本文選題：新生兒 + 疼痛�。� 參考：《廣西醫(yī)科大學(xué)》2012年碩士論文

【摘要】：目的：通過探討2種濃度葡萄糖對(duì)新生兒橈動(dòng)脈采血所致疼痛的影響,為新生兒疼痛護(hù)理提供科學(xué)依據(jù)。 方法：采用隨機(jī)分組原則,將90例新生兒隨機(jī)分成3組：A、B、C組,每組各30例,于橈動(dòng)脈采血針刺前2min,A組新生兒予口服濃度為10%的葡萄糖2ml,B組新生兒予口服濃度為25%的葡萄糖2ml,C組新生兒予口服溫白開水2ml。采用新生兒面部編碼系統(tǒng)(NFCS)、新生兒疼痛量表(NIPS)、心率上升幅度和啼哭例數(shù)作為疼痛觀察指標(biāo)。采用SPSS13.0軟件包對(duì)各組資料進(jìn)行統(tǒng)計(jì)分析,統(tǒng)計(jì)結(jié)果以p0.05為差異有統(tǒng)計(jì)學(xué)意義。 結(jié)果： 1、組間比較,三組新生兒疼痛評(píng)分(包括針刺時(shí)的NIPS評(píng)分、結(jié)束時(shí)的NFCS評(píng)分和NIPS評(píng)分)分值、心率上升幅度以及啼哭例數(shù)比較差異均有統(tǒng)計(jì)學(xué)意義(p0.05),兩兩比較結(jié)果：B組明顯低于A、C兩組,而A、C兩組間比較差異無(wú)顯著統(tǒng)計(jì)學(xué)意義(p0.05)。 2、同組比較,各組新生兒針刺時(shí)和結(jié)束時(shí)疼痛評(píng)分(包括NFCS評(píng)分和NIPS評(píng)分)分值比較差異均有統(tǒng)計(jì)學(xué)意義(p0.05),針刺時(shí)疼痛分值均明顯高于結(jié)束時(shí)疼痛分值。 結(jié)論： 1、新生兒接受疼痛刺激前2min,予口服25%葡萄糖2ml可明顯降低疼痛評(píng)分分值、心率上升幅度和減少啼哭,而10%葡萄糖2ml鎮(zhèn)痛作用不明顯。 2、口服25%葡萄糖用于緩解新生兒操作性疼痛簡(jiǎn)單有效,安全可行。
[Abstract]:Objective: to explore the effect of two concentrations of glucose on the pain caused by radial artery blood sampling in neonates, and to provide scientific basis for the nursing of neonatal pain. Methods: 90 newborns were randomly divided into 3 groups with 30 cases in each group. The newborns in group A were given orally 10% glucose 2 ml / L group B and 25% glucose 2 ml group C newborns were given 2 ml of warm boiled water 2 ml before radial artery blood sampling acupuncture 2 mins before acupuncture. 2 min before acupuncture, the newborns in group A were given oral administration of glucose 2 ml of 10% and group B was given oral concentration of 25% glucose 2 ml. The neonatal facial coding system (NFCSA), neonatal pain scale (NIPSV), heart rate rise (HR) and number of crying cases were used to observe the pain. SPSS13.0 software package was used to analyze the data of each group, and the statistical results were statistically significant with p0. 05 as the difference. Results: 1. The scores of neonatal pain score (including NIPS score at acupuncture, NFCS score and NIPS score at the end of acupuncture) were compared among the three groups. There were significant differences in the heart rate and the number of crying cases. The results showed that the ratio of heart rate in group B was significantly lower than that in group A and C, but there was no significant difference between group A and group C (p 0.05). 2Compared with the same group, the scores of pain score (including NFCS score and NIPS score) at the time of acupuncture and at the end of acupuncture in each group were significantly different (P 0.05), and the scores of pain at acupuncture were significantly higher than those at the end of acupuncture. Conclusion: 1. Two minutes before pain stimulation, 25% glucose 2ml could significantly decrease the score of pain, increase heart rate and reduce crying, but 10% glucose 2ml had no obvious analgesic effect. 2, oral administration of 25% glucose is simple, effective and safe to relieve neonatal operative pain.
【學(xué)位授予單位】：廣西醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2012
【分類號(hào)】：R722.1

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 談曉軼;崔焱;胡曉娟;周琴;李慧珠;;口服25%葡萄糖緩解足跟采血所致新生兒疼痛的研究[J];護(hù)士進(jìn)修雜志;2009年10期

2 李神美;韋琴;;早產(chǎn)兒不同體位護(hù)理研究進(jìn)展[J];護(hù)士進(jìn)修雜志;2010年18期

3 鮑柳春;李雪芬;祝學(xué)新;;發(fā)展性照顧在早產(chǎn)兒疼痛管理中的應(yīng)用[J];現(xiàn)代護(hù)理;2006年02期

4 賈薇;田鸞英;郭麗芳;徐露;彭英;;音樂療法在早產(chǎn)兒護(hù)理中的應(yīng)用[J];護(hù)理學(xué)雜志;2006年15期

5 馮艷華;姚銀蓮;廖桂姨;;吸吮減輕新生兒靜脈穿刺時(shí)疼痛的效果觀察[J];護(hù)理學(xué)報(bào);2009年07期

6 黃云麗;葉永青;黃東明;吳巧珍;余玩輝;吳桂連;施玉麒;王維瓊;;不同護(hù)理干預(yù)方法對(duì)新生兒橈動(dòng)脈采血時(shí)疼痛和生命體征的影響[J];護(hù)理學(xué)報(bào);2009年08期

7 張劍蔚;張瑞冬;白潔;陳煜;;口服糖水和吸吮安撫奶嘴用于新生兒骶管阻滯時(shí)的鎮(zhèn)痛效果[J];醫(yī)學(xué)臨床研究;2007年12期

8 劉紅霞;郜玉珍;欒志燕;孫瑜;;國(guó)外新生兒疼痛評(píng)估常用工具研究進(jìn)展[J];護(hù)理研究;2007年01期

9 談曉軼;崔焱;周琴;李慧珠;胡曉娟;;嗅覺安撫措施緩解足跟采血致新生兒疼痛的研究[J];護(hù)理研究;2009年16期

10 郭文璇;蔡敏芬;許永華;陳淑鈿;許明兔;陳佳佳;;非營(yíng)養(yǎng)性吸吮和音樂治療緩解新生兒疼痛的研究[J];現(xiàn)代醫(yī)院;2009年05期

，

本文編號(hào)：1818522