婴儿进行灵活鼻喉镜检查的口服糖:一个盲目的随机试验研究
Nikolaus E Wolter1, Meghan E Tepsich1, Ellie S Daien1
1Department of Otolaryngology-Head and Neck Surgery, Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada.
口服糖可显著减少婴儿在柔性鼻喉镜检查 (FNL) 期间的不适. 这种简单的干预可以降低疼痛分数和哭泣时间,而不会延长预约时间,从而改善婴儿的FNL体验.
科学领域:
- 儿科耳鼻喉科 儿科耳鼻喉科
- 在婴儿的疼痛管理.
- 新生儿程序 新生儿程序
背景情况:
- 灵活鼻喉镜 (FNL) 是婴儿的一种标准但不舒服的诊断程序.
- 口服糖是已知的婴儿疼痛止痛药,但其在FNL中的使用尚未确立.
- 调查糖在减少FNL期间不适的疗效对于改善婴儿护理至关重要.
研究的目的:
- 为了评估口服糖对婴儿在柔性鼻喉镜检查期间的不适的影响.
- 为了评估疼痛评分,哭泣时间和访问时间,在FNL之前接受口服糖的婴儿.
- 确定口服糖是否是一种安全有效的方法来缓解患有FNL的婴儿的疼痛.
主要方法:
- 一项随机试点研究,涉及接受FNL的婴儿 (<12个月).
- 在手术前,婴儿被随机分配到接受24%的口服糖或标准护理 (不含糖).
- 使用EVENDOL疼痛尺度,哭泣时间和盲人观察员访问时间来测量不适.
主要成果:
- 与标准护理组相比,接受口服糖的婴儿的EVENDOL疼痛评分明显较低.
- 在FNL后的平均哭泣持续时间在糖糖组显著较短.
- 两组之间没有观察到临床访问总体持续时间的显著差异.
结论:
- 口服糖有效地减少了在接受灵活鼻喉镜检查的婴儿的疼痛和哭泣.
- 在FNL之前服用口服糖是治疗疼痛的安全有效方法.
- 这种干预措施不会延长临床诊所的时间,提供了一种实际的方法来提高婴儿在FNL期间的舒适度.
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