Aguilar Cordero, María JoséMur Villar, NormaGarcía García, InmaculadaRodríguez López, María AscensiónRizo Baeza, María Mercedes2016-08-102016-08-102014-11-01Aguilar Cordero MJ, Mur Villar N, García García I, Rodríguez López MA, Rizo Baeza MM. Oral glucose and breast milk as a strategy for pain reduction during the heel lance procedure in newborns. Nutr Hosp. 2014; 30(5):1071-60212-1611http://hdl.handle.net/10668/2357INTRODUCCIÓN: Para la detección de la fenilcetonuria, se realiza la prueba diagnóstica que consiste en la extracción de una muestra de sangre capilar, mediante la punción del talón al recién nacido. Este proceder es muy doloroso para el neonato. OBJETIVO: Valorar la efectividad de la administración de glucosa oral al 24 % y lactancia materna durante la punción del talón en el recién nacido. MÉTODO: Se realizó un estudio experimental en una muestra de 93 recién nacidos del Hospital Clínico “San Cecilio” de Granada durante el año 2010. La muestra se distribuyó en tres grupos en función del tipo de ingesta administrada en la realización de la prueba del talón. RESULTADOS: El estudio pone de manifiesto que existe asociación en la diferencia de la FC con el tiempo transcurrido hasta alcanzar la normalidad después de la punción (r = 0,562; p = 0,000). También se halló una relación positiva entre la diferencia absoluta en la FC y la diferencia en la Saturación de Oxígeno (SO) (r = 0,538; p = 0,000).INTRODUCTION: This paper presents the results of a study on pain reduction in newborns that undergo painful medical procedures. This research analyzed the reactions of babies before and after the heel lance procedure, a diagnostic test performed to detect phenylketonuria. This test involved the extraction of a capillary blood sample with a heel lance, a medical procedure that is painful for neonates. OBJECTIVE: The main objective of this research was to evaluate the effectiveness of a 24% oral glucose solution and breastfeeding during heal lance. METHOD: An experimental study was thus conducted on a sample of 93 newborns in the San Cecilio University Hospital in Granada in 2010. The babies in the sample were divided into three groups, depending on what they ingested during the heal lance. RESULTS: The results obtained showed that there was an association between the difference in HR and the time before the newborn's HR returned to normal after the heel lance (r = 0.562; p = 0.000). Moreover, a positive relation was found between the absolute difference in HR and the difference in oxygen saturation (OS) (r = 0.538; p = 0.000).enOral glucosePhenylketonuriaBreastfeedingPainNewbornGlucosa oralFenilcetonuriaLactancia maternaDolorRecién nacidoMedical Subject Headings::Phenomena and Processes::Physiological Phenomena::Nutritional Physiological Phenomena::Nutrition Processes::Breast FeedingMedical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Diagnosis::Diagnostic Techniques and Procedures::Diagnostic Tests, RoutineMedical Subject Headings::Anatomy::Body Regions::Extremities::Lower Extremity::Foot::HeelMedical Subject Headings::Chemicals and Drugs::Carbohydrates::Monosaccharides::Hexoses::GlucoseMedical Subject Headings::Health Care::Health Care Facilities, Manpower, and Services::Health Services::Child Care::Infant CareMedical Subject Headings::Named Groups::Persons::Age Groups::Infant::Infant, NewbornMedical Subject Headings::Phenomena and Processes::Musculoskeletal and Neural Physiological Phenomena::Nervous System Physiological Phenomena::Nervous System Physiological Processes::Sensation::PainMedical Subject Headings::Diseases::Congenital, Hereditary, and Neonatal Diseases and Abnormalities::Genetic Diseases, Inborn::Metabolism, Inborn Errors::Amino Acid Metabolism, Inborn Errors::PhenylketonuriasMedical Subject Headings::Chemicals and Drugs::Inorganic Chemicals::Gases::Oxygenresearch article25365010open access10.3305/nh.2014.30.5.78621699-5198