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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.

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。

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