeeze, nasolabial furrow, and open mouth were noted, and also the presence or absence of crying. Thirty five (97%) term and 26 (84%) preterm infants showed an increase in the number of behaviours in response to heel lance. Brow bulge and nasolabial furrow were seen most often, and occurred more often than crying in the two groups. There was good interobserver agreement (94%). The consistency of response and the high degree of interobserver agreement makes this method of behavioural assessment of acute pain of use in healthy neonates.
对一种评估健康新生儿疼痛行为反应的床边技术进行了评估。三十六名足月儿（中位胎龄40周；中位出生后年龄4天）和三十一名早产儿（中位胎龄34周；中位出生后年龄4天）在床边接受评估，以观察他们对足跟准备和足跟采血（用于常规血液采样）的反应。记录了眉上抬、挤眼、鼻唇沟和张嘴等面部动作，以及是否哭闹。三十五名（97%）足月儿和二十六名（84%）早产儿在足跟采血后行为数量增加。眉上抬和鼻唇沟最常出现，且在两组中出现的频率高于哭闹。观察者间一致性良好（94%）。反应的一致性和高度的观察者间一致性使得这种行为评估方法可用于健康新生儿急性疼痛的评估。
