补充养方法和窒息风险:系统审查
Lia Correia1, Ana R Sousa2, Carolina Capitão3
1NOVA National School of Public Health, NOVA University Lisbon, Lisboa, Portugal.
Journal of pediatric gastroenterology and nutrition
|June 28, 2024
概括
婴儿窒息的风险与补充养 (CF) 方法,如传统的匙养 (TSF) 或婴儿引领断奶 (BLW) 没有联系. 父母对食物质感和安全性的理解是尽量减少窒息风险的关键.
科学领域:
- 儿科 儿科 儿科
- 营养 营养 营养 营养 营养
- 公共卫生 公共卫生
背景情况:
- 补充养 (CF) 包括传统的匙养 (TSF) 和婴儿带领断奶 (BLW).
- 有关与BLW相关的窒息风险存在担忧,BLW是婴儿死亡的一个重要原因.
研究的目的:
- 调查CF方法对婴儿窒息风险的影响.
- 分析现有的关于与TSF,BLW和婴儿引入固体 (BLISS) 相关的窒息事件的研究.
主要方法:
- 随机对照试验和观察性研究的系统审查.
- 在PubMed,Scopus和Web of Science数据库中搜索了2010年1月至2023年11月期间发表的研究.
- 包括7项明确定义干预措施和评估窒息风险的研究.
主要成果:
- 在TSF,BLW和BLISS养方法之间,没有发现窒息风险的统计学上显著差异.
- 五项研究表明,与BLW或BLISS相比,TSF组中出现更多窒息发作的趋势并不显著.
- 婴儿对纹理的熟悉性和护理人员关于降低风险的知识似乎比CF方法本身更有影响力.
结论:
- 选择的补充养方法似乎没有显著影响婴儿窒息风险.
- 关于安全食品纹理和降低风险策略的护理人员教育至关重要.
- 研究中的潜在回忆偏差需要为家长提供明确和加强的指导.
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