Pain reduction interventions during neonatal circumcision.
Pain reduction interventions during neonatal circumcision.
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新生儿包皮环切期间的疼痛减轻干预措施。
DOI：
10.1097/00006199-199107000-00014
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发表时间：
1991
期刊：
影响因子：
2.5
通讯作者：
Jane Leatherland
中科院分区：
文献类型：
--
作者：
L. Marchette;R. Main;E. Redick;A. Bagg;Jane Leatherland
本研究的目的是确定一些非侵入性疼痛减轻干预措施对121例接受非麻醉包皮环切术的新生儿疼痛的影响。受试者被随机分配到六个组中的一个：古典音乐，宫内声音，安抚奶嘴，音乐和安抚奶嘴，宫内声音和安抚奶嘴，或对照组（没有护士在场，没有使用疼痛减轻干预措施）。监测的生理变量包括心率、节律、节律紊乱、血压、经皮氧分压（tcpO 2）、率压乘积和行为状态，在14个包皮环切步骤中测量。在14个步骤中，42%的心率、78%的收缩压（SBP）、30%的舒张压（DBP）和81%的tcpO 2压力异常。几乎没有显着差异，发现任何步骤之间。在两个非侵入性步骤中，两组之间的SBP和DBP差异显著;在六个步骤中，tcpO 2差异显著。
The purpose of this study was to determine the effect of some noninvasive pain reduction interventions on pain in 121 neonates undergoing unanesthetized circumcision. Subjects were randomly assigned to one of six groups: classical music, intrauterine sounds, pacifier, music and pacifier, intrauterine sounds and pacifier, or control (no nurses present and no pain reduction interventions used). Physiological variables that were monitored were heart rate, rhythm, dysrhythmias, blood pressure, transcutaneous oxygen (tcpO2), rate pressure product, and behavioral state, measured during 14 circumcision steps. Over the 14 steps, 42% of the heart rates, 78% of the systolic blood pressures (SBP), 30% of the diastolic blood pressures (DBP), and 81% of the tcpO2 pressures were abnormal. Few significant differences were found among any of the steps. SBP and DBP differed significantly between groups during two of the noninvasive steps; and tcpO2 differed significantly during six steps.