PAIN IN THE PRETERM NEONATE - BEHAVIORAL AND PHYSIOLOGICAL INDEXES
PAIN IN THE PRETERM NEONATE - BEHAVIORAL AND PHYSIOLOGICAL INDEXES
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DOI：
10.1016/0304-3959(93)90162-i
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发表时间：
1993-03-01
期刊：
影响因子：
7.4
通讯作者：
HADJISTAVROPOULOS, HD
中科院分区：
文献类型：
--
作者：
CRAIG, KD;WHITFIELD, MF;HADJISTAVROPOULOS, HD
侵入性手术对早产儿的影响很少受到系统的关注。我们检查了56名早产儿和足月新生儿在足跟兰辛后的面部活动、身体运动和生理指标，沿着比较准备和恢复间隔。这些措施记录在特殊护理和足月保育期间的常规血液采样。数据分析表明，在所有测量类别中，最大程度的反应是对兰辛程序的反应。胎龄短至25-27周的新生儿对足跟穿刺器表现出生理反应，但仅在心率测量中，这随胎龄而变化。相对于足月新生儿，早产儿的身体活动一般减少。面部活动随胎龄增加而增加。特异性的反应是最大的足跟长矛的面部活动措施。早产儿疼痛的识别需要关注胎龄。
The impact of invasive procedures on preterm neonates has received little systematic attention. We examined facial activity, body movements, and physiological measures in 56 preterm and full-term newborns in response to heel lancing, along with comparison preparatory and recovery intervals. The measures were recorded in special care and full-term nurseries during routine blood sampling. Data analyses indicated that in all measurement categories reactions of greatest magnitude were to the lancing procedure. Neonates with gestational ages as short as 25-27 weeks displayed physiological responsivity to the heel lance, but only in the heart rate measure did this vary with gestational age. Bodily activity was diminished in preterm neonates in general, relative to full-term newborns. Facial activity increased with the gestational age of the infant. Specificity of the response to the heel lance was greatest on the facial activity measure. Identification of pain requires attention to gestational age in the preterm neonate.