首页|白噪声联合非营养性吸吮在早产儿视网膜病筛查疼痛干预中的应用效果

白噪声联合非营养性吸吮在早产儿视网膜病筛查疼痛干预中的应用效果

Effect of white noise combined with non-nutritive sucking in screening for pain intervention in retinopathy of prematurity

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目的 探讨白噪声联合非营养性吸吮在早产儿视网膜病(ROP)筛查操作性疼痛干预中的应用效果.方法 选取2020年2月-2021年2月在河南省人民医院新生儿重症监护病房(NICU)住院治疗的早产儿212例,根据随机数字表法分为白噪声组50例、吸吮组52例、白噪声联合吸吮组(联合组)56例以及对照组54例.4组均行眼底筛查,筛查过程中4组分别给予白噪声干预、非营养性吸吮干预、白噪声联合非营养性吸吮干预和常规体位安抚干预.应用早产儿疼痛评估量表(PIPP)评定筛查操作性疼痛程度,比较4组筛查前后的PIPP评分、血氧饱和度和心率.结果 筛查后1 min和5 min,白噪声组、非营养性吸吮组、联合组PIPP评分均明显低于对照组(P<0.001),而联合组PIPP评分均明显低于白噪声组和非营养性吸吮组(P<0.01);筛查后1 min和5 min,白噪声组、非营养性吸吮组、联合组血氧饱和度明显高于对照组,心率明显低于对照组(P<0.01),而联合组血氧饱和度明显高于白噪声组和非营养性吸吮组,心率明显低于白噪声组和非营养性吸吮组(P<0.01).结论 白噪声联合非营养性吸吮能明显减轻ROP筛查操作性疼痛,稳定早产儿生命体征,值得在临床推广和使用.
Objective To investigate the effect of white noise combined with non-nutritive sucking in the screening of retinopathy of prematurity(ROP).Methods A total of 212 premature infants hospitalized in neonatal intensive care u-nit(NICU)of Henan Provincial People's Hospital from February 2020 to February 2021 were selected and randomly di-vided into white noise group(50 cases),sucking group(52 cases),white noise combined sucking group(56 cases)and control group(54 cases)according to random number table method.All the 4 groups underwent fundus screening.During the screening process,the 4 groups were given white noise intervention,non-nutritional sucking intervention,white noise combined non-nutritional sucking intervention and routine postural comfort intervention,respectively.Preterm infant pain profile(PIPP)was used to assess the degree of operational pain,and PIPP score,blood oxygen saturation and heart rate before and after screening were compared in the 4 groups.Results At 1 min and 5 min after screening,PIPP scores in the white noise group,the non-nutritive sucking group and the combined group were significantly lower than those in the control group(P<0.001),while PIPP scores in the combined group were significantly lower than those in the white noise group and the non-nutritive sucking group(P<0.01).At 1 min and 5 min after screening,the blood oxygen saturation of the white noise group,the non-nutritive sucking group and the combined group was significantly high-er than that of the control group,and the heart rate was significantly lower than that of the control group(P<0.01),while the blood oxygen saturation of the combined group was significantly higher than that of the white noise group and the non-nutritive sucking group,and the heart rate was significantly lower than that of the white noise group and the non-nu-tritive sucking group(P<0.01).Conclusion White noise combined with non-nutritive sucking can significantly reduce the pain of ROP screening operation and stabilize the vital signs of premature infants,which is worthy of clinical promo-tion and application.

Retinopathy of prematurityNon-nutritive suckingWhite noisePain

刘丽萍、王丹丹、王红利、高峰

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河南省人民医院新生儿重症监护室河南省护理医学重点实验室郑州大学人民医院,河南郑州 450000

早产儿视网膜病 非营养性吸吮 白噪声 疼痛

河南省医学科技攻关计划联合共建项目

LHGJ20220041

2024

中华全科医学
中华预防医学会,安徽省全科医学会

中华全科医学

CSTPCD
影响因子:1.688
ISSN:1674-4152
年,卷(期):2024.22(2)
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