作者: Bonnie Stevens , Sharyn Gibbins , Linda Sturla Franck
DOI: 10.1016/S0031-3955(05)70230-3
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摘要: In the past decade, interest in pain infants hospitalized neonatal ICU (NICU) has increased dramatically. This emerged from a rapidly expanding body of evidence that (1) supports infants' neuroanatomic, neurochemical, and functional ability to respond painful stimuli (2) emphasizes immediate long-term consequences pain. Infants' responses have provided basis for development comprehensive assessment measures can be used evaluating effectiveness pain-management strategies, yet optimal approach assessing remains elusive. elusiveness perpetuates inconsistency implementation pharmacologic, environmental, behavioral pain-reducing strategies. Ideally, health professionals would like eliminate through prevention procedures conditions; however, this strategy may not always possible settings which neonates are regularly exposed numerous stressful evaluate enhance their clinical status. Therefore, when or elimination is possible, more realistic goal aggressively intervene minimize its effects. requires early intervention anticipated before becomes intense. article reviews most recent research on treating NICU. Specifically, nature NICU, pharmacologic management environmental strategies discussed.