ISSN 1674-3865  CN 21-1569/R
主管：国家卫生健康委员会
主办：中国医师协会
　　　辽宁省基础医学研究所
　　　辽宁中医药大学附属医院
中国中西医结合儿科学

中国中西医结合儿科学 ›› 2018, Vol. 10 ›› Issue (5): 459-461.doi: 10.3969/j.issn.1674-3865.2018.05.027

• 临床护理 • 上一篇    

音乐干预联合非营养性吸吮对早产儿眼底筛查的镇痛效果观察

谭利娜，朱宏瑞，崔岢丰，张耀东，时富枝，石彩晓   

  1. 450018郑州，郑州大学附属儿童医院，河南省儿童医院，郑州儿童医院早产儿重症监护室(谭利娜，朱宏瑞，崔岢丰)，新生儿重症监护室(张耀东)，护理部(时富枝，石彩晓)
  • 出版日期:2018-10-25 发布日期:2018-12-03
  • 通讯作者: 张耀东，Email：syek@163com
  • 作者简介:谭利娜(1980-)，女，主管护师。研究方向：新生儿护理
  • 基金资助:
    河南省科技攻关项目(172102310006)

Analgesic effect of music intervention combined with non-nutritive sucking on fundus screening in premature infants

TAN Lina，ZHU Hongrui，CUI Kefeng，ZHANG Yaodong， SHI Fuzhi，SHI Caixiao.   

  1. Children's Hospital Affiliated to Zhengzhou University, Henan Children's Hospital, Zhengzhou Children's Hospital, Zhengzhou 450018, China
  • Online:2018-10-25 Published:2018-12-03

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摘要：
目的
探讨音乐干预在早产儿视网膜病眼底筛查时的镇痛效果。
方法
选取2016年1月1日至2017年12月31日在郑州大学附属儿童医院早产儿重症监护室住院且行早产儿眼底筛查的早产儿150例为研究对象，随机分为联合组、非营养性吸吮(NNS)组、对照组各50例。联合组给予音乐干预+非营养性吸吮联合干预，NNS组给予非营养吸吮干预，对照组无任何特殊干预措施，利用早产儿疼痛评分量表(PIPP)评分进行评估早产儿的疼痛程度。
结果
在筛查后1、5 min，对照组的PIPP评分均高于观察组及NNS组，差异均有统计学意义(P<0.05)。联合组筛查后1、5 min PIPP评分均低于NNS组，差异有统计学意义(P<0.05)。
结论
无论单纯的非营养性吸吮还是音乐干预联合非营养性吸吮，都能够明显降低早产儿眼底筛查的疼痛反应，而二者联合应用的镇痛效果明显优于单纯非营养性吸吮，值得在临床上进一步推广应用。

关键词: 疼痛, 音乐干预, 非营养性吸吮, 眼底筛查, 早产儿

Abstract:
Objective
To investigate the analgesic effect of music intervention in the fundus screening of retinopathy in premature infants.
Methods
A total of 150 premature infants who underwent fundus screening in the intensive care unit of the Children's Hospital of Zhengzhou University from Jan. 1, 2016 to Dec. 31, 2017 were randomly divided into the combination group nonnutritive sucking (NNS) group and control group, with 50 cases in each group. The combination group was given a combination of music intervention+nonnutritive sucking for intervention, NNS group was given nonnutritive sucking for intervention, and the control group did not receive any special interventions. The preterm infant pain rating scale(PIPP) was used to evaluate the pain level of premature infants.
Results
The PIPP scores of the control group were higher than those of the observation group and NNS group at 1 and 5 minutes after screening(P<0.05). The PIPP scores of the combination group were lower than those of the NNS group at 1 and 5 minutes after screening, and the difference was statistically significant (P<0.05).
Conclusion
Both simple nonnutritive sucking and music intervention combined with nonnutritive sucking can significantly reduce the pain response of fundus screening in premature infants, and the combined analgesic effect of the two is significantly better than pure non-nutritive sucking, which is worth clinical promotion.

Key words: Pain, Music intervention, Non-nutritive sucking, Fundus screening, Premature infant