Alexander G S, Roberts S A
Department of Paediatrics, University Hospital of South Manchester, U.K.
Early Hum Dev. 1988 Jan;16(1):73-84. doi: 10.1016/0378-3782(88)90088-6.
Twenty seven healthy newborn infants who developed hyperbilirubinaemia during the first week of life were investigated by daily test feeds between the second and sixth days of life. Nutritive sucking was assessed by measurement of rate, duration and pressure of sucking and by clinical observation. Milk consumption, duration and pressure of sucking all showed a significant increase during the period of study. Sucking rate did not vary with age. Significant correlation of sucking time and sucking pressure with milk intake were observed. Serum bilirubin levels showed no correlation with milk consumption on each day of the study or with the pooled data of feeding parameters when compared independently of post-natal age. Hyperbilirubinaemia was significantly correlated with the infants who appeared disinterested in feeds when assessed by clinical observations of apparent hunger and alertness at the onset of the test feed. However, milk intake was not impaired in these infants.
对27名在出生后第一周内出现高胆红素血症的健康新生儿,在出生后第2至6天通过每日试喂进行了研究。通过测量吸吮频率、持续时间和压力以及临床观察来评估营养性吸吮。在研究期间,牛奶摄入量、吸吮持续时间和压力均显著增加。吸吮频率不随年龄变化。观察到吸吮时间和吸吮压力与牛奶摄入量之间存在显著相关性。在不考虑出生后年龄的情况下独立比较时,血清胆红素水平与研究中每天的牛奶摄入量或喂养参数的汇总数据均无相关性。通过试喂开始时对明显饥饿和警觉性的临床观察评估,高胆红素血症与那些似乎对喂养不感兴趣的婴儿显著相关。然而,这些婴儿的牛奶摄入量并未受损。