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新生児における皮膚と皮膚の接触による急性処置疼痛の影響:体系的なレビューとメタ解析
Lizandro de Andrade Teles1, Francisco Plácido Nogueira Arcanjo1, Kailane Martins Cardoso1
1Universidade Federal do Ceará (UFC), Programa de Pós-Graduação em Ciências da Saúde (PPGCE), Sobral, CE, Brazil.
Jornal de pediatria
|August 30, 2025
まとめ
皮膚と皮膚の接触 (SSC) は,標準的なケアと包帯と比較して,新生児の処置痛みを効果的に軽減します. 炭水化物溶液と比較しても,試験の多様性により,母乳育児に対する有効性はさらに調査する必要があります.
科学分野:
- 新生児のケア
- 痛みの管理
- 証拠に基づいた実践
背景:
- 新生児の痛みは大きな問題です
- 非薬学的介入は痛みの管理に不可欠です.
- 皮膚と皮膚の接触 (SSC) は広く認められた介入です.
研究 の 目的:
- 新生児における手術後の痛みの軽減における皮膚対皮膚接触 (SSC) の有効性を体系的に評価する.
- SSCを標準治療と他の非薬学介入と比較する.
- 新生児の痛み管理におけるSSCの証拠の確実性を評価する.
主な方法:
- ランダム化制御試験 (RCT) の包括的な体系的レビューとメタ解析.
- 2025年7月までの主要なデータベースとグレーの文献を検索した.
- PRISMAとMECIRのガイドラインに従い,バイアスのリスクと証拠の確実性が評価されました.
主要な成果:
- 2995人の新生児を対象とした29件のRCTを分析した.
- 標準的なケア (SMD = -1.13) と包帯 (SMD = -0.86) に比べて,SSCは手術時の痛みを有意に軽減しました.
- SSCは炭水化物溶液と同様の有効性を示し,母乳授乳よりも劣った有効性を示し,高い異質性を示した.
結論:
- 皮膚と皮膚の接触 (SSC) は,新生児の痛みを和らげるための効果的な介入であり,特に標準的なケアと包帯の対比です.
- 炭水化物溶液と母乳育児との比較は,研究の変動性のために慎重に解釈する必要があります.
- 臨床実務の証拠基盤を強化するために,さらに高品質のRCTを推奨する.
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