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儿科急诊

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扎针前给糖水
原作者: Rose Chasm,李辉 译 肖锋 文章来源: 《中华急诊医学杂志》编辑部 发布日期:2014-05-19
关键词:儿科患者;止痛措施

 

 

Title: Sweets Before Sticks
题目:扎针前给糖水
Author 作者: Rose Chasm
李辉 译 肖锋 校

Male infants are routinely given a sweet solution prior to circumcision for analgesia.
男婴儿在接收包皮环切术前通常给糖水作为镇痛。
Michelis and Hoyle recently published a great review of the possible use of sweet solutions in the ED for pediatric patients.
Michelis 和Hoyle最近发表了一篇相当好的综述,阐述了关于糖水对急诊科小儿患者的可能用途。
Pediatric patients often undergo painful, but rather routine procedures in the ED such as IV and urinary catheter placement, venipuncture, and lumbar punctures.
在急诊科,儿科患者经常接受痛苦但常规的操作,比如静脉注射、导尿、静脉穿刺及腰椎穿刺。
More often than not, however, they are not provided analgesia prior to these procedures.
然而,在这些操作之前他们通常并没有给予止痛措施。
It is believed that repetitive early pain events lead to anxiety and other behavioral disorders while also decreasing pain tolerance.
有人认为早期反复的疼痛会导致焦虑及其他行为障碍,并降低痛觉耐受性。
In children less than 12 months, consider giving a sweet solution (2mL of 24% sucrose) 2 minutes before any painful procedure.
对于12个月以内的小儿,应考虑在疼痛操作之前2分钟给予糖水(2ml 24%的蔗糖)。
Multiple studies indicate decreased pain as measured by significantly reduced crying times.
许多的研究指出显著减轻了疼痛(以哭泣次数减少为衡量指标)。
It's cheap, safe, and works!
这种方法便宜、安全并有效!
References 参考文献:
Michelis EA, Hoyle JD. Sweet Solutions and Needle-Related Pain in Infants. Ann of Emerg Med. 2014, Vol 63, Issue3.
MedexSupply.com. Available at:

http://www.medexsupply.com/nicu-and-infant-care-calming-soothing-and-feeding-respironics-sweet-ease-natural-sucrose-solution-200-cs-x_pid-49369.html

 

文章来源:《中华急诊医学杂志》编辑部