本文關(guān)鍵詞： 蔗糖溶液 非營養(yǎng)性吸吮 足月新生兒 靜脈穿刺 疼痛　出處：《青島大學(xué)》2017年碩士論文　論文類型：學(xué)位論文

【摘要】：目的探索并比較蔗糖溶液聯(lián)合非營養(yǎng)性吸吮、非營養(yǎng)性吸吮及蔗糖溶液對(duì)足月新生兒接受靜脈穿刺時(shí)疼痛的干預(yù)效果。方法2015年6月~2016年6月便利選取青島大學(xué)附屬醫(yī)院新生兒重癥監(jiān)護(hù)室120例接受靜脈穿刺的足月新生兒,隨機(jī)分為3組:蔗糖溶液聯(lián)合非營養(yǎng)性吸吮組、非營養(yǎng)性吸吮組、蔗糖溶液組,每組40名新生兒。在靜脈穿刺前2分鐘,蔗糖溶液聯(lián)合非營養(yǎng)性吸吮組給予2ml24%的蔗糖溶液,喂畢給予安撫奶嘴吸吮;非營養(yǎng)性吸吮組僅給予安撫奶嘴吸吮;蔗糖溶液組僅給予2ml24%的蔗糖溶液;非營養(yǎng)性吸吮干預(yù)延續(xù)至靜脈穿刺完成后4分鐘。采用行為指標(biāo)(疼痛面容、啼哭、新生兒疼痛評(píng)估量表)和生理指標(biāo)(心率、血氧飽和度)分別評(píng)估三組干預(yù)措施在減輕疼痛方面的效果。結(jié)果1.蔗糖溶液聯(lián)合非營養(yǎng)性吸吮組靜脈穿刺階段和恢復(fù)階段新生兒疼痛評(píng)分中位數(shù)分別為2與1,蔗糖溶液組是3與2,非營養(yǎng)性吸吮組是5與4,三組在兩個(gè)階段兩兩比較差異有統(tǒng)計(jì)學(xué)意義(P0.017)。蔗糖溶液聯(lián)合非營養(yǎng)性吸吮組接受靜脈穿刺后疼痛面容持續(xù)時(shí)間16秒小于蔗糖組22秒和非營養(yǎng)性吸吮組53秒,三組差異有統(tǒng)計(jì)學(xué)意義(P0.017),蔗糖溶液聯(lián)合非營養(yǎng)性吸吮組和蔗糖溶液組靜脈穿刺后啼哭的人數(shù)均為20少于非營養(yǎng)性吸吮組啼哭人數(shù)31人,差異有統(tǒng)計(jì)學(xué)意義(P0.017)。蔗糖溶液聯(lián)合非營養(yǎng)性吸吮組和蔗糖溶液組接受靜脈穿刺后啼哭持續(xù)時(shí)間分別為11秒和18秒小于非營養(yǎng)性吸吮組37.5秒,差異有統(tǒng)計(jì)學(xué)意義(P0.017)。蔗糖溶液組啼哭持續(xù)時(shí)間18秒與蔗糖溶液聯(lián)合非營養(yǎng)性吸吮組啼哭持續(xù)時(shí)間11秒之間的差異無統(tǒng)計(jì)學(xué)意義(P0.05)。2.蔗糖溶液聯(lián)合非營養(yǎng)性吸吮組靜脈穿刺階段心率均值1 2 8.3 8±1 6.4 5次/分低于蔗糖溶液組心率均值143.83±17.31次/分和非營養(yǎng)性吸吮組心率均值156±16.39次/分,三組差異均有統(tǒng)計(jì)學(xué)意義(P0.05)。蔗糖溶液聯(lián)合非營養(yǎng)性吸吮組靜脈穿刺階段血氧飽和度均值95.66±2.12%高于蔗糖溶液組均值94.06±2.13%和非營養(yǎng)性吸吮組92.02±2.55%,差異均有統(tǒng)計(jì)學(xué)意義(P0.05)�；謴�(fù)階段2min時(shí),蔗糖溶液聯(lián)合非營養(yǎng)性吸吮組心率均值122.63±15.69次/分和蔗糖溶液組的心率均值132±12.40次/分低于非營養(yǎng)性吸吮組147.38±13.52次/分,差別有統(tǒng)計(jì)學(xué)義(P0.05),蔗糖溶液聯(lián)合非營養(yǎng)性吸吮組心率與蔗糖溶液組的差別無統(tǒng)計(jì)學(xué)意義(P0.05)�；謴�(fù)階段2min時(shí),蔗糖溶液聯(lián)合非營養(yǎng)性吸吮組血氧飽和度均值9 6.4±1.9 0%和蔗糖溶液組血氧飽和度均值9 4.9±1.6 6%高于非營養(yǎng)性吸吮組92.8±1.32%,差異有統(tǒng)計(jì)學(xué)意義(P0.05),蔗糖溶液聯(lián)合非營養(yǎng)性吸吮組血氧飽和度與蔗糖溶液組的差別無統(tǒng)計(jì)學(xué)意義(P0.05)�；謴�(fù)階段4min時(shí),三組新生兒心率和血氧飽和度之間的差別無統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論蔗糖溶液聯(lián)合非營養(yǎng)性吸吮與兩者單獨(dú)實(shí)施相比:能夠降低新生兒疼痛評(píng)分,縮短新生兒疼痛面容持續(xù)時(shí)間,降低新生兒靜脈穿刺過程中和結(jié)束后的心率,提高血氧飽和度。蔗糖溶液聯(lián)合非營養(yǎng)性吸吮緩解靜脈穿刺所致疼痛的效果優(yōu)于蔗糖溶液和非營養(yǎng)性吸吮單獨(dú)實(shí)施。兩者單獨(dú)干預(yù)時(shí),蔗糖溶液緩解靜脈穿刺所致疼痛的效果優(yōu)于非營養(yǎng)性吸吮。
[Abstract]:Objective to explore and compare the sucrose solution combined with non nutritive sucking, the intervention effect of non nutritive sucking and sucrose on the newborn accepted venepuncture pain. Methods from June 2015 June ~2016 convenience select Qiingdao University hospital NICU newborn 120 cases received intravenous puncture, were randomly divided into 3 groups: combined with non sucrose solution nutritive sucking group, non nutritive sucking group, sucrose solution group, each group of 40 newborns. In 2 minutes before venipuncture, sucrose solution of sucrose solution and non nutritive sucking group were given 2ml24%, given the pacifier feeding after sucking; non nutritive sucking group only received pacifier sucking; sucrose sucrose group administration of 2ml24% only 4 minutes; non nutritive sucking intervention lasted until after the completion of the vein puncture. The behavioral indicators (face pain, crying, neonatal pain assessment scale) And the physiological indexes (heart rate, blood oxygen saturation) respectively to assess the effect of the intervention of the three groups in reducing pain. Results 1. sucrose solution and non nutritive sucking group vein puncture stage and restoration stage of neonatal pain score was respectively 2 and 1, 3 and 2 sucrose solution group, non nutritive sucking group is 5 and 4, the three groups in the two stage, 22 difference was statistically significant (P0.017). The sucrose solution combined with non nutritive sucking group received intravenous puncture pain after the face for 16 seconds 22 seconds less than sucrose group and non nutritive sucking group for 53 seconds, there was significant difference between three groups (P0.017), combined with non sucrose solution nutritive sucking group and sucrose solution group after venipuncture crying there were 20 less than the non nutritive sucking group were the number 31, the difference was statistically significant (P0.017). The sucrose solution combined with non nutritive sucking group and sucrose solution The liquid group received venous puncture after crying duration were 11 seconds and 18 seconds less than non nutritive sucking group for 37.5 seconds, the difference was statistically significant (P0.017). The sucrose group crying for 18 seconds and the difference of sucrose solution combined with non nutritive sucking group crying duration between 11 seconds was not statistically significant (P0.05).2. sucrose solution combined with non nutritive sucking vein puncture group stage 128.38 + 16.45 / min. mean heart rate is lower than the sucrose solution heart rate is 143.83 + 17.31 / min and non nutritive sucking heart rate is 156 + 16.39 / min, there were significant differences between three groups (P0.05). The sucrose solution combined with non nutritive sucking group vein oxygen saturation stage average of 95.66 + 2.12% higher than the average of 94.06 + 2.13% sucrose solution group and non nutritive sucking group 92.02 + 2.55%, the differences were statistically significant (P0.05). The recovery stage of 2min, sugarcane Sugar solution and non nutritive sucking heart rate is 122.63 + 15.69 / min and sucrose solution were 132 + 12.40 / min mean heart rate is lower than the non nutritive sucking group 147.38 + 13.52 / min, the difference are statistically significant (P0.05), sucrose solution and non nutritive sucking group, heart rate and sugar solution group (no significant difference P0.05). The recovery stage of 2min, sucrose solution and non nutritive sucking group mean oxygen saturation 96.4 + 1.90% sucrose solution and group mean oxygen saturation 94.9 + 1.66% higher than that of non nutritive sucking group 92.8 + 1.32%, the difference was statistically significant (P0.05), sucrose solution and non nutritive sucking blood oxygen saturation and sucrose group difference solution: there is statistical significance (P0.05). The recovery stage of 4min, between the three groups of neonatal heart rate and oxygen saturation had no significant difference (P0.05). Conclusion: sucrose solution combined with non nutritive Suck and two separate implementation compared: can reduce neonatal pain score, reduce neonatal pain face duration, reduce the end of neonatal venous puncture during and after the heart rate, improve blood oxygen saturation. Sucrose solution combined with non sucking effect is better than that of sucrose solution and non nutritive sucking nutrition to relieve pain caused by vein puncture. Both single intervention alone when the effect of sucrose solution to alleviate the pain caused by vein puncture is better than that of non nutritive sucking.

【學(xué)位授予單位】：青島大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R473.72

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