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舌系带过紧的新生儿吮吸功能障碍。

Dysfunctional suction dynamics in newborns with ankyloglossia.

机构信息

Laboratório de Prototipagem Assistiva, Programa de Pós-graduação em Neurociências e Biologia Celular, Instituto de Ciências Biológicas, Universidade Federal do Pará - UFPA - Belém (PA), Brasil.

National Institute on Drug Abuse Intramural Research Program, National Institutes of Health - Baltimore, MD, United States of America.

出版信息

Codas. 2023 Nov 10;36(2):e20230054. doi: 10.1590/2317-1782/20232023054. eCollection 2023.

Abstract

PURPOSE

Compare infant suction in babies with and without ankyloglossia using a microprocessor-controlled pressure sensor coupled to a pacifier.

METHODS

Fifty-five infants from 0 to 2 months of age underwent clinical examination for ankyloglossia, after which they were offered a silicone pacifier connected to the pressure acquisitiondevice and suction activity was recorded. Thus, we extracted the frequency of sucks within a burst, the average suck duration, the burst duration, the number of sucks per burst, the maximum amplitude of sucks per burst and the inter-burst interval.

RESULTS

The key difference in newborns with ankyloglossia in relation to control was that they perform longer bursts of suction activity.

CONCLUSION

The longer burst durations are likely a compensatory strategy and may underlie the pain reported by mothers during breastfeeding. We therefore propose a method for objectively quantifying some parameters of infant suction capacity and demonstrate its use in assisting the evaluation of ankyloglossia.

摘要

目的

使用与奶嘴相连的微处理器控制压力传感器比较舌系带过紧和正常婴儿的吮吸情况。

方法

55 名 0 至 2 个月大的婴儿接受了舌系带过紧的临床检查,随后他们被提供一个硅胶奶嘴连接到压力采集设备上,并记录吮吸活动。因此,我们提取了爆发期间的吮吸频率、平均吮吸持续时间、爆发持续时间、每次爆发的吮吸次数、每次爆发的最大吮吸幅度和爆发间隔。

结果

与对照组相比,舌系带过紧的新生儿的关键差异在于他们进行了更长时间的吮吸爆发活动。

结论

更长的爆发持续时间可能是一种补偿策略,可能是母乳喂养期间母亲报告疼痛的原因。因此,我们提出了一种客观量化婴儿吮吸能力某些参数的方法,并展示了它在辅助评估舌系带过紧方面的应用。

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