在ROP考试中减轻压力的比较方法;持股考试人员的观点
Laney J Cuddihee1, Peter Giannulis1, Sarah Merriner1
1Alaska Blind Child Discovery, Alaska Children's EYE & Strabismus, Anchorage, AK, USA.
Clinical ophthalmology (Auckland, N.Z.)
|July 19, 2023
概括
成年人在早产视网膜病变 (ROP) 检查期间经历了明显的疼痛和亮度. 局部麻醉减轻了疼痛,但综合的感官刺激增加了压力,与婴儿反应不同.
科学领域:
- 眼科医生 眼科 眼科
- 新生儿科学 新生儿科学
- 感官科学 感官科学
背景情况:
- 在婴儿中,早产性视网膜病变 (ROP) 的分期需要进行侵入性视网膜检查.
- 了解这些检查的感官体验对于婴儿福利和减轻压力至关重要.
- 之前的研究还没有完全量化成年人对ROP检查组件的感官感知.
研究的目的:
- 评估ROP检查组件对成年人模拟婴儿检查的感知压力和感官影响.
- 在ROP分期期间,将成人感官反应与已知的婴儿生理反应进行比较.
- 评估局部麻醉在缓解这些程序期间感觉不适的疗效.
主要方法:
- 九名成年人接受了15个ROP检查组件,包括眼镜,脑膜压缩器和视网膜摄影.
- 参与者通过心脏监测和自我报告的疼痛/症状得分 (1-10利克尔特尺度) 进行监测.
- 用和没有局部麻醉进行了检查,以比较感官体验.
主要成果:
- 局部麻醉显著降低了眼镜和缩性抑郁症的疼痛.
- 来自间接眼镜镜和视网膜摄像机的高亮度水平引起了显著的不适.
- 成年人经历了最小的眼心反射,与早产婴儿不同.
结论:
- 局部麻醉在特定的ROP检查组件中提供适度的疼痛缓解.
- 疼痛和亮度之间的协同效应加剧了感官压力.
- 成年人不能复制在ROP检查期间在婴儿中观察到的胸肌梗塞反应,突出了物种特异性的生理差异.
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