广角数码视网膜成像系统与双目间接眼底镜在早产儿视网膜病变检查中疼痛和应激的比较
|
摘要
目的比较广角数码视网膜成像系统(WFDRI)与双目间接眼底镜(BIO)在早产儿视网膜病变(retinopathy of prematurity,ROP)检查中对受检婴儿疼痛和应激的影响。方法 103例早产儿先行WFDRI检查,3～5 d后再行BIO检查,用CRIES和早产儿疼痛量表(PIPP)评价婴儿疼痛、应激。结果 WFDRI检查后30 s的CRIES和PIPP评分显著低于BIO(P<0.01);检查后1 h和24 h,两种方法的CRIES和PIPP评分比较差异无统计学意义(P>0.05)。结论 WFDRI对受检婴儿疼痛和应激的早期影响显著低于BIO。
Objective To compare the effect of wide-field digital retinal imaging(WFDRI) and binocular indirect ophthalmoscope(BIO) on pain and stress in infants undergoing retinopathy of prematurity(ROP) detection. Methods A total of 103 premature infants underwent WFDRI, followed by BIO 3-5 days later. The pain and stress were evaluated using CRIES and PIPP scales. Results CRIES and PIPP scores were lower in WFDRI than in BIO after 30 seconds(P<0.01), but they were comparable between WFDRI and BIO after 1 h and 24 h(P>0.05). Conclusion The effect of WFDRI on pain and stress is inferior to that of BIO in infants undergoing ROP detection.
Objective To compare the effect of wide-field digital retinal imaging(WFDRI) and binocular indirect ophthalmoscope(BIO) on pain and stress in infants undergoing retinopathy of prematurity(ROP) detection. Methods A total of 103 premature infants underwent WFDRI, followed by BIO 3-5 days later. The pain and stress were evaluated using CRIES and PIPP scales. Results CRIES and PIPP scores were lower in WFDRI than in BIO after 30 seconds(P<0.01), but they were comparable between WFDRI and BIO after 1 h and 24 h(P>0.05). Conclusion The effect of WFDRI on pain and stress is inferior to that of BIO in infants undergoing ROP detection.
引文
[1]GILBERT C,FOSTER A.Childhood blindness in the context of VISION 2020-the right to sight[J].Bull World Health Organ,2001,79(3):227-232.
[2]王淋淋,唐兰芬.转化生长因子β在早产儿视网膜病变中的研究进展[J].广东医学院学报,2013,31(3):324-326.
[3]FIERSON W M.Screening examination of premature infants for retinopathy of prematurity[J].Pediatrics,2013,131(1):189-195.
[4]Retinopathy of prematurity:guidelines for screening and treatment.The report of a joint working party of the royal college of ophthalmologists and the British association of perinatal medicine[J].Early Hum Dev,1996,46(3):239-258.
[5]The photographic screening for retinopathy of prematurity study(photo-ROP).Primary outcomes[J].Retina,2008,28(3 Suppl):S47-S54.
[6]SUN X,LEMYRE B,BARROWMAN N,et al.Pain management during eye examinations for retinopathy of prematurity in preterm infants:a systematic review[J].Acta Paediatr,2010,99(3):329-334.
[7]RUSH R,RUSH S,NICOLAU J,et al.Systemic manifestations in response to mydriasis and physical examination during screening for retinopathy of prematurity[J].Retina,2004,24(2):242-245.
[8]TADDIO A,SHAH V,GILBERT-MACLEOD C,et al.Conditioning and hyperalgesia in newborns exposed to repeated heel lances[J].JAMA,2002,288(7):857-861.
[9]GRUNAU R.Early pain in preterm infants.A model of long-term effects[J].Clin Perinatol,2002,29(3):373-394.
[10]BHUTTA A T,ANAND K J.Vulnerability of the developing brain.Neuronal mechanisms[J].Clin Perinatol,2002,29(3):357-372.
[11]ALS H,DUFFY F H,MCANULTY G B,et al.Early experience alters brain function and structure[J].Pediatrics,2004,113(4):846-857.
[12]PETERS K L,ROSYCHUK R J,HENDSON L,et al.Improvement of short-and long-term outcomes for very low birth weight infants:Edmonton NIDCAP trial[J].Pediatrics,2009,124(4):1009-1020.
[13]KLEBERG A,WARREN I,NORMAN E,et al.Lower stress responses after newborn individualized developmental care and assessment program care during eye screening examinations for retinopathy of prematurity:a randomized study[J].Pediatrics,2008,121(5):e1267-e1278.
[14]ELLS A L,HOLMES J M,ASTLE W F,et al.Telemedicine approach to screening for severe retinopathy of prematurity:a pilot study[J].Ophthalmology,2003,110(11):2113-2117.
[15]SCHWARTZ S D,HARRISON S A,FERRONE P J,et al.Telemedical evaluation and management of retinopathy of prematurity using a fiberoptic digital fundus camera[J].Ophthalmology,2000,107(1):25-28.
[16]KRECHEL S W,BILDNER J.CRIES:a new neonatal postoperative pain measurement score.Initial testing of validity and reliability[J].Paediatr Anaesth,1995,5(1):53-61.
[17]BALLANTYNE M,STEVENS B,MCALLISTER M,et al.Validation of the premature infant pain profile in the clinical setting[J].Clin J Pain,1999,15(4):297-303.
[18]WU C,PETERSEN R A,VANDERVEEN D K.RetCam imaging for retinopathy of prematurity screening[J].JAAPOS,2006,10(2):107-111.
[19]DAI S,CHOW K,VINCENT A.Efficacy of wide-field digital retinal imaging for retinopathy of prematurity screening[J].Clin Exp Ophthalmol,2011,39(1):23-29.
[20]刘梅.RetcamⅢ数字视网膜照相机在早产儿视网膜病变筛查中的应用[J].眼科新进展,2014(5):483-485.
[21]JIANG J B,ZHANG Z W,ZHANG J W,et al.Systemic changes and adverse effects induced by retinopathy of prematurity screening[J].Int J Ophthalmol,2016,9(8):1148-1155.
[22]MUKHERJEE A N,WATTS P,AL-MADFAI H,et al.Impact of retinopathy of prematurity screening examination on cardiorespiratory indices:a comparison of indirect ophthalmoscopy and retcam imaging[J].Ophthalmology,2006,113(9):1547-1552.
[23]DHALIWAL C A,WRIGHT E,MCINTOSH N,et al.Pain in neonates during screening for retinopathy of prematurity using binocular indirect ophthalmoscopy and wide-field digital retinal imaging:a randomised comparison[J].Arch Dis Child Fetal Neonatal Ed,2010,95(2):F146-F148.
[24]MEHTA M,ADAMS G G,BUNCE C,et al.Pilot study of the systemic effects of three different screening methods used for retinopathy of prematurity[J].Early Hum Dev,2005,81(4):355-360.
[25]BELDA S,PALLAS C R,DE LA CRUZ J,et al.Screening for retinopathy of prematurity:is it painful[J]?Biol Neonate,2004,86(3):195-200.
[2]王淋淋,唐兰芬.转化生长因子β在早产儿视网膜病变中的研究进展[J].广东医学院学报,2013,31(3):324-326.
[3]FIERSON W M.Screening examination of premature infants for retinopathy of prematurity[J].Pediatrics,2013,131(1):189-195.
[4]Retinopathy of prematurity:guidelines for screening and treatment.The report of a joint working party of the royal college of ophthalmologists and the British association of perinatal medicine[J].Early Hum Dev,1996,46(3):239-258.
[5]The photographic screening for retinopathy of prematurity study(photo-ROP).Primary outcomes[J].Retina,2008,28(3 Suppl):S47-S54.
[6]SUN X,LEMYRE B,BARROWMAN N,et al.Pain management during eye examinations for retinopathy of prematurity in preterm infants:a systematic review[J].Acta Paediatr,2010,99(3):329-334.
[7]RUSH R,RUSH S,NICOLAU J,et al.Systemic manifestations in response to mydriasis and physical examination during screening for retinopathy of prematurity[J].Retina,2004,24(2):242-245.
[8]TADDIO A,SHAH V,GILBERT-MACLEOD C,et al.Conditioning and hyperalgesia in newborns exposed to repeated heel lances[J].JAMA,2002,288(7):857-861.
[9]GRUNAU R.Early pain in preterm infants.A model of long-term effects[J].Clin Perinatol,2002,29(3):373-394.
[10]BHUTTA A T,ANAND K J.Vulnerability of the developing brain.Neuronal mechanisms[J].Clin Perinatol,2002,29(3):357-372.
[11]ALS H,DUFFY F H,MCANULTY G B,et al.Early experience alters brain function and structure[J].Pediatrics,2004,113(4):846-857.
[12]PETERS K L,ROSYCHUK R J,HENDSON L,et al.Improvement of short-and long-term outcomes for very low birth weight infants:Edmonton NIDCAP trial[J].Pediatrics,2009,124(4):1009-1020.
[13]KLEBERG A,WARREN I,NORMAN E,et al.Lower stress responses after newborn individualized developmental care and assessment program care during eye screening examinations for retinopathy of prematurity:a randomized study[J].Pediatrics,2008,121(5):e1267-e1278.
[14]ELLS A L,HOLMES J M,ASTLE W F,et al.Telemedicine approach to screening for severe retinopathy of prematurity:a pilot study[J].Ophthalmology,2003,110(11):2113-2117.
[15]SCHWARTZ S D,HARRISON S A,FERRONE P J,et al.Telemedical evaluation and management of retinopathy of prematurity using a fiberoptic digital fundus camera[J].Ophthalmology,2000,107(1):25-28.
[16]KRECHEL S W,BILDNER J.CRIES:a new neonatal postoperative pain measurement score.Initial testing of validity and reliability[J].Paediatr Anaesth,1995,5(1):53-61.
[17]BALLANTYNE M,STEVENS B,MCALLISTER M,et al.Validation of the premature infant pain profile in the clinical setting[J].Clin J Pain,1999,15(4):297-303.
[18]WU C,PETERSEN R A,VANDERVEEN D K.RetCam imaging for retinopathy of prematurity screening[J].JAAPOS,2006,10(2):107-111.
[19]DAI S,CHOW K,VINCENT A.Efficacy of wide-field digital retinal imaging for retinopathy of prematurity screening[J].Clin Exp Ophthalmol,2011,39(1):23-29.
[20]刘梅.RetcamⅢ数字视网膜照相机在早产儿视网膜病变筛查中的应用[J].眼科新进展,2014(5):483-485.
[21]JIANG J B,ZHANG Z W,ZHANG J W,et al.Systemic changes and adverse effects induced by retinopathy of prematurity screening[J].Int J Ophthalmol,2016,9(8):1148-1155.
[22]MUKHERJEE A N,WATTS P,AL-MADFAI H,et al.Impact of retinopathy of prematurity screening examination on cardiorespiratory indices:a comparison of indirect ophthalmoscopy and retcam imaging[J].Ophthalmology,2006,113(9):1547-1552.
[23]DHALIWAL C A,WRIGHT E,MCINTOSH N,et al.Pain in neonates during screening for retinopathy of prematurity using binocular indirect ophthalmoscopy and wide-field digital retinal imaging:a randomised comparison[J].Arch Dis Child Fetal Neonatal Ed,2010,95(2):F146-F148.
[24]MEHTA M,ADAMS G G,BUNCE C,et al.Pilot study of the systemic effects of three different screening methods used for retinopathy of prematurity[J].Early Hum Dev,2005,81(4):355-360.
[25]BELDA S,PALLAS C R,DE LA CRUZ J,et al.Screening for retinopathy of prematurity:is it painful[J]?Biol Neonate,2004,86(3):195-200.