棒棒糖缓解婴幼儿术后疼痛的有效性及安全性评价  

Lollipop for postoperative pain relief in infants and toddlers:efficacy and safety evaluation

作　　者：孟玮亿 徐红[1] 李倩[1] 方志慧 

机构地区：[1]上海交通大学医学院附属上海儿童医学中心,上海200127

出　　处：《护理学杂志》2013年第12期4-6,共3页

基　　金：上海市市级医院临床管理优化项目(SHDC2011604)

摘　　要：目的探讨棒棒糖用于缓解婴幼儿术后疼痛的有效性和安全性。方法对42例2个月至3岁的婴幼儿进行自身对照研究,患儿从手术室返回病房的6h内,在其哭吵时给予棒棒糖舔吮。舔吮棒棒糖前后均记录患儿FLACC疼痛评分、心率、血氧饱和度及镇痛的起效时间及持续有效时间。结果患儿均接受至少2次棒棒糖舔吮干预,缓解术后疼痛有效率>80%,3min后开始起效,持续有效时间>60min。干预后患儿FLACC疼痛评分显著下降,心率和血氧饱和度保持稳定状态并优于干预前(均P<0.01)。结论舔吮棒棒糖能快速、有效、安全地缓解婴幼儿术后疼痛,是一种方便、廉价的非药物性镇痛方法。Objective To explore efficacy and safety of lollipop for postoperative pain relief in infants and toddlers.Methods In a self-control study,42 children aged 2 months to 3 years received lollipop for licking and sucking when they began to cry within 6 hours postoperatively.Severity of pain was assessed by using the FLACC scale;heart rates（HR）,pulse oxygen saturation（SpO2）,were measured before and after each lollipop intervention.Onset of action and duration of action of the pain relief method were recorded.Results All children received lollipop intervention more than twice.The rate of effective pain relief was greater than 80%,with the onset of action being approximately 3 min and the duration of action of the pain relief method 60 min and longer.The FLACC score was significantly decreased after sucking lollipops,and HR and SpO2 remained stable and showed improvement（P0.01 for all）.Conclusion Lollipop sucking is a rapid,effective,safe,and low-cost nonpharmacological method for postoperative pain relief in small children.

关 键 词：婴幼儿 术后疼痛 镇痛 棒棒糖 非药物性镇痛 

分 类 号：R471[医药卫生—护理学]