中国儿童保健杂志 ›› 2025, Vol. 33 ›› Issue (6): 643-647.DOI: 10.11852/zgetbjzz2024-0359

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新生儿疼痛评估方法的研究进展

陈永强1,2,3, 王景刚3, 庞伟1,2, 曹建国3   

  1. 1.佳木斯大学康复医学院,黑龙江 佳木斯 154007;
    2.黑龙江省儿童神经康复重点实验室,黑龙江 佳木斯 154007;
    3.深圳市儿童医院康复医学科,广东 深圳 518000
  • 收稿日期:2024-04-07 修回日期:2024-08-22 发布日期:2025-06-05 出版日期:2025-06-10
  • 通讯作者: 王景刚,E-mail:storm786@163.com
  • 作者简介:陈永强(1999-),男,山东人,在读硕士研究生,主要研究方向为高危儿的早期干预。
  • 基金资助:
    广东省医学科学技术研究基金项目(A2022421);广东省高水平医院建设财政资金(ynkt2021-zz036)

Research progress of neonatal pain assessment methods

CHEN Yongqiang1,2, WANG Jinggang3, PANG Wei1,2, CAO Jianguo3   

  1. 1. Rehabilitation Medical College of Jiamusi University, Jiamusi, Heilongjiang 154007, China;
    2. Heilongjiang Key Laboratory of Children′s Neurorehabilitation, Jiamusi, Heilongjiang 154007, China;
    3. Department of Rehabilitation Medicine, Shenzhen Children′s Hospital, Shenzhen, Guangdong 518000, China
  • Received:2024-04-07 Revised:2024-08-22 Online:2025-06-10 Published:2025-06-05
  • Contact: WANG Jinggang,E-mail:storm786@163.com

摘要: 由于新生儿无法描述疼痛且神经系统尚未发育完全,对疼痛的感知和表达不同于成人,临床工作中往往忽视了新生儿疼痛。而疼痛会导致人的心理情绪、内分泌、循环系统、呼吸系统等都受到影响,并出现相应的症状。本文对目前常用的新生儿疼痛评估量表的优缺点进行了概述,同时探讨了唾液皮质醇在新生儿疼痛评估中的潜在应用价值,以期为准确客观的新生儿疼痛评估提供参考方法和理论依据。

关键词: 疼痛, 评估, 唾液皮质醇, 新生儿

Abstract: Due to the fact that newborns cannot describe pain and their nervous systems are not fully developed, their perception and expression of pain differ from adults. Consequently, neonatal pain is often overlooked in clinical practice. However, pain can affect individuals′ psychological emotions, endocrine system, circulatory system, respiratory system, and other aspects, leading to corresponding symptoms. This article summarizes the advantages and disadvantages of currently used neonatal pain assessment scales and explores the potential application value of salivary cortisol in neonatal pain assessment, aiming to provide reference and theoretical basis for accurate and objective pain assessment in newborns.

Key words: pain, evaluation, salivary cortisol, newborn

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