安抚奶嘴对减轻婴儿泪道冲洗疼痛不适感的效果观察

目的：观察安抚奶嘴对缓解婴儿泪道冲洗疼痛的效果。方法：需要进行泪道冲洗的产后60～90d的足月婴儿100例，随机予以行安抚奶嘴干预或常规治疗，采用新生儿疼痛评分量表比较两组的疼痛程度并观察操作后5min的心率及血氧饱和度。结果：在泪道冲洗后1min常规治疗组评分为（4.17±1.26）分，安抚奶嘴组评分为（3.08±1.32）分，两组之间的差异有统计学意义（P＜0.01），泪道冲洗后5min两组之间差异无统计学意义（P＞0.05），泪道冲洗前及泪道冲洗后5min的心率差异有统计学意义（P＜0.05），血氧饱和度差异无统计学意义（P＞0.05）。结论：采用安抚奶嘴能够缓解婴儿在泪道冲洗中的疼痛程度，安抚奶嘴简便，易用，无其他不良反应，可以在泪道冲洗等眼科操作中推广。

Observation on the effect of non-nutrient sucking to relieve infant pain during lacrimal irrigation pro-cedure

Objective： To observe the effect of non-nutrient sucking on relieving infant pain during lacrimal irrigation procedure.Methods： One hundred full-term infants requiring lacrimal duct lfushing from postnatal 60 days to 90 days were randomly given non-nutrient sucking intervention or routing treatment, the neonatal pain rating scale between two groups was compared, heart rate and blood oxygen level were detected after 5 min.Re-sults： Score of the conventional treatment group was 4.17 ＋/- 1.26, and of non-nutrient sucking group was 3.08＋/- 1.32 in the lacrimal duct lfushing for 1 min, the difference between two groups was statistically signiifcant （P〈0.01）, there was no statistically signiifcant difference of lacrimal duct lfushing for 5 minutes between two groups （P〉0.05）, the difference of heart rate between two groups after the lacrimal duct lfushing for 5 minutes had statistical signiifcances, but the blood oxygen level between the two groups had no statistical differences （P〉0.05）.Conclusion： Giving the non-nutrient sucking can alleviate pain in infants during lacrimal duct lfush-ing operation, the non-nutrient sucking method is easy to use, and has few side effects, so it can be used in many ophthalmological operations such as lacrimal duct lfushing to relieve pain in infant.