不同护理干预方法对新生儿桡动脉采血时疼痛和生命体征的影响  

The Influence of Different Nursing Interventions on Pain and Vital Signs of Neonates during Blood Sampling through Radial Artery

作　　者：黄云丽[1] 叶永青[1] 黄东明[1] 吴巧珍[1] 余玩辉[1] 吴桂连[1] 施玉麒[1] 王维琼[1] 

机构地区：[1]中山市博爱医院新生儿科,广东中山528403

出　　处：《护理学报》2009年第8期1-3,共3页Journal of Nursing（China）

基　　金：中山市科技计划项目(20082A092)

摘　　要：目的探讨非药物干预,包括非营养性吸吮和葡萄糖糖水口服,对新生儿桡动脉采血时疼痛及生命体征的影响。方法106例住院新生儿随机分为非营养性吸吮(non-nutritive sucking,NNS)组、糖水组和对照组,分别于采血时给予安慰奶嘴吸吮、10%葡萄糖10～20 ml口服以及不给予任何干预方法。各组在进行桡动脉穿刺采血时应用"新生儿急性疼痛行为评分量表"进行疼痛评分,并应用多功能监护仪动态记录穿刺前、穿刺中及穿刺后的生命体征和经皮血氧饱和度等指标的变化。结果在进行桡动脉穿刺采血时,3组新生儿疼痛评分差异有统计学意义(F=47.847,P=0.000),其中对照组明显高于NNS组和糖水组,而NNS组和糖水组之间差异无统计学意义。3组新生儿的生命体征参数变异率差异有统计学意义,其中NNS组和糖水组的变异率均低于对照组(P=0.000),NNS组和糖水组之间无统计学意义。结论新生儿在进行桡动脉穿刺时,给予非营养性吸吮或喂食糖水可以减轻其疼痛反应,同时减少生命体征的波动。Objective To explore the influence of different nursing interventions on pain and vital signs of neonates during blood sampling through radial artery. Methods 106 hospitalized newborns were randomly divided into the non-nutritive sucking （NNS） group, sugar water group and control group. During the blood sampling, the three groups were given dummy sucking, 10-20 ml of 10% glucose by oral administration and no interventions, respectively. The pain of each of the groups was scored during the blood sampling, by means of A Behavioural Acute Pain Rating Scale for Neonates and, with muhifunctional monitor, the changes in such indexes as vital signs and percutaneous blood oxygen saturation before, in and after the puncturing were dynamically recorded. Results The differences in the scores for the pain in the three groups were statistically significant （F=47.847, P=0.000）, with the score for the control group being significantly higher than that for the NNS group and the sugar water group, while the scores between the NNS group and sugar water group having no statistically significant difference. The mutational rate of vital signs parameters in these three groups showed significant differences： the mutational rates in both NNS group and sugar water group were lower than that in the control group （P=0.000）, while the difference between the NNS group and sugar water group had no statistical significance. Conclusion NNS and sugar water feeding during puncturing through radial artery can relieve the newborn＇s pain and reduce the fluctuation of their vital signs.

关 键 词：新生儿 非营养性吸吮 葡萄糖 疼痛 生命体征 血氧饱和度 

分 类 号：R473.72[医药卫生—护理学]