METHODS: Subjects were allotted to control group (Group A with no intervention) and two intervention groups (Group B: non-nutritive sucking intervention, Group C: human care contact intervention). Neonatal Infant Pain Score (NIPS), heart rate (HR), and oxygen saturation (SpO2) were used to assess the response.
RESULTS: The three groups matched in age and gender characteristics of the participants. Pain response was noted across all groups. The left foot demonstrated a statistically significant preexisting tachycardia which rose further during casting (p < 0.01). Intergroup comparisons revealed that the alteration for NIPS during casting was in following sequence (Group A > C > B, p < 0.00001). The effect of interventions offered in Group B and C lasted in the post-cast period as well (B > C).
CONCLUSIONS: The clubfoot child exhibited moderate pain response during casting of both feet. A tachycardia was noted prior to initiation of second cast which further exaggerated with subsequent cast. Pacifier (non-nutritive sucking) intervention produced better control of pain response than human care contact during casting for both feet.
方法:将受试者分为对照组(A组,无干预)和两个干预组(B组:非营养性吸吮干预,C组:人体护理接触干预)。新生儿疼痛评分(NIPS),心率(HR),和氧饱和度(SpO2)用于评估反应。
结果:三组参与者的年龄和性别特征相匹配。注意到所有组的疼痛反应。左脚表现出统计学上显著的预先存在的心动过速,其在铸造期间进一步上升(p<0.01)。组间比较显示,铸造过程中NIPS的变化顺序如下(A组>C>B组,p<0.00001)。B组和C组提供的干预措施的效果也持续到后期(B>C)。
结论:马蹄内翻足患儿在双足铸造过程中表现出中度疼痛反应。在开始第二次铸造之前注意到心动过速,随后的铸造进一步夸大了。在双脚铸造过程中,安抚奶嘴(非营养性吸吮)干预比人类护理接触能更好地控制疼痛反应。