白噪声, 早产儿, 眼底筛查, 疼痛," /> 白噪声, 早产儿, 眼底筛查, 疼痛,"/> White noise, Premature infant, Fundus screening, Pain,"/> <span style="line-height:2;font-size:14px;">白噪声减轻早产儿眼底筛查疼痛的</span><span style="line-height:2;font-size:14px;">效果观察</span>
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发育医学电子杂志  2019, Vol. 7 Issue (3): 223-226    DOI: 10.3969/j.issn.2095-5340.2019.03.012
  围产医学   论著 |新生儿 |
白噪声减轻早产儿眼底筛查疼痛的效果观察
任向芳 李婷 孔祥永 杨梅 高铭 张敏 王自珍
解放军总医院第七医学中心八一儿童医院
Effect of white noise on relieving pain in fundus screening for premature infants
REN Xiang-fang, LI Ting, KONG Xiang-yong, YANG Mei, GAO Ming, ZHANG Min, WANG Zi-zhen
Bayi Children’s Hospital, The Seventh Medical Center, General Hospital of PLA
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摘要 【摘要】 目的  探讨白噪声对早产儿眼底筛查疼痛的缓解作用。 方法 2018 年3 月至9 月,在解放军总医院第七医学中心八一儿童医院住院的早产儿中,纳入296 例出生胎龄28 ~ 34 周,出生体重1 160 ~ 2 000 g 的早产儿,出生后4 ~ 6 周首次进行眼底筛查。随机分为白噪声干预组146 例,对照组150 例,均给予常规体位安抚法。干预组筛查过程中,使用外响播放器循环播放白噪声。比较两组筛查前5 min、筛查中、筛查后5 min 的疼痛评分、心率、血氧饱和度。采用t 检验和χ2 检验进行统计学分析。 结果  筛查前5 min,两组早产儿的疼痛评分、心率、血氧饱和度比较,差异均无统计学意义(P>0.05)。筛查后1 min 及5 min,白噪声干预组的疼痛评分均低于对照组[(8.23±0.67)与(14.72±1.12)分,(6.12±0.78)与(10.87±0.93)分,P<0.05)]。筛查中及筛查后5 min,白噪声干预组的心率均明显低于对照组[(152.32±3.28)与(159.72±1.58)次/min,(149.98±4.76)与(155.87±1.97)次/min,P<0.05)],白噪声观察组血氧饱和度均高于对照组[(87.73±1.57)% 与(83.92±1.32)%,(88.32±2.28)% 与(86.17±1.83)%,P<0.05]。 结论 白噪声具有简单、廉价、无创等优点,能有效减轻早产儿眼底筛查时的操作性疼痛,可在临床应用推广。
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关键词:  白噪声')" href="#">白噪声  早产儿  眼底筛查  疼痛    
Abstract: Abstract】 Objective To investigate the effect of white noise on relieving operational pain by fundus screening in premature infants. Methods From March to September 2018, 296 premature infants (gestational age 28-34 weeks, birth weight 1 160-2 000 g) were admitted to NICU, Bayi Children's Hospital, The Seventh Medical Center, General Hospital of PLA, who were performed fundus screening at the age of 4-6 weeks. The infants were given normal position and smoothing method and randomly divided as white noise intervention group (146 cases) and control group (150 cases). The white noise was played in a loop with player while the 146 cases were screening. Premature pain scale (PIPP), heart rate and oxygen saturation were compared between two groups in pre-screening at 5 minute, screening and post-screening at 5 minute. The statistical analysis was carried out by t-test and χ2 test. Results There were no statistical significance in PIPP, heart rate and oxygen saturation between two groups at 5 minutes before screening(P>0.05). The white noise intervention group was lower than control group in PIPP [(8.23±0.67)vs(14.72±1.12)points ] [(6.12±0.78) vs (10.87±0.93) points, P<0.05] at 1-5 minutes afterscreening. The heart rate in white noise intervention group [(152.32±3.28) vs (159.72±1.58) times/min] was lower than that in control group [(149.98±4.76) vs (155.87±1.97) times/min, P<0.05]significantly. The oxygen saturation in white noise intervention group [(87.73±1.57) % vs (83.92±1.32)%] was higher than that in control group[(88.32±2.28) % vs (86.17±1.83) %, P<0.05]. Conclusions White noise is simple, cheap and non-invasive. It can effectively alleviate the operational pain by the fundus screening for premature infants and can be widely used in clinic.
Key words:  White noise')" href="#">White noise    Premature infant    Fundus screening    Pain
收稿日期:  2018-12-06                出版日期:  2019-07-30      发布日期:  2019-07-29      期的出版日期:  2019-07-30
基金资助: 国家自然科学基金(81471492)
通讯作者:  王自珍    E-mail:  bzwangzzh@126.com
引用本文:    
任向芳 李婷 孔祥永 杨梅 高铭 张敏 王自珍. 白噪声减轻早产儿眼底筛查疼痛的效果观察[J]. 发育医学电子杂志, 2019, 7(3): 223-226.
REN Xiang-fang, LI Ting, KONG Xiang-yong, YANG Mei, GAO Ming, ZHANG Min, WANG Zi-zhen. Effect of white noise on relieving pain in fundus screening for premature infants. Journal of Developmental Medicine(Electronic Version), 2019, 7(3): 223-226.
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http://www.fyyxzz.com/CN/10.3969/j.issn.2095-5340.2019.03.012  或          http://www.fyyxzz.com/CN/Y2019/V7/I3/223
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