角音干预早产儿足跟采血疼痛临床研究
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摘要
目的:观察角音对早产儿足跟采血时疼痛刺激的改善效果。方法:选取90例早产儿为研究对象,随机分为角音组、西方音乐组和对照组各30例,在进行足跟采血时分别播放中医五行音乐角音、西方音乐(肖邦的《小夜曲》),对照组不播放音乐。比较3组疼痛面容持续时间,早产儿疼痛量表(PIPP)评分,新生儿疼痛评估量表(NIPS)评分,心率、血氧饱和度恢复正常所需时间,啼哭持续时间及啼哭发生率。结果:治疗后,西方音乐组、角音组疼痛面容持续时间均短于对照组,NIPS及PIPP评分均低于对照组,差异均有统计学意义(P <0.01);角音组疼痛面容持续时间短于西方音乐组,PIPP评分低于西方音乐组,差异均有统计学意义(P <0.01)。治疗后,西方音乐组、角音组心率及血氧饱和度恢复正常时间均短于对照组,差异均有统计学意义(P <0.01);角音组血氧饱和度恢复正常时间短于西方音乐组,差异有统计学意义(P <0.01)。对照组啼哭发生率90.0%,西方音乐组啼哭发生率73.3%,角音组啼哭发生率63.3%,西方音乐组、角音组啼哭发生率均低于对照组,差异均有统计学意义(P <0.05)。结论:音乐疗法对减轻早产儿足跟采血疼痛安全有效,角音在早产儿血氧饱和度恢复正常所需时间、缩短疼痛面容持续时间、减轻疼痛方面较西方音乐效果更明显。
Objective:To observe the improvement of Jue-tone music on pain stimulation of heel capillary blood sampling in premature infants.Methods:A total of 90 cases of premature infants were selected as the study subjects,and were randomly divided into the Jue-tone music group,the western music group and the control group,30 cases in each group.During heel capillary blood sampling,there was no music in the control group,while the Jue-tone music in five-element music of Chinese medicine and Nocturnes by Chopin in western music were played in the other two groups respectively.The duration of painful face,the scores of Premature Infant Pain Profile(PIPP)and Neonatal Infant Pain Scale(NIPS),the time for heart rate and blood oxygen saturation to return to normal as well as the duration and the incidence of crying in the three groups were compared.Results:After treatment,the duration of painful face in the western music group and the Jue-tone music group was shorter than that in the control group,and the scores of NIPS and PIPP in the two groups were lower than those in the control group,differences being significant(P<0.01); the duration of painful face in the Jue-tone music group was shorter than that in the western music group,and the score of PIPP in the Jue-tone music group was lower than that in the western music group,differences being significant(P<0.01).After treatment,the time for heart rate and blood oxygen saturation to return to normal in the western music group and the Jue-tone music group was shorter than that in the control group,differences being significant(P<0.01); the time for blood oxygen saturation to return to normal in the Jue-tone music group was shorter than that in the western music group,the difference being significant(P<0.01).The incidence of crying was 90.0% in the control group,higher than those of 73.3% in the western music group and 63.3% in the Jue-tone music group,differences being significant(P<0.05).Conclusion:The music therapy in alleviating the pain of heel capillary blood sampling in premature infants is safe and effective.Compared that of the western music,the effect of Jue-tone music is more significant in shortening the time for blood oxygen saturation to return to normal and the duration of painful face,as well as alleviating the pain in premature infants.
Objective:To observe the improvement of Jue-tone music on pain stimulation of heel capillary blood sampling in premature infants.Methods:A total of 90 cases of premature infants were selected as the study subjects,and were randomly divided into the Jue-tone music group,the western music group and the control group,30 cases in each group.During heel capillary blood sampling,there was no music in the control group,while the Jue-tone music in five-element music of Chinese medicine and Nocturnes by Chopin in western music were played in the other two groups respectively.The duration of painful face,the scores of Premature Infant Pain Profile(PIPP)and Neonatal Infant Pain Scale(NIPS),the time for heart rate and blood oxygen saturation to return to normal as well as the duration and the incidence of crying in the three groups were compared.Results:After treatment,the duration of painful face in the western music group and the Jue-tone music group was shorter than that in the control group,and the scores of NIPS and PIPP in the two groups were lower than those in the control group,differences being significant(P<0.01); the duration of painful face in the Jue-tone music group was shorter than that in the western music group,and the score of PIPP in the Jue-tone music group was lower than that in the western music group,differences being significant(P<0.01).After treatment,the time for heart rate and blood oxygen saturation to return to normal in the western music group and the Jue-tone music group was shorter than that in the control group,differences being significant(P<0.01); the time for blood oxygen saturation to return to normal in the Jue-tone music group was shorter than that in the western music group,the difference being significant(P<0.01).The incidence of crying was 90.0% in the control group,higher than those of 73.3% in the western music group and 63.3% in the Jue-tone music group,differences being significant(P<0.05).Conclusion:The music therapy in alleviating the pain of heel capillary blood sampling in premature infants is safe and effective.Compared that of the western music,the effect of Jue-tone music is more significant in shortening the time for blood oxygen saturation to return to normal and the duration of painful face,as well as alleviating the pain in premature infants.
引文
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[6] JOHNSTON C C,STREMLER R L,STEVENS B J,et al.Effectiveness of oral sucrose and simulated rocking on Pain response in preterm neonates[J].Pain, 1997, 72(1-2):193-199.
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[2]王建荣,郭俊艳.马燕兰.音乐放松想象训练对腹腔镜肝切除患者术后恢复的影响[J].中华护理杂志,2006,41(4):293-296.
[3]邓延华,周玉彬,赵爱华,等.音乐疗法在人工流产中的疗效观察[J].中国自然医学杂志,2005,7(4):326-327.
[4]程楚云,杨艳明.邦月梅.陪伴联合背景音乐分娩359例临床效果分析[J].中国妇幼保健,2006,21(4):566-567.
[5]陈秀浪,谢肖震,吴丽萍,等.音乐干预对大面积烧伤患者创面换药时疼痛的影响[J].中国康复理论与实践,2005,11(10):857-858.
[6] JOHNSTON C C,STREMLER R L,STEVENS B J,et al.Effectiveness of oral sucrose and simulated rocking on Pain response in preterm neonates[J].Pain, 1997, 72(1-2):193-199.
[7] AKCAM M,ORMECI A R.Oral hypertonic glucose spray:a practical alternative for analgesia in the newborn[J].Acta Paediatr,2004,93(10):1330-1333.