早产儿PICC操作中不同疼痛干预方法的临床研究  

Clinical study on different pain intervention methods in operation of PICC in premature infants

作　　者：丁雪晶[1] 王金秀[1] 王盘妹[1] 莫革琴[1] 瞿敏霞 曹丽萍[1] 

机构地区：[1]南京医科大学附属常州妇幼保健院新生儿科,江苏常州213000

出　　处：《中国妇幼保健》2015年第8期1273-1275,共3页Maternal and Child Health Care of China

基　　金：常州市卫生局指导性项目〔WZ201121〕

摘　　要：目的:探讨选择安全、有效的早产儿疼痛干预措施。方法:选择进行经外周静脉中心置管术(PICC)操作的早产极低出生体重儿120例,随机分为干预组(非营养性吸吮组、局部皮肤涂抹复方利多卡因乳膏组、非营养性吸吮+局部皮肤涂抹复方利多卡因乳膏组各30例)90例和对照组30例。采用早产儿疼痛量表进行疼痛评分,并比较各组早产儿在PICC操作前15 s、消毒时、穿刺时、送管时、固定时及操作后30 s时的疼痛程度。结果:早产儿在PICC操作时存在中、重度疼痛,干预组早产儿的疼痛评估量表(PIPP)评分显著低于对照组,差异有统计学意义(P<0.05)。结论:非营养性吸吮及外用复方利多卡因乳膏能明显减轻早产儿PICC置管过程中的疼痛,且非营养性吸吮+外用复方利多卡因乳膏的止痛效果更明显。Objective： To explore and choose safe and effective pain intervention methods for premature infants. Methods： A total of 120 preterm very low birth weight infants with peripherally inserted central catheter（ PICC） were selected and randomly divided into intervention group（ 90 infants） and control group（ 30 infants）,the infants in intervention group were divided into non- nutritive sucking group,compound lidocaine cream group,non- nutritive suckin G ＋ compound lidocaine cream group,30 infants in each group. Premature infant pain profile was used to assess pain scores; the pain degrees at 15 seconds before PICC,in this time of disinfection,in this time of puncture,in this time of cannula,in this time of fixation and at 30 seconds after PICC in the four groups were compared. Results： Premature infants had moderate to severe pain in PICC operation. Pain score in intervention group was statistically significantly lower than that in control group（ P 0. 05）. Conclusion： Non- nutritive sucking and compound lidocaine cream can significantly relieve the pain in preterm infants during PICC operation,and its analgesic effect is more significant.

关 键 词：早产儿 经外周静脉中心置管术 非营养性吸吮 复方利多卡因乳膏 

分 类 号：R722[医药卫生—儿科]