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在接受PICC插入的早产婴儿中,crSO₂的疼痛相关变化

Lianyu Zhang^1,2,3, Liu Yang⁴, Xiaoping Lei^1,5

¹Division of Newborn Medicine, Department of Pediatrics, Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan, China.

The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians

|August 1, 2023

概括

通过近红外光谱学 (NIRS) 测量的大脑区域氧和 (crSO2) 有效地评估了在外围插入中央导管 (PICC) 过程中早产婴儿的疼痛. 在crSO2的波动与疼痛得分有很强的相关性,表明其作为疼痛指标的实用性.

科学领域:

新生儿医学新生儿医学
医疗器械医疗器械
生理监测生理监测

背景情况:

在早产婴儿的疼痛评估是具有挑战性的.
周边插入的中央导管 (PICC) 是常见的过程,引起疼痛.
大脑区域氧和 (crSO2) 是一种潜在的非侵入性疼痛指标.

研究的目的:

评估通过近红外光谱学 (NIRS) 测量crSO2的有效性,以评估早产婴儿的手术疼痛.
在PICC插入期间,将crSO2变化与已确定的疼痛评分和生命体征相关联.

主要方法:

NIRS用于测量48名早产婴儿的crSO2 (<32周GA或<1500g出生体重).
在PICC插入之前,期间和之后,对早产婴儿疼痛概况 (PIPP) 评分,生命体征和血液气体参数进行了监测.
进行了统计分析,包括重复测量ANOVA和相关性,以评估crSO2和疼痛指标之间的关系.

主要成果:

在PICC插入期间,PIPP得分显著更高.
心率,呼吸率和血压增加,而SPO2和crSO2在手术期间下降.
crSO2的波动与PIPP得分有很强的负相关性 (r=-0.829,p<0.001).

结论:

在crSO2水平的变化与早产婴儿的手术疼痛有很强的相关性.
通过NIRS测量crSO2可以作为一个有价值的,非侵入性指标来评估这一群体的疼痛.
这种方法为优化新生儿进行PICC插入等手术的疼痛管理提供了有希望的工具.

关键词:

标签:PICC 标签:PICC 标签:PICC 这就是PIPPP的意思.疼痛疼痛疼痛疼痛这就是 crSO2SO2 .过早出生的婴儿是早产的

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