首页|舌尖滴入24%蔗糖水联合白噪声对减轻早产儿视网膜病筛查操作性疼痛反应的影响

舌尖滴入24%蔗糖水联合白噪声对减轻早产儿视网膜病筛查操作性疼痛反应的影响

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目的 观察舌尖滴入24%蔗糖水联合白噪声对减轻早产儿视网膜病(ROP)筛查操作性疼痛反应的影响。方法 选取2021年6月至2022年6月江西省赣州市人民医院新生儿重症监护病房收治的80例首次进行ROP筛查的患儿作为研究对象,按照随机数字表法分为对照组(20例)、干预1组(20例)、干预2组(20例)与干预3组(20例),对照组实施常规体位安抚法和非营养性吸吮,在对照组基础上,干预1组实施舌尖滴入微量24%蔗糖水,干预2组实施白噪声,干预3组实施舌尖滴入24%蔗糖水联合白噪声,比较各组疼痛缓解程度、体征指标异常改善情况。结果 筛查前3 min,四组患儿的早产儿疼痛量表(PIPP-R)总分、心率(HR)、呼吸频率(RR)及经皮血氧饱和度(SpO2)水平比较,差异无统计学意义(P>0。05);筛查结束后1 min,四组患儿的HR、RR以及PIPP-R总分均高于本组筛查前3 min,SpO2水平低于本组筛查前3 min,差异有统计学意义(P<0。05);筛查结束后5 min,四组患儿的HR和RR、PIPP-R总分低于本组筛查结束后1 min,SpO2水平高于本组筛查结束后1 min,且干预3组患儿筛查结束后5 min的PIPP-R总分、HR及RR低于干预1、2组和对照组,SpO2水平高于干预1、2组和对照组,差异有统计学意义(P<0。05)。结论 舌尖滴入24%蔗糖水联合白噪声在ROP筛查操作性疼痛反应中的应用效果较好,能够改善患儿心率及呼吸频率,减少哭闹,抚慰其情绪和行为表现,也有助于提高患儿家属对医护工作的满意度。
Effect of tongue tip drip with 24%sucrose water combined with white noise on reducing operational pain response in screening for retinopathy of prematurity
Objective To observe the effect of tongue tip drip with 24%sucrose water combined with white noise on reduc-ing operational pain response in screening for retinopathy of prematurity(ROP).Methods A total of 80 children admitted to the Neonatal Intensive Care Unit of Ganzhou People's Hospital in Jiangxi Province from June 2021 to June 2022 who under-went ROP screening for the first time were selected as research objects,and they were divided into control group(20 cases),intervention group 1(20 cases),intervention group 2(20 cases)and intervention group 3(20 cases)according to random number table method.The control group was given routine postural appeasement and non-nutritional sucking.On the basis of the control group,the intervention group 1 was given a small amount of 24%sucrose water on the tip of the tongue,the in-tervention group 2 was given white noise,and the intervention group 3 was given tongue tip drip with 24%sucrose water combined with white noise.The degree of pain relief and abnormal improvement of physical signs among all groups were compared.Results At 3 min before screening,there were no significant differences in the total score of premature infant pain profile-reformulate(PIPP-R),heart rate(HR),respiratory rate(RR)and percutaneous oxygen saturation(SpO2)levels among the four groups(P>0.05).At 1 min after screening,the total scores of PIPP-R,HR,RR in the four groups were higher than those at the first 3 min before screening,and the levels of SpO2 were lower than those at the first 3 min before screening,with statistical significances(P<0.05).At 5 min after the end of screening,the total scores of PIPP-R,HR,RR in the four groups were lower than those at 1 min after the end of screening,and the levels of SpO2 was higher than those at 1 min after the end of screening,and the total score of PIPP-R,HR and RR in the intervention group 3 were lower than those in intervention group 1,2 and control group 5 min after the end of screen-ing,the level of SpO2 was higher than that of intervention group 1,2 and control group,and the differences were statistically significant(P<0.05).Conclusion The application of 24%sucrose water combined with white noise in the screening of ROP has a good effect,which can improve the heart rate and respiratory rate of children,reduce crying,soothe their emotional and behavioral performance,and also help to improve the satisfaction of family members of children with medical care.

Tongue tip drip with 24%sucrose waterWhite noiseRetinopathy of prematurityOperational pain response in screening

吴鹏琴、肖冬素、郭晶、邱玉英、管雪芸

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江西省赣州市人民医院儿科,江西赣州 341000

舌尖滴入24%蔗糖水 白噪声 早产儿视网膜病 筛查操作性疼痛反应

江西省卫生健康委科技计划项目

SKJP220210068

2024

中国当代医药
中国保健协会 当代创新(北京)医药科学研究院

中国当代医药

影响因子:1.215
ISSN:1674-4721
年,卷(期):2024.31(9)
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