Advances in Clinical and Experimental Medicine

Title abbreviation: Adv Clin Exp Med
JCR Impact Factor (IF) – 1.736
5-Year Impact Factor – 2.135
Index Copernicus  – 168.52
MEiN – 70 pts

ISSN 1899–5276 (print)
ISSN 2451-2680 (online)
Periodicity – monthly

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Advances in Clinical and Experimental Medicine

2006, vol. 15, nr 2, March-April, p. 339–344

Publication type: review article

Language: Polish

Czy noworodek odczuwa ból?

Does Neonate Feel Pain?

Marzena Zielińska1,

1 Katedra i Klinika Anestezjologii i Intensywnej Terapii AM we Wrocławiu

Streszczenie

Do drugiej połowy lat 80. XX w. terapia bólu u najmłodszych pacjentów – noworodków – była problemem praktycznie pomijanym w piśmiennictwie medycznym. Dopiero wtedy ukazały się pierwsze prace oceniające stan wiedzy personelu medycznego na temat rozwoju dróg przewodnictwa bólowego w okresie prenatalnym i możliwości percepcji bólu u najmłodszych. Stopniowo tematyka zaczęła pojawiać się w programach badawczych, powoli zmieniając praktyki kliniczne. Reakcje bólowe u noworodka bada się najczęściej oceniając zmiany wskaźników fizjologicznych i behawioralnych, jakie zachodzą pod wpływem działania bodźca nocyceptywnego. Są podstawą oceny skuteczności terapii przeciwbólowej. Bada się też wpływ przewlekle działającego bodźca bólowego na proces dojrzewania o.u.n., powstawania takich zjawisk patologicznych, jak np. hiperalgezja. Przedmiotem badań jest także występowanie zmian w psychice, w zachowaniach społecznych itp. u dzieci i młodzieży narażonych na przewlekłe działanie bólu w okresie noworodkowym.

Abstract

Thirty years ago, the medical literature was essentially devoid of any formal reviews or research specifically addressing the management of pain in neonates. In the second part of the eighties the first papers assessing the knowledge of medical staff responsible for neonates about the development of neurophysiology of pain in prenatal life and the possibility of experience of pain among the youngest patient were published. Slowly this problem started to be a main subject of research. Clinical practice connected with pain treatment of neonates has been changed step by step. Reaction of the youngest, premature babies to nociceptive stimulation started to be assessed by changing of physiological and behavioural parameters. This has been the ground to evaluation efficacy of pain treatment. Long term consequences of repeated painful events in neonatal period on social disturbances, anxiety, avoiding learning have been also the subject of interest.

Słowa kluczowe

noworodek, ból, terapia bólu, reakcje bólowe

Key words

neonate, pain, pain treatment, pain reaction

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