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结核性肠球炎早产婴儿的疼痛管理:国际专家达成共识声明
Judith A Ten Barge1, Gerbrich E van den Bosch2, Karel Allegaert3,4,5
1Department of Neonatal and Pediatric Intensive Care, Division of Neonatology, Erasmus MC - Sophia Children's Hospital, Rotterdam, The Netherlands. j.tenbarge@erasmusmc.nl.
死性肠球炎 (NEC) 是一种痛苦的婴儿疾病. 专家的共识为疼痛评估和治疗提供了建议,包括定期评估和预防性止痛治疗NEC第二阶段或更高的婴儿.
科学领域:
- 新生儿护理 新生儿护理
- 儿科胃肠病学 儿科胃肠病学
- 疼痛管理 疼痛管理
背景情况:
- 结核性肠球炎 (NEC) 是早产婴儿的一种严重的肠道疾病,会引起严重的疼痛.
- 目前对患有NEC的婴儿的疼痛管理策略不一致,缺乏标准化.
研究的目的:
- 建立基于专家的共识,为患有NEC的婴儿提供最佳疼痛管理的建议.
- 为了解决研究的稀缺性和NEC的止痛疗法的变化.
主要方法:
- 召集了欧洲儿科研究协会 (ESPR) 新生儿疼痛和NEC特别利益集团的专家.
- 进行了在线调查,以收集潜在建议的意见.
- 举行了两次共识会议,包括专家讨论和对建议进行投票.
主要成果:
- 制定了一份专家共识声明,其中包括九项关于NEC疼痛管理的建议.
- 建议包括使用经过验证的新生儿疼痛量表定期进行疼痛评估.
- 推用于预防性给予止痛药,如白醇和阿片类药物,用于患有NEC阶段≥II的婴儿.
结论:
- "共识声明"为照顾患有NEC的早产婴儿的医疗保健专业人员提供了必要的临床指导.
- 实施这些建议可以帮助预防和减少这一弱势群体的疼痛.
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