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供体母乳酸度的测定

Determination of Acidity in Donor Milk.

作者信息

Escuder-Vieco Diana, Vázquez-Román Sara, Sánchez-Pallás Juan, Ureta-Velasco Noelia, Mosqueda-Peña Rocío, Pallás-Alonso Carmen Rosa

机构信息

1 Department of Neonatology, Hospital 12 de Octubre, Madrid, Spain.

2 SAMID Network (Spanish Collaborative Maternal and Child Health Research Network), RD12/0026/0007, Spain.

出版信息

J Hum Lact. 2016 Nov;32(4):NP73-NP75. doi: 10.1177/0890334415591338. Epub 2016 Jul 11.

Abstract

BACKGROUND

There is no uniformity among milk banks on milk acceptance criteria. The acidity obtained by the Dornic titration technique is a widely used quality control in donor milk. However, there are no comparative data with other acidity-measuring techniques, such as the pH meter.

OBJECTIVE

The objective of this study was to assess the correlation between the Dornic technique and the pH measure to determine the pH cutoff corresponding to the Dornic degree limit value used as a reference for donor milk quality control.

METHODS

Fifty-two human milk samples were obtained from 48 donors. Acidity was measured using the Dornic method and pH meter in triplicate. Statistical data analysis to estimate significant correlations between variables was carried out. The Dornic acidity value that led to rejecting donor milk was ≥ 8 Dornic degrees (°D).

RESULTS

In the evaluated sample size, Dornic acidity measure and pH values showed a statistically significant negative correlation (τ = -0.780; P = .000). A pH value of 6.57 corresponds to 8°D and of 7.12 to 4°D.

CONCLUSION

Donor milk with a pH over 6.57 may be accepted for subsequent processing in the milk bank. Moreover, the pH measurement seems to be more useful due to certain advantages over the Dornic method, such as objectivity, accuracy, standardization, the lack of chemical reagents required, and the fact that it does not destroy the milk sample.

摘要

背景

各母乳库的母乳接受标准并不统一。通过多尼氏滴定技术获得的酸度是用于供体母乳质量控制的一种广泛使用的指标。然而,目前尚无与其他酸度测量技术(如pH计)的对比数据。

目的

本研究的目的是评估多尼氏技术与pH测量之间的相关性,以确定与用作供体母乳质量控制参考的多尼氏度数限值相对应的pH临界值。

方法

从48名捐赠者处获取了52份人乳样本。使用多尼氏方法和pH计对酸度进行了三次重复测量。对变量之间的显著相关性进行了统计数据分析。导致拒收供体母乳的多尼氏酸度值≥8多尼氏度(°D)。

结果

在评估的样本量中,多尼氏酸度测量值与pH值显示出统计学上的显著负相关(τ = -0.780;P = .000)。pH值6.57对应8°D,pH值7.12对应4°D。

结论

pH值超过6.57的供体母乳可被母乳库接受用于后续加工。此外,由于pH测量相对于多尼氏方法具有某些优势,如客观性、准确性、标准化、无需化学试剂以及不会破坏母乳样本,因此pH测量似乎更有用。

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