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喂养方式、非营养性吸吮与口面部行为之间的相关性。

Correlation between feeding methods, non-nutritive sucking and orofacial behaviors.

作者信息

Medeiros Ana Paula Magalhães, Ferreira José Tarcísio Lima, Felício Cláudia Maria de

机构信息

Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo.

出版信息

Pro Fono. 2009 Oct-Dec;21(4):315-9. doi: 10.1590/s0104-56872009000400009.

Abstract

BACKGROUND

The development of oral motor control depends partially on motor and sensory experiences.

AIM

To analyze the relationship between the duration of breastfeeding, artificial feeding and sucking habits, and of these parameters with the orofacial motor performance.

METHOD

Participants of this study were one hundred and seventy-six children aged 6 to 12 years. All subjects were submitted to an orofacial myofunctional clinical examination, using a protocol with scores, and parents/care takers were interviewed in respect to the feeding and sucking habits of their children. Correlations were calculated using the Spearman Test.

RESULTS

In the studied sample, the mean duration of breastfeeding was of 10.30 months (ranging from zero to 60 months), of artificial feeding was of 44.12 months (zero to 122 months) and of sucking habits was of 39.32 months (0 to 144 months). There was a negative correlation of breastfeeding duration with artificial feeding duration and sucking habits duration (p < 0001). The duration of the artificial feeding was positively correlated to the duration of sucking habits (p < 0001). The duration of breastfeeding was positively correlated with the mobility of the tongue and jaw (p = 0.05). There was a negative correlation of the duration of artificial feeding and the duration of sucking habits with the performance in mastication and swallowing, respectively, as well as with the duration of both types of sucking with the performance in the diadochokinesia test (p = 0.05).

CONCLUSION

The duration of natural breastfeeding presented a positive effect over the mobility of the orofacial structures. Deleterious effects of the prolonged duration of artificial feeding and sucking habits in the oral motor control were confirmed.

摘要

背景

口腔运动控制的发展部分取决于运动和感觉体验。

目的

分析母乳喂养、人工喂养和吮吸习惯的持续时间,以及这些参数与口面部运动表现之间的关系。

方法

本研究的参与者为176名6至12岁的儿童。所有受试者均接受了口面部肌功能临床检查,采用评分方案,并就其孩子的喂养和吮吸习惯对家长/照顾者进行了访谈。使用Spearman检验计算相关性。

结果

在研究样本中,母乳喂养的平均持续时间为10.30个月(范围从零到60个月),人工喂养的平均持续时间为44.12个月(零到122个月),吮吸习惯的平均持续时间为39.32个月(0到144个月)。母乳喂养持续时间与人工喂养持续时间和吮吸习惯持续时间呈负相关(p<0.001)。人工喂养持续时间与吮吸习惯持续时间呈正相关(p<0.001)。母乳喂养持续时间与舌和下颌的活动度呈正相关(p = 0.05)。人工喂养持续时间和吮吸习惯持续时间分别与咀嚼和吞咽表现呈负相关,以及两种吮吸类型的持续时间与交替运动试验表现呈负相关(p = 0.05)。

结论

自然母乳喂养的持续时间对口面部结构的活动度有积极影响。证实了人工喂养和吮吸习惯持续时间过长对口腔运动控制有有害影响。

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