在新生儿静脉穿刺期间口服氨酸缓解疼痛 - - 随机对照试验
Sushree Smita Behura1, Santosh Kumar Panda2, Subhrajyoti Tripathy1
1Department of Paediatrics, Kalinga Institute of Medical Sciences, KIIT DU, Bhubaneswar, Odisha, India.
European journal of clinical pharmacology
|September 3, 2025
概括
与安慰剂相比,口服黑素有效降低了新生儿在静脉穿刺过程中的疼痛评分. 这项研究支持新生儿接受痛苦手术的安全有效止痛药.
科学领域:
- 新生儿护理
- 药理学
- 治疗疼痛
背景情况:
- 这是新生儿常见且痛苦的手术.
- 新生儿有效的疼痛管理对于他们的福祉和长期结果至关重要.
- 有限的药物选择可用于在手术过程中缓解新生儿疼痛.
研究的目的:
- 在接受静脉穿刺的新生儿中比较口服黑激素和安慰剂的止痛效果.
- 评估黑激素在手术期间和之后对疼痛强度和自主稳定性的影响.
主要方法:
- 一项试验性随机对照试验,涉及60名符合条件的未患病新生儿 (妊娠年龄≥34周).
- 参与者被随机分配到接受口服黑素 (1 mg/ kg) 或安慰剂 (普通盐水).
- 使用早产婴儿疼痛概况修订 (PIPP- R) 尺度评估疼痛,并使用曼- 惠特尼U测试进行统计分析.
主要成果:
- 与安慰剂组相比,氨酸组在静脉穿刺期间和之后的PIPP- R得分显著较低 (p < 0. 001).
- 通过心率降低和氧和度提高,改善了自主稳定性.
- 虽然手术时的面部表情相似,但在接受黑素治疗的新生儿中,手术后面部表情表现较少.
结论:
- 在静脉穿刺过程中,口服黑素对新生儿有显著的止痛效果.
- 在没有明显的不良影响的情况下,梅拉能提供自主调节和降低疼痛评分.
- 这些发现支持使用口服黑素作为新生儿静脉穿刺的安全有效止痛药.
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