摘要
目的观察早产儿进行静脉留置针穿刺时采用非营养吸吮和10%葡萄糖水+非营养吸吮两种干预方式对缓解早产儿静脉留置针穿刺疼痛的效果。方法选取2014年4月-12月入住新生儿科的早产儿167例,将其随机分为3组,分别为干预组Ⅰ(n=53)、干预组Ⅱ(n=58)、对照组(n=56)。在进行静脉留置针穿刺前2 min,记录早产儿在安静状态下的血氧饱和度和心率。在穿刺过程中,干预组Ⅰ给予非营养性吸吮,干预组Ⅱ给以10%葡萄糖水+非营养吸吮,对照组的早产儿在进行静脉留置针穿刺过程中不做任何干预。采用早产儿疼痛评分量表(PIPP)比较3组早产儿在静脉留置针穿刺后1、5 min的疼痛评分、心率和血氧饱和度变化。采用SPSS 17.0软件对各组数据进行统计学分析。结果一次性穿刺成功152例。其中干预组Ⅰ46例,干预组Ⅱ54例,对照组52例。静脉留置针穿刺后1 min,3组早产儿的PIPP评分中,干预组Ⅰ、干预组Ⅱ均低于对照组,差异有统计学意义(P<0.05);两干预组早产儿的PIPP评分比较,干预组Ⅱ比干预组Ⅰ低,差异有统计学意义(P<0.05)。3组早产儿在静脉留置针穿刺后1、5 min的心率、血氧饱和度比较,两干预组均优于对照组,差异有统计学意义(P<0.05);两干预组心率、血氧饱和度比较,干预组Ⅱ优于干预组Ⅰ,差异有统计学意义(P<0.05)。结论非营养吸吮对缓解早产儿静脉留置针穿刺疼痛有明显效果,且联合使用10%葡萄糖水更具有优势,值得临床推广。
Objective To observe the clinical efficacy of non-nutritional sucking and 10%glucose water plus non-nutritional sucking in relieving the venipuncture pain for premature infants.Methods A total of 167 premature infants between April and December 2014 were selected as our study subjects,and they were randomly divided into three groups：intervention group Ⅰ（n=53）,intervention group Ⅱ（n=58）,and the control group（without any intervention,n=56）.Two minutes before venous indwelling needle puncture,blood oxygen saturation and heart rate of the infants were recorded during their quiet state.In the process of venipuncture,the intervention group Ⅰ was given non-nutritional sucking,intervention group Ⅱ was given 10%glucose water plus non-nutritional sucking,and the control group did not accept any intervention.Premature pain rating scale（PIPP） was used to compare the three groups of infants in terms of pain score,heart rate and blood oxygen saturation 1 minute and 5 minutes after intravenous indwelling needle puncture.SPSS 17.0 software was applied for statistical analysis.Results Of the 167 premature infants,one-time puncture was successful in 152 infants,with 46 in intervention group Ⅰ,54 in intervention group Ⅱ,and 52 in control group.One minute after intravenous indwelling needle puncture,PIPP score of intervention group Ⅰ and Ⅱ was significantly lower than that of the control group（P〈 0.05）.The PIPP score of intervention group Ⅱ was significantly lower than that of intervention group Ⅰ（P〈 0.05）.One minute and 5 minutes after intravenous indwelling needle puncture,heart rate in the intervention groups was significantly lower than that in the control group（P〈 0.05）,blood oxygen saturation in the intervention groups was signficantly higher than that in the control group（P〈 0.05）,and they were significantly lower in intervention group Ⅱ than in intervention group Ⅰ（P〈 0.05）.Conclusions Non-nutritional sucking is effective in alleviating venipuncture pain for premature infants,especially when it is used together with 10%glucose water.The method is worthy of clinical promotion.
出处
《华西医学》
CAS
2016年第7期1273-1276,共4页
West China Medical Journal
关键词
早产儿
静脉穿刺
疼痛
干预
Premature infants
Venipuncture
Pain
Intervention
作者简介
戴淑芳（1983-），女，河北唐山人，主管护师，本科，Email：qh-daifang@163．com
