应用不同吸吮方式缓解早产儿静脉穿刺疼痛的研究  

Study on the Relief of Venipuncture Pain in Premature Infants with Different Sucking Methods

作　　者：张梅 陈妹 李丽萍 李永莲 叶晖勇 ZHANG Mei;CHEN Mei;LI Liping;LI Yonglian;YE Huiyong(Department of Neonatology and Infectious Control,Gaozhou Maternal and Child Care Health Hospital,Gaozhou,Guangdong Province,525200 China)

机构地区：[1]高州市妇幼保健院新生儿科和感控科,广东高州525200

出　　处：《中外医疗》2022年第12期135-138,共4页China & Foreign Medical Treatment

基　　金：茂名市科技计划项目(2021008)。

摘　　要：目的探讨应用不同吸吮方式缓解早产儿静脉穿刺疼痛的效果。方法随机选取2021年1—6月该院收治70名早产儿作为研究对象,随机分为母乳组(n=35)及非营养性吸吮组(n=35)。行静脉穿刺前2 min,母乳组给予母乳喂养+口腔按摩,非营养性吸吮组采用奶嘴给予非营养性吸吮。比较两组早产儿新生儿疼痛评估量表(NIPS)评分、疼痛面容持续时间、啼哭发生情况及穿刺后生命体征。结果两组穿刺期对比,母乳组NIPS疼痛评分≥4分的早产儿为18名,显著少于非营养吮吸组31名;恢复期对比,母乳组NIPS疼痛评分低于4分的早产儿为33名,显著高于非营养吮吸组18名,差异有统计学意义(χ^(2)=11.500、14.159,P<0.05)。母乳组早产儿啼哭发生率为34.29%明显低于非营养吮吸组80.00%,差异有统计学意义(χ^(2)=14.933,P<0.05);母乳组早产儿疼痛面容持续时间(9.69±2.58)s较非营养吮吸组(29.43±2.74)s均明显偏短,差异有统计学意义(t=31.030,P<0.05)。穿刺后,母乳组血氧饱和度(89.85±3.38)%显著高于非营养吸吮组(74.13±3.45)%,心率(144.73±1.38)次/min明显低于非营养吸吮组(158.27±1.19)次/min,差异有统计学意义(t=19.256、43.960,P<0.05)。结论母乳喂养+口腔按摩及非营养性吸吮两种方式均可对早产儿穿刺疼痛有所缓解,母乳喂养+口腔按摩方式效果更佳,可有效降低早产儿NIPS评分,减少早产儿啼哭,改善其疼痛面容,且使血氧饱和度和心率尽快恢复正常。Objective To explore the effect of different sucking methods in relieving venipuncture pain in premature infants.Methods A total of 70 premature infants admitted to the hospital from January to June 2021 were randomly selected as the research subjects and randomly divided into breast milk group(n=35)and non-nutritive sucking group(n=35).2 min before venipuncture,the breast-milk group was given breast feeding and oral massage,and the non-nutritive sucking group was given non-nutritive sucking with nipple.The scores of neonate pain assessment scale NIPS for premature infants,the duration of painful face,the incidence of crying and the vital signs after puncture were compared between the two groups.Results Compovred the two groups during the puncture period,18 puncture period in the breast milk group had a NIPS pain score greater of equal to 4,which was significantly less than 31 in the non-nutritive sucking group;during the recovery period,33 puncture period with NIPS pain score lower than 4 in the breast milk group were significantly higher than 18 infants in the non-nutritional sucking group,and the difference was statistically significant(t=11.500,14.159,P<0.05).The crying incidence rate of premature infants in the breast milk group was 34.29%,which was significantly lower than 80.00%in the non-nutritional sucking group,and the difference was statistically significant(χ^(2)=14.933,P<0.05).The duration of painful facial features(9.69±2.58)s in the breast milk group was significantly shorter than that(29.43±2.74)s in the non-nutritive sucking group,and the difference was statistically significant(t=31.030,P<0.05).After puncture,the blood oxygen saturation of(89.85±3.38)%in the breast milk group was significantly higher than that of(74.13±3.45)%in the non-nutritive sucking group,and the heart rate of(144.73±1.38)beats/min was significantly lower than that of(158.27±1.19)beats/min in the non-nutritive sucking group,the difference was statistically significant(t=19.256,43.960,P<0.05).Conclusion Breast feeding

关 键 词：吸吮方式 早产儿 静脉穿刺 缓解疼痛 应用效果 

分 类 号：R473.72[医药卫生—护理学]