{"id":352,"date":"2012-10-24T14:37:53","date_gmt":"2012-10-24T05:37:53","guid":{"rendered":"http:\/\/www.hcfm.jp\/journal\/?p=352"},"modified":"2015-08-06T14:39:26","modified_gmt":"2015-08-06T05:39:26","slug":"%e4%ba%88%e9%98%b2%e6%8e%a5%e7%a8%ae%e6%99%82%e3%81%ae%e7%97%9b%e3%81%bf%e3%82%92%e5%8f%96%e3%82%8b%e5%b7%a5%e5%a4%ab","status":"publish","type":"post","link":"https:\/\/www.hcfm.jp\/journal\/?p=352","title":{"rendered":"\u4e88\u9632\u63a5\u7a2e\u6642\u306e\u75db\u307f\u3092\u53d6\u308b\u5de5\u592b"},"content":{"rendered":"<p>\u3010\u6587\u732e\u540d\u3011\u00a0<br \/>\n\u6587\u732e\u30bf\u30a4\u30c8\u30eb\uff1aEffective Analgesia Using Physical Interventions for Infant Immunizations.<br \/>\n\u96d1\u8a8c\u540d\u30fb\u66f8\u7c4d\u540d\uff1aPediatrics vol.129 No.5, , pp.815-822<br \/>\n\u767a\u884c\u5e74\uff1aMay1, 2012<\/p>\n<p>\u3010\u8981\u7d04\u3011<br \/>\n\uff1c\u7814\u7a76\u306e\u7a2e\u985e\uff1e<br \/>\n\u30d7\u30ed\u30b9\u30da\u30af\u30c6\u30a3\u30d6\u306a\u3001\u30e9\u30f3\u30c0\u30e0\u5316\u3001\u4e00\u90e8\u76f2\u691c\u5316\u3055\u308c\u305f\u7814\u7a76<\/p>\n<p>\uff1c\u6587\u732e\u306ePECO\uff1e<br \/>\nP\uff1a\u30ef\u30af\u30c1\u30f3\u63a5\u7a2e\u306b\u304d\u305f2\u30f6\u6708\u304a\u3088\u30734\u304b\u6708\u306e\u5065\u5eb7\u306a\u4e73\u5150<br \/>\n\u3000Inclusion criteria\uff1a\u51fa\u751f\u6642\u306e\u598a\u5a20\u9031\u6570\u304c32-42\u9031\u3067\u3001\u51fa\u751f\u5f8c20\u9031\u672a\u6e80<br \/>\n\u3000Exclusion criteria\uff1a\u30ef\u30af\u30c1\u30f3\u63a5\u7a2e\u524d4\u6642\u9593\u4ee5\u5185\u306b\u30a2\u30bb\u30c8\u30a2\u30df\u30ce\u30d5\u30a7\u30f3\u304b\u30a4\u30d6\u30d7\u30ed\u30d5\u30a7\u30f3\u304c\u6295\u4e0e\u3055\u308c\u305f\u3001\u795e\u7d4c\u969c\u5bb3\u3092\u6301\u3063\u3066\u3044\u308b\u3001\u907a\u4f1d\u5b50\u7570\u5e38\u304c\u3042\u308b\u3001\u63a5\u7a2e\u6642\u306b\u71b1\u306e\u3042\u308b\u306a\u3057\u306b\u304b\u304b\u308f\u3089\u305a\u4e2d\u7b49\u5ea6\u304b\u3089\u91cd\u5ea6\u306e\u75be\u60a3\u3092\u6301\u3064\u3001\u4ee5\u524d\u306b\u30ef\u30af\u30c1\u30f3\u63a5\u7a2e\u3067\u30a2\u30ca\u30d5\u30a3\u30e9\u30ad\u30b7\u30fc\u3092\u8d77\u3053\u3057\u305f\u3001\u3042\u308b\u3044\u306f\u4ee5\u524d\u306b2\u30f6\u6708\u306e\u6642\u70b9\u3067\u3053\u306e\u7814\u7a76\u306b\u53c2\u52a0\u3057\u305f\u3053\u3068\u304c\u3042\u308b(4\u30ab\u6708\u5150)<br \/>\nE\/C\uff1a\u4ee5\u4e0b\u306e4\u30b0\u30eb\u30fc\u30d7\u306b\u5206\u3051\u3066\u6bd4\u8f03<br \/>\nGroup1\uff0e2ml\u306e\u6c34\u3092\u30ef\u30af\u30c1\u30f3\u63a5\u7a2e2\u5206\u524d\u306b\u98f2\u307e\u305b\u3066\u3001\u63a5\u7a2e\u5f8c\u306b\u4fdd\u8b77\u8005\u304c\u3042\u3084\u3059(\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u30b0\u30eb\u30fc\u30d7)<br \/>\nGroup2\uff0e24\uff05\u8517\u7cd6\u6db22ml\u3092\u63a5\u7a2e2\u5206\u524d\u306b\u98f2\u307e\u305b\u3066\u3001\u63a5\u7a2e\u5f8c\u306b\u4fdd\u8b77\u8005\u304c\u3042\u3084\u3059(\u8517\u7cd6\u30b0\u30eb\u30fc\u30d7)<br \/>\nGroup3\uff0e2ml\u306e\u6c34\u3092\u30ef\u30af\u30c1\u30f3\u63a5\u7a2e2\u5206\u524d\u306b\u98f2\u307e\u305b\u3066\u3001\u63a5\u7a2e\u5f8c\u306b\u7814\u7a76\u8005\u304c5S&#8217;s\u3092\u4f7f\u7528\u3057\u305f\u8eab\u4f53\u7684\u4ecb\u5165\u3092\u884c\u3046(\u8eab\u4f53\u7684\u4ecb\u5165\u30b0\u30eb\u30fc\u30d7)<br \/>\nGroup4\uff0e24\uff05\u8517\u7cd6\u6db22ml\u3092\u63a5\u7a2e2\u5206\u524d\u306b\u98f2\u307e\u305b\u3066\u3001\u63a5\u7a2e\u5f8c\u306b\u7814\u7a76\u8005\u304c5S&#8217;s\u3092\u4f7f\u7528\u3057\u305f\u8eab\u4f53\u7684\u4ecb\u5165\u3092\u884c\u3046(\u8517\u7cd6\uff06\u8eab\u4f53\u7684\u4ecb\u5165\u30b0\u30eb\u30fc\u30d7)<br \/>\nO\uff1aModified Riley Pain Score (Table1)\u3092\u4f7f\u3063\u3066\u3001\u6642\u9593\u7d4c\u904e\u306b\u3068\u3082\u306a\u3046\u4e73\u5150\u306e\u75db\u307f\u3092\u5404\u7fa4\u3067\u6bd4\u8f03<br \/>\n\u3000\u3000\u63a5\u7a2e\u5f8c120\u79d2\u5168\u4f53\u306b\u308f\u305f\u308bModified Riley Pain Score\u306e\u5e73\u5747\u5024\u3092\u5404\u7fa4\u3067\u6bd4\u8f03<br \/>\n\u6642\u9593\u7d4c\u904e\u306b\u3068\u3082\u306a\u3046\u6ce3\u3044\u3066\u3044\u308b\u4e73\u5150\u306e\u5272\u5408\u3092\u5404\u7fa4\u3067\u6bd4\u8f03<\/p>\n<p>\u30fb5S&#8217;s\u306b\u3064\u3044\u3066\u3000<br \/>\n\uff0a\u3053\u306e\u7814\u7a76\u306b\u304a\u3044\u3066\u306f3\u540d\u306e\u5c0f\u5150\u79d1\u7814\u4fee\u533b\u306b\u3066\u884c\u308f\u308c\u305f<br \/>\nswadding\uff1a\u5e03\u3067\u304f\u308b\u3080<br \/>\nside\/stomach pasition\uff1a\u5074\u81e5\u4f4d<br \/>\nshushing\uff1a\u30b7\u30c3(\u9759\u304b\u306b)\u3068\u8a00\u3046<br \/>\nswinging\uff1a\u63fa\u3089\u3059<br \/>\nsucking\uff1a\u304a\u3057\u3083\u3076\u308a\u3092\u53e3\u3067\u5438\u308f\u305b\u308b<\/p>\n<p>\u203b\u63a5\u7a2e\u3057\u305f\u30ef\u30af\u30c1\u30f3\u306b\u3064\u3044\u3066<br \/>\n\u30ed\u30bf\u30ea\u30c3\u30af\u30b9(1.5ml)\u3092\u6700\u521d\u306b\u98f2\u307e\u305b\u3066\u30013\u3064\u306e\u7b4b\u8089\u6ce8\u5c04(0.5ml)\u3001B\u578b\u809d\u708e\u30ef\u30af\u30c1\u30f3\u3001\u30da\u30f3\u30bf\u30bb\u30eb(\u30b8\u30d5\u30c6\u30ea\u30a2\u3001\u7834\u50b7\u98a8\u3001\u767e\u65e5\u54b3\u3001\u30dd\u30ea\u30aa\u3001Hib\u306e5\u7a2e\u6df7\u5408)\u3001\u30d7\u30ec\u30d9\u30ca\u30fc(\u3092\u6700\u5f8c\u306b)\u309290\u5ea6\u306e\u89d2\u5ea6\u3067\u5927\u817f\u524d\u65b9\u306b23G\u30011.59cm\u306e\u91dd\u3067\u30b7\u30cb\u30a2\u306e\u30ca\u30fc\u30b7\u30f3\u30b0\u30b9\u30bf\u30c3\u30d5\u306b\u3088\u308a\u63a5\u7a2e\u3057\u305f<\/p>\n<p>\uff1c\u7d50\u679c\uff1e<br \/>\n\u3000\u30ef\u30af\u30c1\u30f3\u30b9\u30b1\u30b8\u30e5\u30fc\u30eb\u3092\u7acb\u3066\u305f286\u4eba\u304c\u53c2\u52a0\u8005\u3068\u3057\u3066\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u3055\u308c\u3001inclusion criteria\u3092\u6e80\u305f\u3057\u305f270\u4eba\u306e\u3046\u3061\u3001234\u540d\u304c\u53c2\u52a0\u306b\u8cdb\u540c\u3057\u3001\u3046\u3061230\u540d\u304c\u30e9\u30f3\u30c0\u30e0\u306b4\u30b0\u30eb\u30fc\u30d7\u306b\u5272\u308a\u632f\u3089\u308c\u305f(Fig.1)\u3002\u5404\u30b0\u30eb\u30fc\u30d7\u306e\u30c7\u30fc\u30bf\u306fTable2\u306b\u793a\u3055\u308c\u3066\u3044\u308b\u3002<\/p>\n<p>\u30fb\u63a5\u7a2e\u6642\u306eModified Riley Pain Score(\u5408\u8a080-9\u70b9)\u306e\u6642\u9593\u7d4c\u904e\u306b\u3068\u3082\u306a\u3046\u5909\u5316\uff1aFig.2<br \/>\n\u4ecb\u5165\u7fa4\u306f\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u7fa4\u306b\u6bd4\u3079\u3066\u6709\u610f\u306b\u75db\u307f\u306e\u5e73\u5747\u30b9\u30b3\u30a2\u304c\u4f4e\u304f\u3001\u3055\u3089\u306b\u8eab\u4f53\u4ecb\u5165\u306e\u307f\u306e\u7fa4\u306f\u8517\u7cd6\u7fa4\u306b\u304f\u3089\u3079\u3066\u6709\u610f\u306b\u4f4e\u304b\u3063\u305f\u3002<\/p>\n<p>\u30fb\u63a5\u7a2e\u5f8c120\u79d2\u9593\u306e\u5168\u4f53\u306b\u308f\u305f\u308bModified Riley Pain Score(\u5408\u8a080-9\u70b9)\u306e\u5e73\u5747\u5024\uff1aTable3<br \/>\n\u3000\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u7fa4\u30674.46\u3001\u8517\u7cd6\u7fa4\u30673.95\u3001\u8eab\u4f53\u7684\u4ecb\u5165\u7fa4\u30673.24\u3001\u8eab\u4f53\u7684\u4ecb\u5165\uff06\u8517\u7cd6\u7fa4\u30673.61\u3067\u3042\u3063\u305f\u3002<\/p>\n<p>\u30fb\u6642\u9593\u7d4c\u904e\u306b\u3068\u3082\u306a\u3046\u6ce3\u3044\u3066\u3044\u308b\u4e73\u5150\u306e\u5272\u5408\uff1aFig.3<br \/>\n\u00a0 45\u79d2,60\u79d2,75\u79d2,90\u79d2\u304a\u3088\u3073105\u79d2\u306e\u6642\u70b9\u3067\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u7fa4\u3068\u8517\u7cd6\u7fa4\u3068\u305d\u306e\u4ed6\u306e2\u7fa4\u3068\u306b\u304a\u3044\u3066\u6709\u610f\u5dee\u304c\u307f\u3089\u308c\u3001\u8eab\u4f53\u7684\u4ecb\u5165\u30b0\u30eb\u30fc\u30d7\u3068\u8eab\u4f53\u7684\u4ecb\u5165\uff06\u8517\u7cd6\u306e\u30b0\u30eb\u30fc\u30d7\u304c\u6700\u3082\u4f4e\u304b\u3063\u305f\u3002\u3053\u308c\u306f\u75db\u307f\u306e\u30b9\u30b3\u30a2\u306e\u7d50\u679c\u3068\u540c\u69d8\u3067\u3042\u3063\u305f\u3002<\/p>\n<p>\uff1c\u7d50\u8ad6\uff1e<br \/>\n2\u30f6\u6708\u5150\u304a\u3088\u30734\u30ab\u6708\u5150\u306e\u5b9a\u671f\u306e\u30ef\u30af\u30c1\u30f3\u63a5\u7a2e\u306b\u304a\u3044\u3066\u30015S&#8217;s\u306b\u3088\u308b\u8eab\u4f53\u7684\u4ecb\u5165\u306b\u3088\u308a\u3001\u7acb\u8a3c\u3055\u308c\u305f\u75db\u307f\u30b9\u30b1\u30fc\u30eb\u306b\u304a\u3051\u308b\u75db\u307f\u30b9\u30b3\u30a2\u306e\u4f4e\u4e0b\u3068\u6ce3\u3044\u3066\u3044\u308b\u6642\u9593\u306e\u4f4e\u4e0b\u304c\u8a8d\u3081\u3089\u308c\u305f\u3002<\/p>\n<p><a href=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2015\/08\/121024_1.jpg\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2015\/08\/121024_1.jpg\" alt=\"121024_1\" width=\"669\" height=\"286\" class=\"alignnone size-full wp-image-353\" srcset=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2015\/08\/121024_1.jpg 669w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2015\/08\/121024_1-300x128.jpg 300w\" sizes=\"auto, (max-width: 669px) 100vw, 669px\" \/><\/a><\/p>\n<p><a href=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2015\/08\/121024_2.jpg\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2015\/08\/121024_2.jpg\" alt=\"121024_2\" width=\"564\" height=\"270\" class=\"alignnone size-full wp-image-354\" srcset=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2015\/08\/121024_2.jpg 564w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2015\/08\/121024_2-300x144.jpg 300w\" sizes=\"auto, (max-width: 564px) 100vw, 564px\" \/><\/a><\/p>\n<p><a href=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2015\/08\/121024_3.jpg\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2015\/08\/121024_3.jpg\" alt=\"121024_3\" width=\"632\" height=\"246\" class=\"alignnone size-full wp-image-355\" srcset=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2015\/08\/121024_3.jpg 632w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2015\/08\/121024_3-300x117.jpg 300w\" sizes=\"auto, (max-width: 632px) 100vw, 632px\" \/><\/a><\/p>\n<p><a href=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2015\/08\/121024_4.jpg\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2015\/08\/121024_4.jpg\" alt=\"121024_4\" width=\"643\" height=\"408\" class=\"alignnone size-full wp-image-356\" srcset=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2015\/08\/121024_4.jpg 643w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2015\/08\/121024_4-300x190.jpg 300w\" sizes=\"auto, (max-width: 643px) 100vw, 643px\" \/><\/a><\/p>\n<p><a href=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2015\/08\/121024_5.jpg\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2015\/08\/121024_5.jpg\" alt=\"121024_5\" width=\"661\" height=\"369\" class=\"alignnone size-full wp-image-357\" srcset=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2015\/08\/121024_5.jpg 661w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2015\/08\/121024_5-300x167.jpg 300w\" sizes=\"auto, (max-width: 661px) 100vw, 661px\" \/><\/a><\/p>\n<p>\u3010\u958b\u50ac\u65e5\u3011<br \/>\n2012\u5e749\u67085\u65e5<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u3010\u6587\u732e\u540d\u3011\u00a0 \u6587\u732e\u30bf\u30a4\u30c8\u30eb\uff1aEffective Analgesia Using Physical Interventions for Infant Immunizations. \u96d1\u8a8c\u540d\u30fb\u66f8\u7c4d\u540d\uff1aPediatrics vo &hellip; <a href=\"https:\/\/www.hcfm.jp\/journal\/?p=352\" class=\"more-link\">\u7d9a\u304d\u3092\u8aad\u3080 <span class=\"screen-reader-text\">\u4e88\u9632\u63a5\u7a2e\u6642\u306e\u75db\u307f\u3092\u53d6\u308b\u5de5\u592b<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[5],"tags":[],"class_list":["post-352","post","type-post","status-publish","format-standard","hentry","category-5"],"_links":{"self":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/352","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=352"}],"version-history":[{"count":1,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/352\/revisions"}],"predecessor-version":[{"id":358,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/352\/revisions\/358"}],"wp:attachment":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=352"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=352"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=352"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}