中國新生兒疼痛管理循證指南（2023年）Evidence-based guideline for neonatal pain management in China (2023)National Clinical Research Center for Child Health and Diseases/Ministry of Education Key Laboratory of Child Development and Disorders/Chongqing Key Laboratory of Pediatrics/Children's Hospital of Chongqing Medical University摘要圖/表參考文獻(xiàn)(154)相關(guān)文章(15)點(diǎn)擊分布統(tǒng)計下載分布統(tǒng)計 摘要 疼痛不僅擾亂新生兒的生命體征和內(nèi)環(huán)境穩(wěn)態(tài)，影響康復(fù)進(jìn)程，反復(fù)疼痛刺激更是神經(jīng)發(fā)育障礙和部分慢性疾病的重要危險因素之一。為規(guī)范和標(biāo)準(zhǔn)化我國新生兒病房的疼痛管理實踐，進(jìn)而有效預(yù)防和減輕疼痛對新生兒身心發(fā)育的不良影響，國家兒童健康與疾病臨床醫(yī)學(xué)研究中心（重慶醫(yī)科大學(xué)附屬兒童醫(yī)院）遵循世界衛(wèi)生組織指南制訂的原則和方法，組織多學(xué)科專家制定了《中國新生兒疼痛管理循證指南（2023年）》。該指南針對新生兒疼痛的分類及定義、常見致痛源、疼痛評估原則、疼痛評估方法、鎮(zhèn)痛原則、非藥物鎮(zhèn)痛方法、藥物鎮(zhèn)痛方法、家屬參與疼痛管理方法，以及疼痛管理記錄方法9個臨床問題，基于最佳證據(jù)和專家共識形成了26條推薦意見，以期為醫(yī)護(hù)人員實施新生兒疼痛評估與鎮(zhèn)痛管理提供指導(dǎo)與決策依據(jù)。服務(wù)把本文推薦給朋友加入我的書架加入引用管理器 E-mail AlertRSS作者相關(guān)文章國家兒童健康與疾病臨床醫(yī)學(xué)研究中心/兒童發(fā)育疾病研究教育部重點(diǎn)實驗室/兒科學(xué)重慶市重點(diǎn)實驗室/重慶醫(yī)科大學(xué)附屬兒童醫(yī)院關(guān)鍵詞 ：疼痛, 臨床實踐指南, 新生兒   Abstract：Pain disrupts neonatal vital signs and internal environment homeostasis and affects the recovery process, and recurrent pain stimulation is one of the important risk factors for neurodevelopmental disorders and some chronic diseases. In order to standardize pain management practice in neonatal wards in China and effectively prevent and reduce the adverse effects of pain on the physical and mental development of neonates, National Clinical Research Center for Child Health and Diseases (Children's Hospital of Chongqing Medical University) convened a multidisciplinary panel to formulate the evidence-based guideline for neonatal pain management in China (2023 edition) following the principles and methods for the guideline development issued by the World Health Organization. Based on the best evidence and expert consensus, this guideline gives 26 recommendations for nine clinical issues, i.e., the classification and definition of neonatal pain, common sources of pain, pain assessment principles, pain assessment methods, analgesic principle, non-pharmaceutical analgesic methods, pharmaceutical analgesic methods, parental participation in pain management, and recording methods for pain management, so as to provide medical staff with guidance and a decision-making basis for neonatal pain assessment and analgesia management.Key words：Pain  Clinical practice guideline  Neonate   收稿日期: 2022-10-12     基金資助:國家自然科學(xué)基金項目（72074038）；2019年重慶市技術(shù)創(chuàng)新與應(yīng)用發(fā)展專項面上項目（cstc2019jscx-msxmX0157）；重慶市科技局《重慶市英才計劃“包干制”項目》（cstc2022ycjh-bgzxm0275）。通訊作者:鄭顯蘭，女，主任護(hù)師，教授，重慶醫(yī)科大學(xué)附屬兒童醫(yī)院護(hù)理部/國家兒童健康與疾病臨床醫(yī)學(xué)研究中心/兒童發(fā)育疾病研究教育部重點(diǎn)實驗室/兒科學(xué)重慶市重點(diǎn)實驗室，Email：zhengxianlan@vip.163.com    E-mail: zhengxianlan@vip.163.com引用本文:   國家兒童健康與疾病臨床醫(yī)學(xué)研究中心/兒童發(fā)育疾病研究教育部重點(diǎn)實驗室/兒科學(xué)重慶市重點(diǎn)實驗室/重慶醫(yī)科大學(xué)附屬兒童醫(yī)院. 中國新生兒疼痛管理循證指南（2023年）[J]. 中國當(dāng)代兒科雜志, 2023, 25(2): 109-127.National Clinical Research Center for Child Health and Diseases/Ministry of Education Key Laboratory of Child Development and Disorders/Chongqing Key Laboratory of Pediatrics/Children's Hospital of Chongqing Medical University. Evidence-based guideline for neonatal pain management in China (2023)[J]. CJCP, 2023, 25(2): 109-127.鏈接本文:  http://www.zgddek.com/CN/10.7499/j.issn.1008-8830.2210052     或     http://www.zgddek.com/CN/Y2023/V25/I2/109

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