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首页> 外文期刊>Annals of Tropical Paediatrics >Analgesic effects of skin-to-skin contact and breastfeeding in procedural pain in healthy term neonates.
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Analgesic effects of skin-to-skin contact and breastfeeding in procedural pain in healthy term neonates.

机译：健康足月新生儿在程序性疼痛中皮肤接触和母乳喂养的镇痛作用。

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OBJECTIVES: The effectiveness of skin-to-skin contact to decrease pain from heel-lancing in healthy term neonates and whether breastfeeding in addition to skin-to-skin contact provided a more effective analgesia than skin-to-skin contact alone were investigated. METHODS: A randomised, controlled trial was conducted in 107 neonates undergoing heel-lance. Infants were randomly assigned to three groups: (i) being breastfed with skin-to-skin contact (group 1, n=35), (ii) being held in their mother's arms with skin-to-skin contact but no breastfeeding (group 2, n=36), or (iii) lying on the table before, during and after painful stimulus (group 3, n=36). Physiological responses to pain were measured by heart rate and oxygen saturation changes and behavioural responses were measured by duration of crying and grimacing. RESULTS: Infants had a mean (SD) birthweight of 3355 (270) g and gestational age of 39.5 (0.6) weeks; at the time of the procedure, mean (SD) postnatal age was 33.1 (5) hours. There was no significant difference between the groups in clinical characteristics and time spent squeezing the heel. Heart rate, oxygen saturation changes and length of crying were significantly reduced in groups 1 and 2 compared with group 3 (p<0.001). No difference was found between group 1 and group 2. Grimacing was less in group 2 than in group 3 (p<0.001). CONCLUSIONS: In healthy term neonates, skin-to-skin contact with the mother and breastfeeding with skin-to-skin contact reduce both physiological and behavioural pain response. Breastfeeding in the 1st 2 postnatal days with skin-to-skin contact did not increase the analgesic effect of skin-to-skin contact alone.
机译：目的：研究了在健康足月新生儿中皮肤-皮肤接触减轻脚跟抽筋引起的疼痛的有效性，以及与皮肤-皮肤接触相比，母乳喂养是否比皮肤-皮肤接触能提供更有效的镇痛作用。方法：随机对照试验在107例进行足跟穿刺的新生儿中进行。婴儿被随机分为三组：（i）进行皮肤接触的母乳喂养（第1组，n = 35），（ii）进行皮肤接触的母亲抱住母亲的手臂，但不进行母乳喂养（组2，n = 36）或（iii）在疼痛刺激之前，期间和之后躺在桌子上（第3组，n = 36）。通过心率和血氧饱和度变化来测量对疼痛的生理反应，并通过哭泣和做鬼脸的时间来测量行为反应。结果：婴儿的平均（SD）出生体重为3355（270）g，胎龄为39.5（0.6）周。在手术时，平均（SD）产后年龄为33.1（5）小时。两组之间的临床特征和挤压脚跟的时间没有显着差异。与第3组相比，第1和第2组的心率，血氧饱和度变化和哭泣时间明显减少（p <0.001）。在第1组和第2组之间没有发现差异。第2组的做鬼脸比第3组少（p <0.001）。结论：在健康的新生儿中，与母亲的皮肤接触和母乳喂养的皮肤接触减少了生理和行为上的疼痛反应。出生后第1天和第2天通过皮肤接触母乳喂养并没有增加单独的皮肤接触的止痛效果。

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