Ghizzi C, Benedetti M, Barlocco E G
Divisione di Pediatria, Ospedale Civile Maggiore, Verona, Italia.
Pediatr Med Chir. 1996 Nov-Dec;18(6):591-5.
The common opinion about the painful sensation in newborn and in premature baby, is that the experience of pain begins since birth. One of the difficulties in taking care of pain in neonatology is the valuation of the symptom: actually there aren't enough sensitive and standard methods to define and quantify the pain of newborns and prematures babies. The authors illustrate two scales of pain valuation, that have been tested and then adopted by different french groups. These scales allow to examine respectively, the healthy newborn and the newborn after surgical care and permit also an objective measure of newborn malaise sensation. These scores need the valuation of clinical signs and physiological parameters that are sometimes neglected during the execution of invasive techniques; therefore these tables would awaken the sanitary staff to newborn expressions of pain or discomfort, allowing a best comprehension of baby's feelings and facilitating in this nursing and pharmacological interventions to relieve pain.
关于新生儿和早产儿疼痛感觉的普遍观点是，疼痛体验从出生就开始了。新生儿科在处理疼痛方面的困难之一是对症状的评估：实际上，没有足够灵敏和标准化的方法来定义和量化新生儿和早产儿的疼痛。作者阐述了两种疼痛评估量表，它们已经经过测试并被不同的法国团队采用。这些量表分别用于检查健康新生儿和接受手术护理后的新生儿，还能对新生儿的不适感觉进行客观测量。这些评分需要对临床体征和生理参数进行评估，而在实施侵入性技术时这些有时会被忽视；因此，这些表格会唤起医护人员对新生儿疼痛或不适表现的关注，有助于更好地理解婴儿的感受，并促进在护理和药物干预方面缓解疼痛。
