Effects of Anhydrous Lanolin versus Breast Milk Combined with a Breast Shell for the Treatment of Nipple Trauma and Pain During Breastfeeding: A Randomized Clinical Trial
Effects of Anhydrous Lanolin versus Breast Milk Combined with a Breast Shell for the Treatment of Nipple Trauma and Pain During Breastfeeding: A Randomized Clinical Trial
复制标题
无水羊毛脂与母乳联合乳壳治疗母乳喂养期间乳头创伤和疼痛的效果：随机临床试验
DOI：
10.1111/jmwh.12644
复制
发表时间：
2017
期刊：
影响因子：
--
通讯作者：
M. M. Bachion
中科院分区：
文献类型：
--
作者：
F. Vieira;Dalete Mota;T. Castral;J. V. Guimarães;A. K. M. Salge;M. M. Bachion
介绍
本研究的目的是比较无水羊毛脂与母乳结合乳房壳治疗哺乳期间乳头创伤和疼痛的效果。
方法
一项随机临床试验在位于巴西中西部地区的一家被认证为爱婴医院的产科病房进行。将有明显乳头外伤的哺乳期妇女随机分为2组。两组均进行母乳喂养教育。在长达10天的时间里，在第1组中，在每次哺乳期后每天应用无水羊毛脂，而在第2组中，应用母乳与乳房壳的组合。使用乳头创伤评分评估创伤，使用麦吉尔问卷中的数字量表和感觉描述符评估疼痛。
结果
100名女性参加，两组各有50名女性。从干预的第三天开始，用母乳结合乳房外壳治疗的组的乳头创伤愈合更快（P = 0.032）。从治疗的第五天开始，母乳与乳房外壳联合治疗组的疼痛强度较低（P = 0.008）。无水羊毛脂的使用具有逐渐降低的治疗功效，第三天的值为86.4%（95%置信区间[CI]，-4.5%-98.2%），第五天为58.3%（95% CI，20.1%-78.3%），第七天为48.1%（95% CI，20.1%-66.2%），第七天为26.9%。干预第10天（95% CI，6.4%-43%）。在所有干预日，乳头创伤的解决与乳头壳的使用显著相关。
讨论
母乳结合乳房壳的干预比无水羊毛脂更有效地治疗哺乳期妇女的乳头创伤和疼痛。应鼓励哺乳期妇女进行这种治疗，以促进愈合和减少疼痛。
INTRODUCTION
The purpose of this study was to compare the effect of anhydrous lanolin with the effect of breast milk combined with a breast shell for treatment of nipple trauma and pain during breastfeeding.
METHODS
A randomized clinical trial was conducted in a maternity ward in a hospital accredited as a Baby-Friendly Hospital located in the middle-western region of Brazil. Breastfeeding women with obvious nipple trauma were randomized into 2 groups. In both groups, breastfeeding education was conducted. For up to 10 days, in Group 1, anhydrous lanolin was applied daily after each breastfeeding session, whereas in Group 2, breast milk combined with a breast shell was applied. Trauma was assessed using the Nipple Trauma Score, and pain was assessed using a numerical scale and sensory descriptors from the McGill Questionnaire.
RESULTS
One hundred women participated, with 50 women in each of the 2 groups. The healing of nipple trauma was faster in the group treated with breast milk combined with a breast shell, starting on the third day of intervention (P = .032). The intensity of pain was lower in the group treated with breast milk combined with a breast shell starting on the fifth day of treatment (P = .008). The use of anhydrous lanolin had a progressively reduced treatment efficacy, with values of 86.4% on the third day (95% confidence interval [CI], -4.5%-98.2%), 58.3% on the fifth day (95% CI, 20.1%-78.3%), 48.1% on the seventh day (95% CI, 20.1%-66.2%), and 26.9.% on the tenth day (95% CI, 6.4%-43%) of intervention. The resolution of nipple trauma was significantly associated with the use of the nipple shell on all intervention days.
DISCUSSION
The intervention with breast milk combined with a breast shell was more effective than anhydrous lanolin for the treatment of nipple trauma and pain in breastfeeding women. This treatment should be encouraged among breastfeeding women to promote healing and reduce pain.
影响因子：
168.9
作者：
HUSKISSON, EC
通讯作者：
HUSKISSON, EC