جستجوی مقالات مرتبط با کلیدواژه « خونگیری وریدی » در نشریات گروه « پزشکی »

Pain causes mental-psychological injuries in babies by affecting neuronal development. This study was conducted to evaluate effect of music therapy and Swaddling on physiological indicators and pain intensity caused by blood sampling in preterm neonates.

Method and Materials:

 This randomized controlled clinical trial was performed on 51 preterm neonates admitted to NICU of Persian Gulf Hospital in Bushehr. The newborns were divided into music, swaddling and control groups by random block allocation method. For neonates in music therapy group, music was played from 5 minutes before to two minutes after blood sampling, while neonates in swaddling group were swaddled with a thin sheet from 10 minutes before blood sampling to two minutes after. In all groups, HR and o2sat were measured 30 seconds before, during, 30, 60, 90, 120 seconds after blood sampling. Also, from 30 second before blood sampling to 2 minutes after, neonates' faces were filmed and pain assessment checklist was completed each 30 seconds. Data analyzed using Kruskall Wallis H and ordinal regression tests.

There was a significant difference between pain score in intervention groups, so that pain score in Swaddling group was lower than music group at 90 and 120 seconds. In intervention groups, HR changes were lower than control group. No significant difference was observed between three groups regarding o2 saturation.

Results showed that swaddling and music therapy can reduce pain caused by blood sampling and keep vital signs more stable, but swaddling has a greater effect on reducing pain in newborns.

Backgrounds and Research suggests that both preterm and term infants can be remember and understand their own womb odor and prefer them to environmental odors. Studies show that use of olfactory stimuli during painful medical procedures reduces pain responses of infants. The main purpose of this study is investigating the effect of breast milk odor on pain response in preterm infants during and after venipuncture.
This study is a randomized clinical trial research. 90 preterm infants who were eligible to participate in the study were randomly selected and divided to two groups; control and breast milk. In breast milk group, infants were exposed to the smell breast milk odor five minutes before sampling to thirty seconds after it finishes. Infants’ pain has been measured using PIPP score, 30 seconds before venipuncture, during sampling and 30 seconds after the end of venipuncture
Statistical analyses showed that there are significant difference between pain score of infants of two groups during sampling (p=0.01) and after the end of venipuncture (p=0.05)
According to the results breast milk odor can be used for reduction of preterm infants’ response to pain during and after blood sampling

the hospitalized premature babies often undergo various painful procedures such as venous sampling, this research was done to determine the effect of swaddling method on venous sampling pain on premature neonates. this study was done as a Randomized clinical trial on 90 premature infants who were born in Bushehr Persian Gulf hospital in Iran. The infants were divided into two groups with random allocation block. Group A was swaddling, Group B was the control group. From 10 minutes before blood sampling to 2 minutes after that in group A, the infant was wrapped in a thin sheet. In two groups, the heart rate and arterial oxygen saturation in time intervals of 30 seconds before, during, 30-60-90, and 120 seconds after sampling were measured and recorded. The infant’s appearance was video recorded since sampling till 2 minutes and the videos were checked by a researcher and the pain assessment tools for infants (PIPP) for time intervals of 30 seconds were completed. Data analyzed by using findings revealed that the pain was reduced to a great extent in swaddling compared to that in control group. In addition, the findings showed that the heart beat rate and arterial oxygen saturation was low and stable in swaddling returned to base status faster, whereas, the changes were severe in control group and did not return to base status even after 120 seconds. the results of this study showed, swaddling method can relive pain in premature neonate respectively.

Studies have shown that use of olfactory stimuli during painful medical procedures reduces infants’ response to pain. The main purpose of this study was investigating the effect of vanilla on pain response in preterm infants during and after venipuncture. This study is a randomized clinical trial. Ninety preterm infants, who were randomly selected and divided into two groups of control and vanilla odor, were classified into 45 people. Infants in the vanilla group were exposed to vanilla odor from 5 minutes before and up to 30 seconds after sampling, and infants of control group were exposed to smell of distilled water. The pain score was measured using premature infant pain profile (PIPP) score 30 seconds prior, during and 30 seconds after sampling. Statistical analyses were done using SPSS 16 software. Analyses were done by t-test, chi-square and repeated measure analyses. Despite the differences between the pain scores of two groups during and after sampling, statistical analyses showed no significant differences between them (p=0.36). Results of the present study showed that use of vanilla odor has no significant effect on premature infants’ pain during blood sampling.

Cupping therapy (hejamat) is one of the therapeutic methods used in traditional medicine that it is still common in many of the contemporary societies. In spite of the progress of science, we have less information on the traditional and alternative medicine including cupping. With the study of mechanism of action of cupping, it will be more convincing for the traditional medicine to use it more easily for the treatment. It can then be presented to society with more convincing scientific base. The aim of this study was to compare venous blood with blood of cupping with regards to biochemical, hematological and immunological factors and evaluate the variation of those factors. Materials: The sample of study was 56 healthy volunteer men aged between 20 to 40 years. At the beginning of study (the first) 16 ml blood sample from vein was obtained from each volunteer for the comparison of biochemical, hematological and immunological factors. The cupping treatment was then given to the volunteers and another blood sample from cupping was taken for comparison of these factors. The biochemical factors were evaluated by Selectra auto analyzer, hematological factors by KX-21 cell counter and sedimentation rate was measured by Westergreen method. Cytokines were measured by sensitive sandwich ELISA, using the kit from R&D system. Analysis of the results showed significant differences in many of the biochemical, hematological and immunological factors between the venous blood and the cupping blood. Based on the results of the comparison between venous blood and cupping blood, the venous blood and cupping blood are different, both in components and immunologic response.

Bacground and A number of studies have shown that orally administered sweet-tasting solutions reduce signs of pain during painful procedures. The topical anesthetic cream EMLA has recently been shown to be safe for use in neonates. This study compared the pain-reducing effect of EMLA cream with that of orally administered glucose during venipuncture in newborns. A randomized controlled, double-blind study including 220 newborns undergoing venipuncture for clinical purposes was performed. One hundered and six newborns received EMLA on the skin and orally administered placebo (sterilized) and 114 received glucos- 30% orally and placebo (Vit A+D) on the skin. Symptoms associated with pain at venipuncture were measured with the Neonatal/ Infant Pain Scale (NIPS). Crying time was recorded. The results showed that the NIPS scores were significantly lower in the glucose group (mean: 1.89) compared to the EMLA group (mean: 2.81). The duration of crying in the first 2 minutes was significantly lower in the glucose group (median=2 seconds) than in the EMLA group (median=9 seconds). There were significantly fewer patients in the glucose group who were scored having pain (defind as NIPS scores above 3), 12.3% compared with 29.2% in the EMLA group. We found that glucose is effective in reducing symptoms associated with pain from venipuncture in newborns. Our results showed that glucose is more effective than the local anesthetic cream EMLA.