Hiệu quả sử dụng dung dịch glucose 30% giúp giảm đau cho trẻ trong khi làm thủ thuật tại Khoa điều trị tự nguyện B Bệnh viện Nhi Trung ương

HIEU QUA SUfDUNG DUNG DjCH GLUCOSE 30% GIUP GIAM OAU CHO TRE TRONG KHI

LAM THU THUAT TAI KHOA DIEU TR| Tl/NGUYEN B BENH VIEN NHITBUNG UTTNG

NGUYEN THj THANH KHUONG - Benh vien Nhi trung utTng

LE THj BiNH - Hoc vien YDHCT Viet Nam

t 6 m TAT

Nghidn ciru mu ddi cd kiim sodt duyc thuc hidn

trdn 98 trd bdnh cd dd tuoi tir 2 thdng den 12 thdng

tudi tai khoa Dieu tri tis nguydn B - B$nh vidn nhi

Trung uxyng, tir ngdy 10/10/2011-28/12/2011 Trd

bdnh duyc chia 2 nhdm. Nhdml, chon ng§u nhidn 48

trd cd can thi$p sir dung dung djch glucose 30%

tnrdc khi tidm, truySn, liy mdu xdt nghi$m mQt Ian

duy nhit. Nhdm 2, chpn ngiu nhidn 48 trd cd can

thidp sir dyng nir&c cat tnr&c khi tidm, truydn, lay

mdu xdt nghidm mQt tin duy nhit. K it qud cho th iy

Muc dd dau cua trd trong vd sau khi Idm thu thudt cd

si/ khde bidt rd r$t cd y nghTa thong kd giu’a nhdm

dung mr&c c it vd nhdm dung glucose 30% vdi muc

‘khdng dau, dau nh?" vd "dau visa” trong khi Idm thu

thu$t tif 0-15s, tir 15-30s vd tir 30-60s (p<0.0001).

Diim dau trung binh trong khi lam thu thu$t & nhdm

dung nis&c c it cao hon g ip ddi so v&i nhdm dung

glucose 30% trong khi Idm thu thudt & th&i didm tir 0-

15s, tir 15-30s vd 30-60s (p<0.001). D iim dau trung

binh sau khi Idm thu thudt gidm nhieu & nhdm dung

glucose 30% (p<0.001). Th&i gian khde trong vd sau

khi Idm thu thudt cua nhdm dung nis&c c it ddi hon so

v&i nhdm dung glucose 30% (p<0.001).VS tin sd tim

trong khi Idm thu thudt & nhdm dung nw&c c it cao

hon so v&i tin sd tim cua nhdm dung glucose 30%,

sau Idm thu thudt gidm dan & ca hai nhdm nhwng

gidm nhanh hon & nhdm dung glucose 30%.

Tir khda: glucose, bdnh vidn, Ian, gidy, phut, vidm

phd qudn phdi, vidm thanh p h i qudn, tidu chay.

SUMMARY

PAIN REDUCTION FOR CHILDREN IN THE

PROCEDURE IN TREATMENT OF SCIENCE B

VOLUNTARY CHILDREN 'S HOSPITAL CENTRAL

Double-blind studies have been done to control

the disease on 98 children aged 2 months to 12

months old at the department voluntarily Treatment B

• Children's Hospital Central, from 10/10/2011-

28/12/2011. Sick children were divided into 2 groups.

Group 1, 48 children randomly selected intervention

using 30% glucose solution before injection,

transmitted, blood test only once. Group 2, 48

children randomly selected intervention using distilled

water before injection, transmitted, blood test only

once. Results showed that the extent of the child's

pain after the procedure and there is a problem no

significant difference statistically significant between

groups distilled water and 30% glucose solution with

the" no pain or mild pain" and "pain mortar" in the

procedure from 0-15s, 15-30s and 30-60s

(p<0.0001). Mean pain score during the procedure in

distilled water group more than doubled compared

with 30% glucose used in the procedure at the time

from 0-15s, from 15-30s and 30-60s (p<0 001) Point

average pain after the procedure much reduced in

30% glucose group (p<0.001) Time to cry dunng and

after the procedure using distilled water group longer

than 30% of glucose group (p<0 001) Regarding

heart rate during the procedure in distilled water

group than the high frequency heart of 30% glucose

group, after the procedure reduced in both groups but

more rapid decrease in the glucose group 30%

Keywords: glucose, hospital, time, seconds,

minutes, bronchitis, laryngitis bronchitis, diarrhea

DAT VAN 0£

Dau Id mot bieu hien rat pho bien trong cuoc s6ng

ddi thudng cung nhu trong ITnh vuc chdm s6c diiu tri

benh nhi. Oau c6 the anh hudng den tinh th4n, sue

khoe cua ngudi benh, thdm chi anh hudng d in k it

qua dieu tri De tim cdc bien phdp c6 tdc dung Idm

giam dau cho benh nhi khi thuc hi$n cdc thu thudt Id

trdch nhiem cua ngudi cdn BO Y t l n6i chung, ddc

biet Id cua ngudi Dieu dudng nhi khoa. Tuy nhi£n

nhung bien phdp can thiep nhdm giai quyit dau cho

benh nhi ddc biet Id dau do Idm thu thudt (ti6m,

truyen, lay xet nghiem...) vdn c6n it duo’c quan tdm.

Da co rat nhieu nghien cuu cho th£y su dung dudng

sucrose, fructose, glucose c6 anh hudng Idm giam

dau cho tre so1 sinh trong qud trinh Idm thu thudt vd

cung c6 su so sdnh ve hi£u qua cua 3 loai dudng

tren trong viec giam dau cho tre [3],[4], Mdc du

dudng Glucose 30% dd dugc dp dung rong rdi tr§n

the gidi nhung chua duo’c dp dung tai Vi§t Nam vi

chua co bdng chung ndo cho thay lieu tre em Viet

Nam co thich ung trong viec su dung dudng Glucose

30% hay khong, han nua cQng chua co bdng chung

nao khdng dinh ngudng dau cua tre em Viet Nam c6

khac vdi tre em nude ngodi. 06 la ly do d l tdi “Hidu

qua sir dung dung dich glucose 30% giiip gidm dau

cho tre trong khi lam thu thuat tai khoa d iiu tri tw

nguyen B Bdnh vien Nhi Trung ucrng" nhdm muc tieu:

1. Ddnh gid s i/ thay doi dau sau khi dung glucose

30% cho tre tir 2 den 12 thdng tudi trong vd sau khi

lam thu thuat tiem, truyen, lay mdu xdt nghidm.

2. Ddnh gid tdc dung cua glucose 30% Idn mdt so

bieu hidn dau tren lam sang.

0 6 l TU’O’NG VA PHU’aNG PHAP NGHIEN Cl>U

1. 06i tuang nghien cuu: Tre c6 d6 tuoi tu 2

thang den 12 thang tuoi, khi nhap vien chua Idm cdc

thu thudt vd kh6ng c6 cac b$nh ly ddc biet gay dau

(nhu benh ung thu, co phdu thuat...)

2. Chon m iu: 96 benh nhi duac chia Idm 2

Y HOC THI/C HANH (907) - S6 3/2014 29