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滴入式母乳:其成分、收集与巴氏杀菌法

Drip breast milk: it's composition, collection and pasteurization.

作者信息

Gibbs J H, Fisher C, Bhattacharya S, Goddard P, Baum J D

出版信息

Early Hum Dev. 1977 Dec;1(3):227-45. doi: 10.1016/0378-3782(77)90037-8.

Abstract

"Drip breast milk" is that milk which spontaneously drips from the contralateral breask during the suckling of an infant. Biochemically and immunologically, pooled drip milk resembled pooled mature expressed breast milk, although it has a lower fat concentration. About 15% of lactating women are capable of producing drip milk; volumes produced are up to 188 ml/donor/day. A milk bank is described which processes 1400 liters of drip milk/yr. Heat treatment of this milk with a semi-automated holder pasteurizer caused a 21% reduction in IgA concentration and a 36% reduction in lysozyme activity, as well as a decrease in the ability of the milk to inhibit the growth of E. coli. In comparison with boiling, pasteurization was as effective in reducing total bacterial content provided the milk initially contained fewer than 10(6) bacteria/ml.

摘要

“滴乳”是指婴儿吸吮时从对侧乳房自然滴出的乳汁。从生化和免疫学角度来看,收集到的滴乳类似于收集到的成熟挤出母乳,尽管其脂肪浓度较低。约15%的哺乳期女性能够产生滴乳;每位供体每天的产量可达188毫升。本文描述了一家每年处理1400升滴乳的母乳库。用半自动保温巴氏杀菌器对这种乳汁进行热处理后,其IgA浓度降低了21%,溶菌酶活性降低了36%,并且乳汁抑制大肠杆菌生长的能力也有所下降。与煮沸相比,如果乳汁最初含菌量低于每毫升10⁶个细菌,巴氏杀菌在降低细菌总数方面同样有效。

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