在患有母乳养困难的婴儿中患有无骨的发病率:系统性审查
Laura Gismonti-Gaudêncio1, Luciana Póvoa-Santos1, Rachel Alvarenga-Brant2
1Departament of Pediatric Dentistry, Dental School, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
Midwifery
|August 16, 2025
概括
舌 (舌) 影响约34%的婴儿有母乳养问题. 在考虑手术之前,临床医生应该评估食困难的其他原因,因为大多数病例不是由于舌头结合.
科学领域:
- 儿科 儿科 儿科
- 哺乳期咨询公司
- 在口腔外科手术.
背景情况:
- 由于舌头缩而限制舌头运动的疾病 - - 安基洛格洛西亚 - - 经常与婴儿母乳养困难有关.
- 在遇到母乳养挑战的婴儿中,无骨的患病率需要精确的估计,以指导临床实践.
研究的目的:
- 为了确定乳房养困难的婴儿中,估计的安基洛格洛西亚比例.
- 综合现有证据,以此特定人群中结症的流行情况.
主要方法:
- 进行了观察性研究的系统审查和元分析,包括24个月以下的婴儿与母乳养困难.
- 通过广泛的数据库搜索来确定研究,并使用随机效应模型分析数据,以计算聚合比例和95%置信区间 (CI).
- 用Joanna Briggs Institute (JBI) 的流行研究评估工具来评估偏差风险.
主要成果:
- 包含8538名婴儿的12项研究被纳入了元分析.
- 在哺乳困难的婴儿中,整体估计的无骨的比例为34% (95% CI:12%-61%).
- 观察到流行率估计的显著差异,从9% (联合国儿童基金会议定书) 到74% (LATCH工具),总体母乳养困难的流行率为30% (95%CI:19%-43%).
结论:
- 大约34%的患有母乳养困难的婴儿可能患有无乳,尽管根据使用的评估工具,患病率估计有很大差异.
- 临床医生必须考虑到大多数母乳养困难 (70%) 并不能归因于无乳.
- 在考虑为安基洛格洛西亚进行手术干预之前,对母乳养挑战的其他原因进行彻底评估至关重要.
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