替代疗法与结结相关的母乳养挑战:一个系统性审查
Raisa Chowdhury1, Sami Khoury2, Julie Leroux3
1Faculty of Medicine and Health Sciences, McGill University, Montreal, Canada.
概括
安基洛格洛西亚 (舌结) 管理缺乏标准化的非手术选择. 虽然一些研究表明,将替代疗法与切术结合起来有好处,但由于缺乏对照组,证据仍然不确.
科学领域:
- 儿科 儿科 儿科
- 综合医学是一个整体的医学.
- 哺乳期咨询公司
背景情况:
- 舌 (舌) 诊断正在增加,有各种各样的管理方法.
- 非手术疗法通常与切除术一起或代替切除术,但证据有限.
- 评估手术护理,肌功能疗法和骨质疗法对患有无骨的婴儿进行母乳养的疗效至关重要.
研究的目的:
- 评估非手术替代疗法的有效性,以改善被诊断患有无骨的婴儿的母乳养.
- 综合当前关于手术护理,肌功能疗法和骨科医疗的证据,以管理与结结相关的食问题.
主要方法:
- 从2023年9月到10月,在主要数据库 (PubMed,Embase,CINAHL,Scopus,Web of Science,ClinicalTrials.gov,Google Scholar) 进行系统的文献搜索.
- 包括接受替代疗法,遵守PRISMA指导方针的乳婴 (<24个月) 的英语研究.
- 在包含的研究中使用纽卡斯尔-太华尺度 (NOS) 评估偏差风险.
主要成果:
- 在2016-2022年间发表的四项研究 (2个横截面,1个案例报告,1个案例系列) 符合纳入标准.
- 结合切术与替代疗法的研究报告了在孕产妇疼痛,婴儿体重增加,食持续时间和锁方面取得的积极结果.
- 所有纳入的研究都缺乏对照组,限制了关于替代疗法的独立疗效的最终结论.
结论:
- 目前的证据表明,当替代疗法补充frenotomy来治疗与乳腺缩相关的母乳养问题时,可能会产生潜在的益处,但由于研究设计的局限性,研究结果是不确定的.
- 仅靠非手术替代疗法,就没有足够的支持证据来管理无骨.
- 需要进一步进行严格的研究,以确定这些疗法在治疗舌的成本效益和最终作用.
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