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安抚奶嘴质地对发育正常婴儿非营养性吸吮的短期影响。

Short-Term Effects of Pacifier Texture on NNS in Neurotypical Infants.

作者信息

Oder Austin L, Stalling David L, Barlow Steven M

机构信息

Communication Neuroscience Laboratories, Department of Speech-Language-Hearing, Sciences and Disorders, University of Kansas, Room 3001, 1000 Sunnyside Avenue, Lawrence, KS 66045-7555, USA.

出版信息

Int J Pediatr. 2013;2013:168459. doi: 10.1155/2013/168459. Epub 2013 Apr 29.

DOI:10.1155/2013/168459
PMID:23737804
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3657447/
Abstract

The dense representation of trigeminal mechanosensitive afferents in the lip vermilion, anterior tongue, intraoral mucosa, and temporomandibular joint allows the infant's orofacial system to encode a wide range of somatosensory experiences during the critical period associated with feed development. Our understanding of how this complex sensorium processes texture is very limited in adults, and the putative role of texture encoding in the infant is unknown. The purpose of this study was to examine the short-term effects of a novel textured pacifier experience in healthy term infants (N = 28). Nonnutritive suck (NNS) compression pressure waveforms were digitized in real time using a variety of custom-molded textured pacifiers varying in spatial array density of touch domes. MANCOVA, adjusted for postmenstrual age at test and sex, revealed that infants exhibited an increase in NNS burst attempts at the expense of a degraded suck burst structure with the textured pacifiers, suggesting that the suck central pattern generator (sCPG) is significantly disrupted and reorganized by this novel orocutaneous experience. The current findings provide new insight into oromotor control as a function of the oral somatosensory environment in neurotypically developing infants.

摘要

三叉神经机械性感受传入神经在唇红、舌尖、口腔黏膜和颞下颌关节中的密集分布,使婴儿的口面部系统能够在与进食发育相关的关键时期对广泛的躯体感觉体验进行编码。我们对这种复杂感觉系统如何处理质地的理解在成年人中非常有限,而且质地编码在婴儿中的假定作用尚不清楚。本研究的目的是检验一种新型带纹理安抚奶嘴体验对健康足月儿(N = 28)的短期影响。使用各种定制模制的带纹理安抚奶嘴,其触觉穹顶的空间阵列密度各不相同,实时数字化非营养性吸吮(NNS)压缩压力波形。经测试时的月经后年龄和性别调整的多变量协方差分析显示,使用带纹理安抚奶嘴时,婴儿的NNS爆发尝试次数增加,但吸吮爆发结构变差,这表明这种新型口腔皮肤体验会显著扰乱并重组吸吮中枢模式发生器(sCPG)。目前的研究结果为神经发育正常的婴儿中作为口腔躯体感觉环境函数的口部运动控制提供了新的见解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/180c/3657447/8393f05efe38/IJPED2013-168459.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/180c/3657447/67b12e98f0c3/IJPED2013-168459.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/180c/3657447/8393f05efe38/IJPED2013-168459.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/180c/3657447/67b12e98f0c3/IJPED2013-168459.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/180c/3657447/8393f05efe38/IJPED2013-168459.002.jpg

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本文引用的文献

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J Perinatol. 2013 Apr;33(4):319-23. doi: 10.1038/jp.2012.113. Epub 2012 Sep 13.
2
A model of neurodevelopmental risk and protection for preterm infants.一种早产儿神经发育风险与保护的模型。
J Perinat Neonatal Nurs. 2010 Oct-Dec;24(4):356-65. doi: 10.1097/JPN.0b013e3181fb1e70.
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Pacifier Stiffness Alters the Dynamics of the Suck Central Pattern Generator.
异常营养性吸吮作为新生儿脑损伤的一个指标
Front Pediatr. 2021 Jan 12;8:599633. doi: 10.3389/fped.2020.599633. eCollection 2020.
4
Effect of Pacifier Design on Nonnutritive Suck Maturation and Weight Gain in Preterm Infants: A Pilot Study.安抚奶嘴设计对早产儿非营养性吸吮成熟及体重增加的影响:一项初步研究。
Curr Ther Res Clin Exp. 2020 Nov 17;93:100617. doi: 10.1016/j.curtheres.2020.100617. eCollection 2020.
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Sucking versus swallowing coordination, integration, and performance in preterm and term infants.早产和足月婴儿的吸吮与吞咽协调、整合及表现
J Appl Physiol (1985). 2020 Dec 1;129(6):1383-1392. doi: 10.1152/japplphysiol.00668.2020. Epub 2020 Oct 15.
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Effects of pacifier and taste on swallowing, esophageal motility, transit, and respiratory rhythm in human neonates.安抚奶嘴和味道对人类新生儿吞咽、食管动力、转运及呼吸节律的影响。
Neurogastroenterol Motil. 2016 Apr;28(4):532-42. doi: 10.1111/nmo.12748. Epub 2016 Jan 4.
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Frequency-modulated orocutaneous stimulation promotes non-nutritive suck development in preterm infants with respiratory distress syndrome or chronic lung disease.经颅调制口腔刺激促进呼吸窘迫综合征或慢性肺部疾病早产儿非营养性吸吮的发展。
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