Abstract：
Background: This systematic review and meta-analysis assessed the benefits of an automatic lancing device compared with a manual lancet or a hypodermic needle in neonates. Materials & methods: We followed the Cochrane Handbook methodology, used the RoB-2 tool for risk of bias assessment, RevMan 4.1 for meta-analysis and GRADE framework for certainty assessment. We searched the databases and gray literature on 15 November 2023. Results: Six eligible studies enrolling 539 neonates were included. An automatic lancing device reduced pain scores during and after heel prick, sampling time and the need for repeat puncture. The certainty of evidence was very low to moderate. Conclusion: An automatic lancing device is preferred for heel pricks in neonates, given less pain and higher efficiency.PROSPERO registration number: CRD42023483189.
What is this article about? The heel prick is a common painful procedure in neonates. It is performed either with a hypodermic needle or a lancet (manual or automatic lancing device). Few studies have shown that an automatic lancing device, with depth regulation, causes less pain. We reviewed the available literature to assess the benefits and harms of different sampling methods.What were the results? We found six studies comparing these interventions for heel prick in neonates. There was a significant reduction in pain score, sampling time and need for repeated pricks when using an automatic lancing device.What do the results of the study mean? The automatic lancing device causes less pain (safer) and reduces the time required for sampling and repeated pricks (more effective) when used for heel pricks in neonates.
What is this article about? The heel prick is a common painful procedure in neonates. It is performed either with a hypodermic needle or a lancet (manual or automatic lancing device). Few studies have shown that an automatic lancing device, with depth regulation, causes less pain. We reviewed the available literature to assess the benefits and harms of different sampling methods.What were the results? We found six studies comparing these interventions for heel prick in neonates. There was a significant reduction in pain score, sampling time and need for repeated pricks when using an automatic lancing device.What do the results of the study mean? The automatic lancing device causes less pain (safer) and reduces the time required for sampling and repeated pricks (more effective) when used for heel pricks in neonates.
摘要：
背景：这项系统评价和荟萃分析评估了自动刺血装置与手动刺血针或皮下注射针相比在新生儿中的益处。材料与方法：我们遵循了Cochrane手册方法论，使用RoB-2工具进行偏差风险评估，用于不确定性评估的荟萃分析和等级框架的RevMan4.1。我们于2023年11月15日检索了数据库和灰色文献。结果：纳入了六项符合条件的研究，共539名新生儿。自动穿刺装置减少了脚跟刺痛期间和之后的疼痛评分，采样时间和重复穿刺的需要。证据的确定性非常低至中等。结论:新生儿足跟刺优选采用自动穿刺装置,给予更少的痛苦和更高的效率。PROSPERO注册号：CRD42023483189。
这篇文章是关于什么的？脚跟刺痛是新生儿常见的疼痛过程。它可以用皮下注射针或刺血针（手动或自动穿刺装置）进行。很少有研究表明，自动切缝装置，随着深度调节，减少疼痛。我们回顾了现有文献，以评估不同采样方法的益处和危害。结果是什么？我们发现了六项研究，比较了这些干预措施对新生儿脚跟刺痛的影响。疼痛评分明显下降，采样时间和使用自动穿刺装置时需要重复穿刺。研究结果的含义是什么？自动穿刺装置减少了疼痛（更安全），并减少了采样和重复穿刺所需的时间（更有效），当用于新生儿的脚跟穿刺时。
这篇文章是关于什么的？脚跟刺痛是新生儿常见的疼痛过程。它可以用皮下注射针或刺血针（手动或自动穿刺装置）进行。很少有研究表明，自动切缝装置，随着深度调节，减少疼痛。我们回顾了现有文献，以评估不同采样方法的益处和危害。结果是什么？我们发现了六项研究，比较了这些干预措施对新生儿脚跟刺痛的影响。疼痛评分明显下降，采样时间和使用自动穿刺装置时需要重复穿刺。研究结果的含义是什么？自动穿刺装置减少了疼痛（更安全），并减少了采样和重复穿刺所需的时间（更有效），当用于新生儿的脚跟穿刺时。
