口服葡萄糖对新生儿桡动脉采血疼痛的影响  

Effect of oral glucose on neonatal pain during blood sampling through radial artery

作　　者：张昆珍[1] 韦琴[1] 李小容[1] 孙俭凤[1] 

机构地区：[1]广西医科大学第一附属医院儿科,南宁530021

出　　处：《中国实用护理杂志》2012年第1期39-41,共3页Chinese Journal of Practical Nursing

摘　　要：目的探讨2种浓度葡萄糖对新生儿桡动脉采血所致疼痛的影响。方法采用随机分组原则，将90例新生儿随机分成A、B、c3组各30例，于桡动脉采血前2min，A组新生儿予口服10％葡萄糖2ml，B组新生儿予口服25％葡萄糖2ml，C组新生儿予口服白开水2ml。采用新生儿面部编码系统（NFCS）、新生儿疼痛量表（NIPS）、心率上升幅度和啼哭例数作为观测指标。结果3组新生儿疼痛评分（包括穿刺时的NIPS评分、结束时的NFCS评分和NIPS评分）分值、心率上升幅度以及啼哭例数比较差异明显，B组明显低于A、C组，而A、C2组间比较差异无统计学意义。结论桡动脉采血时予口服25％葡萄糖2ml可以明显缓解新生儿疼痛，而10％葡萄糖2ml无显著镇痛作用。Objective To explore the effect of 10% and 25% oral glucose on neonatal pain during blood sampling through radial artery. Methods 90 newborns were randomly divided into group A, B and C, each group with 30 cases. 2 min before the blood sampling, group A was offered 2ml 10% oral glucose, group B was offered 2ml 25% oral glucose, and group C was offered 2ml plain boiled water by oral intake. Pain was evaluated based on Neonatal Facial Coding System （NFCS）, Neonatal Infant Pain Scale（NIPS）, raise of heart rate and crying cases. Results The scores of NIPS during puncture, the scores of NFCS and NIPS after puncture, the raise of heart rate and crying cases were significantly different between three groups. Group B were lower than group A and group C ,while differences between group A and group C bad no statistical significance. Conclusions During blood sampling through radial artery, offering newborns 2ml 25% oral glucose can reduce the pain,while 2ml 10% oral glucose was ineffective.

关 键 词：新生儿 疼痛 葡萄糖 桡动脉 

分 类 号：R722.1[医药卫生—儿科]