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辅助自主引流联合(或不联合)弹震法对婴儿胃食管反流的影响。

The effects of assisted autogenic drainage, combined or not with bouncing on gastroesophageal reflux in infants.

机构信息

Rehabilitation Research, Department of Physiotherapy, Human Physiology and Anatomy, Faculty of Physical Education and Physiotherapy, Vrije Universiteit Brussel, Brussels, Belgium.

Vrije Universiteit Brussel, UZ Brussel, KidZ Health Castle, Brussels, Belgium.

出版信息

Acta Paediatr. 2022 Apr;111(4):866-872. doi: 10.1111/apa.16224. Epub 2021 Dec 31.

Abstract

AIM

This study aimed to determine the effect of assisted autogenic drainage (AAD) with or without bouncing (BAAD) on both acid and non-acid gastroesophageal reflux (GER) in infants <1 year.

METHODS

During a 24-h multichannel intraluminal impedance-pH monitoring (MII-pH), infants were treated with a 20-min intervention of AAD (in supine position) or BAAD (in upright position), 2 h postprandial. In this controlled trial with intra-subject design, the number of reflux episodes (REs) was the primary outcome measure. The results during AAD and BAAD were compared to a baseline period before intervention and 20 min after intervention.

RESULTS

Overall, 50 infants were included in both groups. During AAD a significant decrease of RE's was found compared to baseline (p = 0.001). No significant differences were found in the BAAD group compared to baseline (p = 0.125).

CONCLUSION

AAD and BAAD do not cause or increase GER in infants under the age of 1 year.

摘要

目的

本研究旨在确定辅助自主引流(AAD)联合或不联合弹跳(BAAD)对 1 岁以下婴儿酸反流和非酸反流的影响。

方法

在 24 小时多通道腔内阻抗-pH 监测(MII-pH)期间,在餐后 2 小时,对婴儿进行 20 分钟的 AAD(仰卧位)或 BAAD(直立位)干预。在这项具有个体内设计的对照试验中,反流事件(RE)的数量是主要的观察指标。将 AAD 和 BAAD 期间的结果与干预前的基线期和干预后 20 分钟进行比较。

结果

总体上,两组各有 50 名婴儿纳入研究。与基线相比,AAD 期间 RE 显著减少(p=0.001)。与基线相比,BAAD 组无显著差异(p=0.125)。

结论

AAD 和 BAAD 不会导致或增加 1 岁以下婴儿的 GER。

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