对阿片类药物缩的耳部针辅助治疗:一个随机试点可行性研究
Heather J Jackson1, Micaela Arseneau2, Michelle Terrell2
1Vanderbilt-Ingram Cancer Center, Vanderbilt University Medical Center, Nashville, TN.
概括
针是一个安全和可行的方法来管理婴儿的阿片类药物戒断. 这项研究发现,它减少了断奶时间,并得到了家长和医疗保健提供者的良好接受.
科学领域:
- 儿科重症监护医学 儿科重症监护医学
- 综合医学是一个整体医学.
- 新生儿戒断综合征管理
背景情况:
- 片类药物对重症婴儿至关重要,但可能导致戒断.
- 阳性戒断综合征 (IWS) 是新生儿重症监护病房的一个重大问题.
- 需要进行非药物干预来管理IWS.
研究的目的:
- 评估在儿科心脏重症监护病房内IWS针治疗方案的可行性.
- 评估针治疗对戒断症状持续时间的影响.
- 确定家长和医疗保健提供者接受针治疗.
主要方法:
- 进行了一项随机试点可行性试验.
- 每隔1到3天,在耳朵上涂上针贴纸,直到症状改善为止.
- 测量了家长和医疗保健提供者的满意度和接受度.
主要成果:
- 没有严重的不良事件发生;只报告了一例皮肤刺激.
- 在针治疗组中,断奶阶段明显较短 (6.0 vs 22.0 天).
- 父母报告高满意度 (96.2%),71.9%的医疗保健提供者认为针可以接受.
结论:
- 针是一种安全的,可行的,被接受的辅助治疗,用于治疗儿科心脏ICU中的阳性性退出.
- 这些发现支持进行更大规模的试验,以优化依赖镇静药物的婴儿的临床管理.
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