在新生儿中进行静脉穿刺的糖镇痛
Mariana Bueno1, Ligyana Candido2, Jiale Hu3
1Lawrence Bloomberg Faculty of Nursing, University of Toronto, Toronto, Canada.
The Cochrane database of systematic reviews
|March 3, 2026
概括
与没有干预相比,口服糖有效地减少了新生儿静脉穿刺期间的疼痛. 虽然有益,但它的有效性与母乳养或非营养吸 (NNS) 等其他方法相比有所不同.
科学领域:
- 新生儿止痛药 新生儿止痛药
- 在婴儿的疼痛管理.
- 基于证据的儿科医学
背景情况:
- 口服糖一般被认为是安全的,用于缓解新生儿在静脉穿刺期间的疼痛.
- 关于糖糖干预措施的特定止痛作用和比较的证据有限.
研究的目的:
- 评估口服糖在新生儿静脉穿刺期间缓解疼痛的益处和危害.
- 为了比较糖糖干预与没有干预,标准护理和其他止痛方法.
主要方法:
- 随机对照试验 (RCT) 的系统审查和元分析.
- 搜索了多个数据库,包括CENTRAL,MEDLINE,Embase和试验注册表.
- 包括涉及经期和早产新生儿进行静脉穿刺的RCT,将糖糖与各种干预措施进行比较.
主要成果:
- 与没有干预相比,含有或不含非营养吸收 (NNS) 的糖可能会降低静脉穿刺期间和之后不久的疼痛强度 (中度至高确定性证据).
- 糖糖可能提供与皮肤对皮肤护理相比的疼痛缓解,但证据不确定.
- 与母乳养相比,糖可能会减少静脉穿刺期间的疼痛,在术后两分钟内观察到的差异较小.
结论:
- 与没有干预相比,口服的糖糖,有或没有NNS,可能有效地降低了静脉穿刺期间和之后的疼痛.
- 有证据表明,糖糖在静脉穿刺期间和之后减轻疼痛方面比单独的NNS更有效.
- 需要进一步的研究来澄清砂糖与其他干预措施 (如皮肤对皮肤护理和母乳养) 的比较有效性.
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