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白噪声联合非营养性吸吮在早产儿视网膜病筛查疼痛干预中的应用效果

刘丽萍 王丹丹 王红利 高峰

刘丽萍, 王丹丹, 王红利, 高峰. 白噪声联合非营养性吸吮在早产儿视网膜病筛查疼痛干预中的应用效果[J]. 中华全科医学, 2024, 22(2): 261-264. doi: 10.16766/j.cnki.issn.1674-4152.003379
引用本文: 刘丽萍, 王丹丹, 王红利, 高峰. 白噪声联合非营养性吸吮在早产儿视网膜病筛查疼痛干预中的应用效果[J]. 中华全科医学, 2024, 22(2): 261-264. doi: 10.16766/j.cnki.issn.1674-4152.003379
LIU Liping, WANG Dandan, WANG Hongli, GAO Feng. Effect of white noise combined with non-nutritive sucking in screening for pain intervention in retinopathy of prematurity[J]. Chinese Journal of General Practice, 2024, 22(2): 261-264. doi: 10.16766/j.cnki.issn.1674-4152.003379
Citation: LIU Liping, WANG Dandan, WANG Hongli, GAO Feng. Effect of white noise combined with non-nutritive sucking in screening for pain intervention in retinopathy of prematurity[J]. Chinese Journal of General Practice, 2024, 22(2): 261-264. doi: 10.16766/j.cnki.issn.1674-4152.003379

白噪声联合非营养性吸吮在早产儿视网膜病筛查疼痛干预中的应用效果

doi: 10.16766/j.cnki.issn.1674-4152.003379
基金项目: 

河南省医学科技攻关计划联合共建项目 LHGJ20220041

详细信息
    通讯作者:

    刘丽萍,E-mail:Liuliping1236541@163.com

  • 中图分类号: R722

Effect of white noise combined with non-nutritive sucking in screening for pain intervention in retinopathy of prematurity

  • 摘要:   目的  探讨白噪声联合非营养性吸吮在早产儿视网膜病(ROP)筛查操作性疼痛干预中的应用效果。  方法  选取2020年2月—2021年2月在河南省人民医院新生儿重症监护病房(NICU)住院治疗的早产儿212例,根据随机数字表法分为白噪声组50例、吸吮组52例、白噪声联合吸吮组(联合组)56例以及对照组54例。4组均行眼底筛查,筛查过程中4组分别给予白噪声干预、非营养性吸吮干预、白噪声联合非营养性吸吮干预和常规体位安抚干预。应用早产儿疼痛评估量表(PIPP)评定筛查操作性疼痛程度,比较4组筛查前后的PIPP评分、血氧饱和度和心率。  结果  筛查后1 min和5 min,白噪声组、非营养性吸吮组、联合组PIPP评分均明显低于对照组(P<0.001),而联合组PIPP评分均明显低于白噪声组和非营养性吸吮组(P<0.01);筛查后1 min和5 min,白噪声组、非营养性吸吮组、联合组血氧饱和度明显高于对照组,心率明显低于对照组(P<0.01),而联合组血氧饱和度明显高于白噪声组和非营养性吸吮组,心率明显低于白噪声组和非营养性吸吮组(P<0.01)。  结论  白噪声联合非营养性吸吮能明显减轻ROP筛查操作性疼痛,稳定早产儿生命体征,值得在临床推广和使用。

     

  • 表  1  各组早产儿一般临床资料比较

    Table  1.   Comparison of general clinical data of premature infants in each group

    组别 例数 性别(男/女,例) 胎龄(x±s,周) 筛查年龄(x±s,d) 出生体重(x±s,g)
    白噪声组 50 21/29 31.61±1.85 35.79±1.87 1 697.85±165.75
    非营养吸吮组 52 26/26 32.12±1.57 35.93±1.56 1 712.73±139.58
    联合组 56 25/31 31.82±1.68 35.85±1.73 1 645.72±145.53
    对照组 54 28/26 31.75±1.69 36.17±1.86 1 678.95±159.87
    统计量 0.667a 0.825b 0.478b 1.936b
    P 0.716 0.481 0.698 0.125
    注:a为χ2值,bF值。
    下载: 导出CSV

    表  2  各组早产儿眼底筛查后PIPP评分比较(x±s,分)

    Table  2.   Comparison of PIPP score after fundus screening in preterm infants in each group (x±s, points)

    组别 例数 筛查前5 min 筛查后1 min 筛查后5 min
    白噪声组 50 3.92±0.75 8.92±1.32a 6.85±0.76a
    非营养吸吮组 52 3.87±0.73 8.87±1.35a 6.97±0.78a
    联合组 56 3.89±0.88 7.65±1.26abc 4.72±0.53abc
    对照组 54 3.95±0.71 13.25±1.17 8.69±0.86
    F 0.109 201.317 265.677
    P 0.955 <0.001 <0.001
    注:F时间=3.117,P=0.048;F组间=4.771,P=0.031;F交互=11.786,P<0.001。与对照组比较,a P<0.01;与白噪声组比较,b P<0.01;与非营养性吸吮组比较,c P<0.01。
    下载: 导出CSV

    表  3  各组早产儿筛查前后血氧饱和度比较(x±s,%)

    Table  3.   Comparison of oxygen saturation of premature infants before and after screening (x±s, %)

    组别 例数 筛查前5 min 筛查后1 min 筛查后5 min
    白噪声组 50 95.73±1.49 89.62±1.31a 93.18±1.69a
    非营养吸吮组 52 96.17±1.51 89.65±1.27a 93.25±1.78a
    联合组 56 95.82±1.59 91.87±1.36abc 94.96±1.73abc
    对照组 54 95.96±1.71 88.21±1.19 91.79±1.85
    F 0.762 76.467 29.793
    P 0.517 <0.001 <0.001
    注:F时间=3.489,P=0.046;F组间=4.320,P=0.041;F交互=12.696,P<0.001。与对照组比较,a P<0.01;与白噪声组比较,b P<0.01;与非营养性吸吮组比较,c P<0.01。
    下载: 导出CSV

    表  4  各组早产儿筛查前后心率比较(x±s,次/min)

    Table  4.   Comparison of heart rate of premature infants before and after screening (x±s, times/min)

    组别 例数 筛查前5 min 筛查后1 min 筛查后5 min
    白噪声组 50 139.43±6.73 158.73±7.85a 152.69±8.81a
    非营养吸吮组 52 139.78±6.83 157.82±8.75a 151.97±8.83a
    联合组 56 138.52±7.82 152.51±9.37abc 142.19±7.87abc
    对照组 54 138.96±7.98 163.68±8.97 157.72±8.92
    F 0.298 14.956 31.385
    P 0.827 <0.001 <0.001
    注:F时间=5.764,P=0.013;F组间=5.104,P=0.026;F交互=19.896,P<0.001。与对照组比较,a P<0.01;与白噪声组比较,b P<0.01;与非营养性吸吮组比较,c P<0.01。
    下载: 导出CSV
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  • 收稿日期:  2023-01-12
  • 网络出版日期:  2024-03-27

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