Selley W G, Ellis R E, Flack F C, Brooks W A
Department of Physics, University of Exeter.
Br J Disord Commun. 1990 Dec;25(3):311-27. doi: 10.3109/13682829009011980.
Non-invasive, sensitive equipment was designed to record nasal air flow, the timing and volume of milk flow, intraoral pressure and swallowing in normal full-term newborn babies artificially fed under strictly controlled conditions. Synchronous recordings of these events are presented in chart form. Interpretation of the charts, with the aid of applied anatomy, suggests an hypothesis of the probable sequence of events during an ideal feeding cycle under the test conditions. This emphasises the importance of complete coordination between breathing, sucking and swallowing. The feeding respiratory pattern and its relationship to the other events was different from the non-nutritive respiratory pattern. The complexity of the coordinated patterns, the small bolus size which influenced the respiratory pattern, together with the coordination of all these events when milk was present in the mouth, emphasise the importance of the sensory mechanisms. The discussion considers (1) the relationship between these results, those reported by other workers under other feeding conditions and the author's (WGS) clinical experience, (2) factors which appear to be essential to permit conventional bottle feeding and (3) the importance of the coordination between the muscles of articulation, by which babies obtain their nourishment in relation to normal development and maturation.
设计了一种非侵入性、灵敏的设备，用于记录在严格控制条件下人工喂养的正常足月新生儿的鼻气流、奶流的时间和量、口腔内压力及吞咽情况。这些事件的同步记录以图表形式呈现。借助应用解剖学对图表进行解读，提出了在测试条件下理想喂养周期中可能的事件顺序假设。这强调了呼吸、吸吮和吞咽之间完全协调的重要性。喂养呼吸模式及其与其他事件的关系不同于非营养性呼吸模式。协调模式的复杂性、影响呼吸模式的小食团大小，以及口腔中有奶时所有这些事件的协调性，都强调了感觉机制的重要性。讨论内容包括：（1）这些结果与其他研究者在其他喂养条件下报告的结果以及作者（WGS）临床经验之间的关系；（2）进行传统奶瓶喂养似乎必不可少的因素；（3）发音肌肉之间协调的重要性，婴儿通过这些肌肉获取营养，这与正常发育和成熟有关。
