Analgetický potenciál různých typů cukerných roztoků v prevenci procedurální bolesti u zralých novorozenců

Abstract

V prevenci proceduralni bolesti u novorozencu vsech gestacnich kategorii se piednostne uplatnuji cukerne roztoky ruznych typu a koncentraci. Pro tento postup, i kdyz oveieny radou praci, neexistuje zlaty standard a v publikacich, ktere o teto problematice pojednavaji, se pouzivaji cukerne roztoky koncentraci od 5 do 66 lo. Mimo aplikaci cukernych roztoku se jako alternativa uplatnuje pouzitimateiskeho mleka, pripadne senzoricka saturace (komplexni pusobeni na smyslove vjerny ditete). Metody: V piedkladane praci hodnotime vliv cukernych roztoku na vnimanibolesti merene pomoci parametru ESC u skupiny donosenych ci temei donosenych novorozencu pri presne definovanem bolestivem stimulu, kterym byl odber kapilarnl krve na povinna screeningova vysetreni. Vysledky a zavery: Ve studii byla hodnocena efektivita ctyr ruznych koncentraci cukernych roztoku, bezne dostupnych a pouzivanych v klinicke praxi. Prokazali jsme, ze existuji statisticky prukazne rozdily mezi pohlavimi u vybranych parametru elektricke kozni vodivosti i rozdily ve zmene charakteru chovani v reakci na bolestivy podnet. Zjistili jsme statisticky vyznamne rozdily v analgetickem ucinku nekterych typu a koncentraci cukernych roztoku.

Background: In the prevention of procedural pain in neonates of all gestational categories mainly sugar solutions of different types and concentrations are used. Even though this method studying the effect of sugar solutions in concentrations from 5 to 66% has been certified by series of works, no gold standard has been established. An alternative to the use of sugar solutions is breast milk. or sensory saturation (complex effect on sensory perceptions of the child). Methods: In the present paper, we evaluated parameters of electrical skin conductance (ESC) in a group of full- term or near-term infants in a well-defined painful complaint, which was capillary blood sampling for mandatory screening. Results and conclusion: We evaluated the effectiveness of four different concentrations of sugar solutions, widely available and used in clinical practice. We have shown that there are statistically significant differences between genders in selected parameters of the electrical conductivity of the skin as well as differences in the change of character behavior in response to a painful stimulus. We found statistically significant differences in the analgesic effect of certain types and concentrations of sugar solutions.