不同吸吮物缓解新生儿静脉穿刺疼痛效果临床研究.docVIP

不同吸吮物缓解新生儿静脉穿刺疼痛效果的临床研究 　　[摘要]目的 分析不同吸吮物缓解新生儿静脉穿刺疼痛效果的临床效果。方法 选取我院2016年1月～2017年1月治疗的早产儿150例按照不同吸吮物分为三组，每组50例。A组选择非营养性吸吮，B组选择棉签吸吮液体奶水，C组选择棉签吸吮葡萄糖水。比较三组早产儿静脉穿刺疼痛缓解效果。结果 A组穿刺后5 min的心率为（168±2）次/min，血氧饱和度为（75.6±0.7）%，PIPP评分为（6.28±1.16）分，NIPS评分为（2.01±0.41）分，B组穿刺后5 min心率为（154±3）次/min，血氧饱和度为（86.2±0.7）%，PIPP评分为（3.15±1.05）分，NIPS评分为（0.85±0.12）分；C组穿刺后5 min心率为（152±3）次/min，血氧饱和度为（86.8±0.7）%，PIPP评分为（3.08±1.02）分，NIPS评分为（0.88±0.13）分；A组穿刺成功率??76%，穿刺啼哭率为28%；B组穿刺成功率为96%，穿刺啼哭率为10%；C组患儿穿刺成功率为96%，穿刺啼哭率为8%，A组与B、C组的上述指标比较，差异有统计学意义（P0.05）。结论 与非营养性吸吮比较，对早产儿行棉签吸吮液体奶水和棉签吸吮葡萄糖水，能缓解早产儿静脉穿刺疼痛程度，临床价值高。 　　[关键词]不同吸吮物；静脉穿刺；疼痛 　　[中图分类号] R473.72 [文献标识码] A [文章编号] 1674-4721（2017）10（c）-0172-03 　　Clinical study of different sucking material on relieving neonatal venipuncture pain 　　HUA Xiang-ling 　　Department of Neonatology，the First People′s Hospital of Fuzhou City in Jiangxi Province，Fuzhou 344000，China 　　[Abstract]Objective To analyze the clinical effect of different sucking material on relieving neonatal venipuncture pain.Methods From January 2016 to January 2017，150 preterm infants treated in our hospital were divided into three groups based on different sucking material，and there were 50 cases in each group.In group A，non-nutritive sucking was selected，while in group B，liquid milk sucking by cotton swab was chosen，in group C，water with glucose sucking by cotton swab was applied.Tshe intravenous pain relief effect among three groups was compared.Results In the group A，5 minute after puncturation，the heart rate，oxygen saturation，PIPP score，and NIPS score was （168±2） times per minute，（75.6±0.7）%，（6.28±1.16） points，and （2.01±0.41） points respectively，while in group B，after 5-minute puncturation，it was （154±3） times per minute，（86.2±0.7）%，（3.15±1.05） points，and （0.85±0.12） points and in group C respectively，it was （152±3） times per minute，（86.8±0.7）%，（3.08±1.02） points，and （0.88±0.13） points respectively.The success rate of puncturation and the rate of crying on puncturation in group A was 76% and