不同吸吮物缓解新生儿静脉穿刺疼痛效果的临床研究  

Clinical study of different sucking material on relieving neonatal venipuncture pain

作　　者：花响岭 

机构地区：[1]江西省抚州市第一人民医院新生儿科,江西抚州344000

出　　处：《中国当代医药》2017年第30期172-174,共3页China Modern Medicine

基　　金：江西省抚州市指导性科技计划项目(抚科计字[2016]10号序号10)

摘　　要：目的分析不同吸吮物缓解新生儿静脉穿刺疼痛效果的临床效果。方法选取我院2016年1月~2017年1月治疗的早产儿150例按照不同吸吮物分为三组,每组50例。A组选择非营养性吸吮,B组选择棉签吸吮液体奶水,C组选择棉签吸吮葡萄糖水。比较三组早产儿静脉穿刺疼痛缓解效果。结果 A组穿刺后5 min的心率为(168±2)次/min,血氧饱和度为(75.6±0.7)%,PIPP评分为(6.28±1.16)分,NIPS评分为(2.01±0.41)分,B组穿刺后5 min心率为(154±3)次/min,血氧饱和度为(86.2±0.7)%,PIPP评分为(3.15±1.05)分,NIPS评分为(0.85±0.12)分;C组穿刺后5 min心率为(152±3)次/min,血氧饱和度为(86.8±0.7)%,PIPP评分为(3.08±1.02)分,NIPS评分为(0.88±0.13)分;A组穿刺成功率为76%,穿刺啼哭率为28%;B组穿刺成功率为96%,穿刺啼哭率为10%;C组患儿穿刺成功率为96%,穿刺啼哭率为8%,A组与B、C组的上述指标比较,差异有统计学意义(P<0.05);B、C组的上述指标比较,差异无统计学意义(P>0.05)。结论与非营养性吸吮比较,对早产儿行棉签吸吮液体奶水和棉签吸吮葡萄糖水,能缓解早产儿静脉穿刺疼痛程度,临床价值高。Objective To analyze the clinical effect of different sucking material on relieving neonatal venipuncture pain.Methods From January 2016 to January 2017,150 preterm infants treated in our hospital were divided into three groups based on different sucking material,and there were 50 cases in each group.In group A,non-nutrltive sucking was selected,while in group B,liquid milk sucking by cotton swab was chosen,in group C,water with glucose sucking by cotton swab was applied.Tshe intravenous pain relief effect among three groups was compared.Results In the group A,5 minute after puncturation,the heart rate,oxygen saturation,PIPP score,and NIPS score was （168±2） times per minute,（75.6±0.7）%,（6.28±1.16） points,and （2.01±0.41） points respectively,while in group B,after 5-minute puncturation,it was （154± 3） times per minute,（86.2±0.7）%,（3.15±1.05） points,and （0.85±0.12） points and in group C respectively,it was （152±3） times per minnte,（86.8±0.7）%,（3.08±1.02） points,and （0.88±0.13） points respectively.The success rate of puneturation and the rate of crying on puncturation in group A was 76% and 28% respectively,and it was 96% and 10% in the group B respectively,and 96% and 8% in the group C respectively,which were displayed statistical difference after comparison between group A and group B and group C （P〈0.05）.There was no great difference in indexes in group B and group C （P〉 0.05）.Conclusion Compared with the non-nutritive sucking,liquid milk or water with glucose sucking by cotton swab in premature infants can alleviate their pain during intravenous puncturation,and its clinical value is high.

关 键 词：不同吸吮物 静脉穿刺 疼痛 

分 类 号：R473.72[医药卫生—护理学]