舌系带分离对舌系带过短婴儿母乳喂养影响的系统评价
Tongue-tie division in neonates with breastfeeding difficulties: a systematic review
目的 系统评价舌系带分离对舌系带过短且母乳喂养困难婴儿的母乳喂养影响.方法 计算机检索Cochrane Library、PubMed、中国知网、万方等数据库,收集所有关于舌系带分离对母乳喂养影响的调查研究.由2名研究者按照纳入和排除标准独立筛选文献,进行文献质量评价,并提取资料.使用RevMan5.3软件进行Meta分析.结果 共检索文献151篇,最终纳入15篇,共1133例研究对象.接受舌系带分离后婴儿的含接状况好转,能够有效吸吮,体质量增长,母乳喂养困难等主观体验较术前改善,提高了母乳喂养率.但对改善疼痛效果结论尚不一致.结论 现有研究证实舌系带分离后母乳喂养困难有不同程度改善,操作简单,并发症少,家属接受度高.
更多Objective To systematically review the effect of Tongue-tie division on infants with breastfeeding difficulties. Methods The Cochrane Library, PubMed, CNKI and Wanfang data were searched for relevant articles. Two reviewers independently assessed studies against predetermined inclusion/exclusion criteria and extracted data regarding study design. RevMan 5.3 software was used to conduct Meta-analysis. Results A total of 151 articles were retrieved and finally 15 articles were included, which involved 1133 infants. Tongue-tie division provided objective improvements in poor latch, inefficient feeding, poor weight gain. Subjective improvements were also noted. But the results were inconsistent on pain improvement. Tongue-tie division increased breastfeeding rate. Conclusions Available evidence suggests that Tongue-tie division can improve breastfeeding, complications are rare, and it is acceptable by families.
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