新生儿疼痛对早期神经行为影响的研究  

Research in influence of pain on neonatal early neurobehaviour

作　　者：叶永青[1] 黄云丽[1] 黄东明[1] 杨冰岩[1] 梁妮[1] 王维琼[1] 

机构地区：[1]南方医科大学附属中山博爱医院新生儿科,528403

出　　处：《中国实用护理杂志》2011年第13期56-58,共3页Chinese Journal of Practical Nursing

基　　金：中山市科技计划项目（20082A092）

摘　　要：目的研究疼痛对新生儿早期神经行为产生的影响。方法随机选择2009年10月至2010年3月新生儿科住院的65例患儿为研究对象，采用国内鲍秀兰教授修订的新生儿神经行为检查方法（NBNA），于疼痛刺激前后进行检查，检测结果进行统计分析。结果疼痛刺激前后NBNA总分分别为（36．49±1．73）分和（34．80±1．79）分，差异显著，其中疼痛刺激后，行为能力和主动肌张力的得分下降，差异显著，而被动肌张力、原始反射和一般反应的得分差异不显著。结论新生儿疼痛对其早期的神经行为能力产生影响，其中主要表现在行为能力和主动肌张力两方面，应该加强新生儿专业医护人员对新生儿疼痛管理和干预的培训，尽量减少疼痛对新生儿的不良影响。Objective To investigate the influences of pain on early neonatal neurobehavioral development. Methods 65 newborn infants admitted to the Neonatal Intensive Care Unit（ NICU ）of our hospital from October,2009 to March,2010 were randomly chosen as the objects of this study. In light of Neonatal Behavioral Neurological Assessment（NBNA） revised by Professor Bao Xiulan, examinations were carried out before and after pain stimulation, and a statistical analysis of the results of the examinations was conducted. Results The total scores of NBNA before and after the pain stimulation were （36.49±1.73） vs. （34.80±1.79） respectively,demonstrating a significant difference. Specifically, after the pain stimulation, the scores of behavioral ability and active muscle tension decreased,with a very significant difference. However, there was no significant difference in terms of the scores of passive muscle tone, primitive reflexes and common reactions. Conclusions Neonatal pain exerts influences on early neurobehavioral development,particularly on behavioral ability and active muscle tension. The training of neonatal health care professionals in the management of and the intervention in neonatal pain should be strengthened in order to decrease the adverse effects of pain on neonates.

关 键 词：新生儿 疼痛 神经行为 

分 类 号：R722.1[医药卫生—儿科]