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正常和高危新生儿非营养性吸吮的周期性模式。

Cyclical pattern of non-nutritive sucking in normal and high-risk neonates.

作者信息

Simbrón Alicia V, Sorbera-Ferrer Lucas, Gómez de Ferraris María E, Carranza Miriam L

出版信息

Acta Odontol Latinoam. 2013;26(3):150-4.

PMID:25335367
Abstract

This study determined patterns of suction cycles by recording sucking pressure in full-term infants, normal pre-term infants and newborns with pathology (hypoxia at birth). Associations between these patterns and some clinical parameters were established in order to evaluate feeding capacity for the purpose of guiding specific stimulation and aiding hospital discharge in better health conditions. Seventy-five infants of both sexes were assessed after informed consent, grouped by their status at birth. Body weight and Apgar score were determined. Sucking pressure was evaluated with an ad-hoc device. Maximum and minimum pressure scores and the number of suction cycles were measured. Data were analyzed statistically at a significance level of p < 0.05. Maximum sucking pressure values varied between study groups. Full-term infants showed the highest pressure values and number of suction cycles. In pre-term infants, lower pressure values and fewer suction cycles were observed. Those with hypoxia showed great variability in both parameters. This study found a cyclical pattern of non-nutritive sucking in normal and high-risk newborns. Normal and preterm infants showed a significant direct correlation between suction cycles and Apgar scores at 5 minutes, but the infants with pathology due to hypoxia group did not show the same association. These findings are an important tool that will contribute to improving newborn maternal nutrition and optimizing the quality of life for high-risk newborns in our environment.

摘要

本研究通过记录足月儿、正常早产儿以及患有病理状况(出生时缺氧)的新生儿的吸吮压力,确定了吸吮周期模式。建立了这些模式与一些临床参数之间的关联,以便评估喂养能力,目的是指导特定刺激并帮助高危新生儿在更健康的状况下出院。在获得知情同意后,对75名男女婴儿进行了评估,并根据他们出生时的状况进行分组。测定了体重和阿氏评分。使用专门设备评估吸吮压力。测量了最大和最小压力评分以及吸吮周期数。数据在p < 0.05的显著性水平上进行统计学分析。研究组之间的最大吸吮压力值有所不同。足月儿的压力值和吸吮周期数最高。在早产儿中,观察到较低的压力值和较少的吸吮周期。患有缺氧的婴儿在这两个参数上都表现出很大的变异性。本研究发现了正常和高危新生儿非营养性吸吮的周期性模式。正常和早产儿在5分钟时的吸吮周期与阿氏评分之间存在显著的直接相关性,但因缺氧导致病理状况的婴儿组未表现出相同的关联。这些发现是一个重要工具,将有助于改善新生儿的母婴营养状况,并优化我们环境中高危新生儿的生活质量。

相似文献

1
Cyclical pattern of non-nutritive sucking in normal and high-risk neonates.正常和高危新生儿非营养性吸吮的周期性模式。
Acta Odontol Latinoam. 2013;26(3):150-4.
2
Nutritive sucking pattern--from very low birth weight preterm to term newborn.营养性吸吮模式——从极低出生体重早产儿到足月儿。
Early Hum Dev. 2009 Feb;85(2):125-30. doi: 10.1016/j.earlhumdev.2008.07.003. Epub 2008 Sep 3.
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Neonatal sucking as a clinical assessment tool: preliminary findings.新生儿吸吮作为一种临床评估工具:初步研究结果。
Nurs Res. 1989 May-Jun;38(3):162-5.
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Concurrent validity of a new instrument for measuring nutritive sucking in preterm infants.一种用于测量早产儿营养性吸吮的新工具的同时效度。
Nurs Res. 1992 Nov-Dec;41(6):342-6.
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Development of a technique for evaluating temporal parameters of sucking in breastfeeding preterm newborns.评估母乳喂养早产儿吸吮时间参数的技术的发展。
Early Hum Dev. 2011 Aug;87(8):545-8. doi: 10.1016/j.earlhumdev.2011.04.008. Epub 2011 May 23.
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Sucking patterns of neonates during bottle feeding: comparison of different nipple units.奶瓶喂养时新生儿的吸吮模式:不同奶嘴组件的比较
Am J Perinatol. 1992 Jul;9(4):265-9. doi: 10.1055/s-2007-994786.
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Sucking behavior of preterm neonates as a predictor of developmental outcomes.早产新生儿的吸吮行为作为发育结局的预测指标
J Dev Behav Pediatr. 2009 Feb;30(1):16-22. doi: 10.1097/DBP.0b013e318196b0a8.
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Effects of oral stimulation and oral support on non-nutritive sucking and feeding performance in preterm infants.口腔刺激和口腔支持对早产儿非营养性吸吮及喂养表现的影响。
Dev Med Child Neurol. 2007 Jun;49(6):439-44. doi: 10.1111/j.1469-8749.2007.00439.x.
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Energetics and mechanics of nutritive sucking in the preterm and term neonate.
J Pediatr. 1987 Dec;111(6 Pt 1):894-8. doi: 10.1016/s0022-3476(87)80213-5.
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Evaluation of Apgar Scores and Non-Nutritive Sucking Skills in Infants Using a Novel Sensitized Non-Nutritive Sucking System.使用新型敏感非营养性吸吮系统评估婴儿的阿氏评分和非营养性吸吮技能。
Annu Int Conf IEEE Eng Med Biol Soc. 2020 Jul;2020:4282-4285. doi: 10.1109/EMBC44109.2020.9176146.

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Ann Rehabil Med. 2017 Jun;41(3):434-440. doi: 10.5535/arm.2017.41.3.434. Epub 2017 Jun 29.