舌切除术是否可以改善骨缩的新生儿的母乳养? 一个随机对照试验
Lisa A Dinh1, Mohamed El-Rabbany2, Sadaf Aslam3
1Previous resident, Department of Pediatrics, University of South Florida; Private Practice, Lakeland, FL.
概括
与虚假手术相比,舌头切术并没有显著提高母乳养的有效性,也没有减少新生儿的母乳疼痛,与虚假手术相比. 这项研究不支持为哺乳困难立即进行切术.
科学领域:
- 新生儿护理 新生儿护理
- 哺乳期科学 哺乳期科学
- 手术干预是指手术干预.
背景情况:
- 舌的治疗及其对母乳养的影响是有争议的.
- 有限的科学证据证实了瘤切除术对性的疗效.
研究的目的:
- 为了确定舌腔切术对母乳养效率和安基洛格洛西亚新生儿的孕产妇疼痛的影响.
- 通过使用标准化评估工具来评估即时改善.
主要方法:
- 进行了一项双盲随机对照试验,对112名母亲和新生儿进行了对照试验.
- 参与者被随机分配到语言断术或假手术中.
- 哺乳有效性 (LATCH分数) 和孕产妇疼痛 (Wong-Baker尺度) 被盲目的哺乳顾问评估.
主要成果:
- 在切术和假装组之间没有观察到LATCH得分或孕产妇疼痛的显著差异.
- 多变量回归分析也没有显示任何一个结果的显著改善,对于 frenotomy 组.
- 统计分析显示,LATCH和疼痛分数的P值分别为0.9和0.5.
结论:
- 该研究发现,与虚假手术相比,在舌腔切术后,疼痛或母乳养得分没有显著的立即改善.
- 这些研究结果不支持常规推的语言断术,以立即改善新生儿的母乳养困难.
- 可能需要进一步的研究来探索长期影响或特定的子组.
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