Hill Rebecca R, Pados Britt F
MGH Institute of Health Professions School of Nursing, Boston, MA, USA.
Infant Feeding Care, Wellesley, MA, USA.
Clin Pediatr (Phila). 2023 Feb;62(2):136-142. doi: 10.1177/00099228221117459. Epub 2022 Aug 9.
Treatment of tongue-tie in infants suggests improvements for breastfeeding mothers, including reduced nipple pain and improved latching onto the breast. The effects of frenotomy on infant feeding and gastrointestinal dysfunction remain controversial, with insufficient evidence on the relationship between tongue-tie and disorders of the gastrointestinal tract. The purpose of this study was to compare symptoms of gastrointestinal (GI) distress and gastroesophageal reflux (GER) prior to and 2 weeks following frenotomy in infants with tongue-tie. Parents were surveyed prior to frenotomy and 2 weeks post procedure, using the Gastrointestinal and Gastroesophageal Reflux (GIGER) Scale for Infants and Toddlers. Eighty-four participants completed surveys at both time points, with significant improvements in GI and GER symptoms 2 weeks after frenotomy. Younger infants and those with more severe tongue-tie had the greatest improvements in GI and GER symptoms. Infants with tongue-tie and symptoms of GI tract distress may experience improvement in symptoms after frenotomy.
婴儿舌系带过短的治疗对母乳喂养的母亲有改善作用，包括减轻乳头疼痛和改善含接乳房的情况。舌系带切开术对婴儿喂养和胃肠功能障碍的影响仍存在争议，关于舌系带过短与胃肠道疾病之间的关系证据不足。本研究的目的是比较舌系带过短婴儿在舌系带切开术前和术后2周的胃肠道（GI）不适和胃食管反流（GER）症状。在舌系带切开术前和术后2周，使用婴幼儿胃肠道和胃食管反流（GIGER）量表对家长进行调查。84名参与者在两个时间点都完成了调查，舌系带切开术后2周，GI和GER症状有显著改善。年龄较小的婴儿和舌系带过短较严重的婴儿在GI和GER症状方面改善最大。有舌系带过短和胃肠道不适症状的婴儿在舌系带切开术后症状可能会有所改善。
