新生儿疼痛评估与镇痛管理专家共识(2020版)

2020-08-25 中国医师协会新生儿科医师分会 中国当代儿科杂志.2020.22(X):1-8.

新生儿对疼痛的生物学感知能力与成人相比更加强烈、持久,对疼痛也会存在记忆,且因疼痛带来的各种负面影响可长期存在。因此,规范适宜的疼痛管理,可以减轻或防止疼痛对身体和心理造成的不利影响,加快康复进程。为

中文标题:

新生儿疼痛评估与镇痛管理专家共识(2020版)

发布日期:

2020-08-25

简要介绍:

新生儿对疼痛的生物学感知能力与成人相比更加强烈、持久,对疼痛也会存在记忆,且因疼痛带来的各种负面影响可长期存在。因此,规范适宜的疼痛管理,可以减轻或防止疼痛对身体和心理造成的不利影响,加快康复进程。为进一步加深对新生儿疼痛管理的认识,规范新生儿镇痛处置措施,中国医师协会新生儿科医师分会和中国当代儿科杂志编辑委员会基于国内外临床证据,结合临床实践经验,主要从新生儿疼痛的评估及管理疼痛的方法与技术等方面制定本专家共识。推荐阶梯式新生儿镇痛管理,其中,对于轻度疼痛刺激,温柔抚触及非营养吸吮联合蔗糖水喂养是有效缓解方式;对于中度疼痛,选用合适套管针、精准穿刺是减少疼痛的重要前提,另外,穿刺部位应用局麻类药物亦有良好效果;对于重度疼痛,往往需应用静脉镇静药物,但目前证据尚不一致。

 

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  1. [GetPortalCommentsPageByObjectIdResponse(id=2102213, encodeId=b5cd21022130e, content=很有帮助,最近刚好在找, beContent=null, objectType=guider, channel=null, level=null, likeNumber=50, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/vi_32/Ov8zW6cnDcSdRCdedRCVY3XAgRMNwodUG5ZsQUfHFmbO56KOJDdWSxWUxFwgh6HqbibkibFcm7RL1c9KaIuZ3SsQ/0, createdBy=846c2179273, createdName=Drfaith, createdTime=Wed Nov 23 17:44:57 CST 2022, time=2022-11-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1082895, encodeId=6a9e1082895b9, content=学习了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=63, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20211222/37606e0e773b4cc0b4aac9113ec9e322/bda806cd97884aa4ae43681554a22d0c.jpg, createdBy=e8aa6417357, createdName=ms1000000697463556, createdTime=Wed Dec 22 05:25:31 CST 2021, time=2021-12-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1052453, encodeId=cb8b10524538e, content=谢谢, beContent=null, objectType=guider, channel=null, level=null, likeNumber=75, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=2a795381180, createdName=ms2000001275607784, createdTime=Fri Sep 17 23:04:50 CST 2021, time=2021-09-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1000581, encodeId=cbb110005815e, content=对护理很有帮助, beContent=null, objectType=guider, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=1ea95551544, createdName=ms4000000294829716, createdTime=Sun Jul 18 13:24:32 CST 2021, time=2021-07-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=978806, encodeId=da6b9e88068e, content=谢谢这么好的分享, beContent=null, objectType=guider, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210701/e3f9329c15f34d8391ef6f67a02d7bcf/9352767971cf44e38122b1a325c39e0d.jpg, createdBy=12565019949, createdName=294147823, createdTime=Thu Jul 01 23:12:52 CST 2021, time=2021-07-01, status=1, ipAttribution=)]
    2022-11-23 Drfaith

    很有帮助,最近刚好在找

    0

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    2021-12-22 ms1000000697463556

    学习了

    0

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    2021-09-17 ms2000001275607784

    谢谢

    0

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    2021-07-18 ms4000000294829716

    对护理很有帮助

    0

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    2021-07-01 294147823

    谢谢这么好的分享

    0