Ravi B Kundhala, Padmasani L N, Hemamalini A J, Murthy Jyotsna
Department of Clinical Nutrition, Sri Ramachandra University, Chennai, 600116, India,
Indian J Pediatr. 2015 Jul;82(7):581-5. doi: 10.1007/s12098-014-1668-0. Epub 2015 Feb 5.
To compare the efficacy of the three feeding techniques commonly used in authors' setup in improving the weight gain pattern of children with orofacial cleft.
A cohort prospective study was employed. A total sample of 150 infants at the age of 2 mo with cleft of both lip and palate were recruited and followed bimonthly until their first birthday to assess the pattern of weight gain. The subjects were categorized into three groups based on their habitual feeding techniques such as Group I: Paladai fed; Group II: Bottle fed and Group III: Spoon fed with 50 subjects in each group. The three groups were counseled on nutritional aspects, correct infant positioning and hygienic practices.
The mean weight of the Group I subjects was observed to be higher than the other two groups at every visit and was also found to be statistically significant at p < 0.001. Over all comparison proved that the weight gain of 1.364 ± 0.191, 1.348 ± 0.284 and 1.450 ± 0.205 and the velocity of weight gain, kg per week of 0.17 ± 0.023, 0.168 ± 0.035 and 0.181 ± 0.025 of Group I at 4, 6 and 8th mo respectively were significantly higher than the other two groups (p < 0.001).
Of the three feeding techniques adopted by the mothers of infants with orofacial cleft, it was noted that paladai feeding was better than the bottle or spoon-feeding.
比较作者所在机构常用的三种喂养技术在改善患有唇腭裂儿童体重增加模式方面的效果。
采用队列前瞻性研究。招募了150名2个月大的唇腭裂婴儿作为总样本，每两个月随访一次，直至他们满周岁，以评估体重增加模式。根据其习惯的喂养技术将受试者分为三组，即第一组：用帕拉代喂养；第二组：奶瓶喂养；第三组：勺子喂养，每组50名受试者。对三组进行了营养方面、正确的婴儿体位和卫生习惯方面的指导。
每次随访时均观察到第一组受试者的平均体重高于其他两组，且在p < 0.001时具有统计学意义。总体比较证明，第一组在第4、6和8个月时的体重增加分别为1.364±0.191、1.348±0.284和1.450±0.205，每周体重增加速度分别为0.17±0.023、0.168±0.035和0.181±0.025，均显著高于其他两组（p < 0.001）。
在患有唇腭裂婴儿的母亲采用的三种喂养技术中，发现用帕拉代喂养优于奶瓶或勺子喂养。
