ショ糖は乳児の痛みを伴う処置の緩和に効果的な方法である(Sucrose is an effective way to help manage painful procedures in babies: Study)

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2026-03-17  トロント大学(U of T)

トロント大学の研究によると、乳児が医療処置を受ける際に少量のショ糖(スクロース)を与えることで、痛みやストレス反応を軽減できる可能性が示された。研究では、処置前にショ糖を投与した乳児は、泣きや表情、心拍数などの指標で痛みの反応が有意に低下した。ショ糖は安全で簡便に使用できる方法であり、新生児医療現場で広く活用できる可能性がある。ただし、長期的影響や適切な投与量についてはさらなる検討が必要とされる。本成果は、乳児の苦痛軽減と医療ケアの質向上に貢献する重要な知見である。

ショ糖は乳児の痛みを伴う処置の緩和に効果的な方法である(Sucrose is an effective way to help manage painful procedures in babies: Study)
(photo by Stefan Tomic/Getty Images)

<関連情報>

新生児の静脈穿刺時のスクロース鎮痛 Sucrose analgesia for venepuncture in neonates

Mariana Bueno,Ligyana Candido,Jiale Hu,Michelle Fiander,Jane Cracknell,Emily Xu,Jiamin Kang,Janet Yamada,Supported by the Cochrane Neonatal Group
Cochrane Database of Systematic reviews  Published: 04 March 2026
DOI:https://doi.org/10.1002/14651858.CD015221.pub2

Abstract

Rationale

Sucrose is, in general, safe and effective for analgesia during venepuncture in hospitalised neonates. However, there is a lack of evidence on its analgesic effects.

Objectives

To evaluate the benefits and harms of orally administered sucrose for pain relief from venepuncture in preterm and term neonates compared to no intervention, standard care, and other types of analgesic interventions.

Search methods

We searched CENTRAL, MEDLINE, Ovid Embase, and trial registries in July 2025, and the China National Knowledge Infrastructure, VIP Chinese Science and Technology Periodicals, and Wanfang Data in August 2024. We checked reference lists of included studies and topic‐related systematic reviews.

Eligibility criteria

We included randomised controlled trials (RCTs), including cross‐over and cluster‐RCTs, that evaluated the effects of sucrose analgesia in neonates (including term and preterm infants) up to 44 weeks’ postmenstrual age undergoing venepuncture. We excluded quasi‐RCTs and studies reported only as conference abstracts. We included studies administering sucrose with or without non‐nutritive sucking (NNS) before, at the time of, or after venepuncture. Sucrose could be of any concentration, volume, or dose. Sucrose was compared to: no intervention, water, or standard care; skin‐to‐skin care; breastfeeding; feeding; NNS alone (e.g. pacifier); glucose; positioning; or topical anaesthetics.

Outcomes

Outcomes of interest were pain intensity score, as measured by validated pain assessment scales, and adverse events.

医療・健康
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