Comparative Study of the Use of HPA Lanolin and Breast Milk for Treating Pain Associated with Nipple Trauma.
Comparative Study of the Use of HPA Lanolin and Breast Milk for Treating Pain Associated with Nipple Trauma.
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DOI：
10.1055/s-0038-1675180
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发表时间：
2018-11
影响因子：
1.2
通讯作者：
Mondin, Bárbara
中科院分区：
文献类型：
--
作者：
Mariani Neto, Corintio;Albuquerque, Rosemeire Sartori de;Souza, Sonia Cristina de;Giesta, Renata Oliveira;Fernandes, Andrea Penha Spinola;Mondin, Bárbara
关键词：
目的比较使用高纯度无水羊毛脂（HPA）和挤出的母乳对哺乳期疼痛和乳头损伤的治疗效果。 方法将180例产妇随机分为两组，一组用HPA羊毛脂，另一组用自己挤出的母乳。 所有参与者都接受了相同的母乳喂养技术指导和治疗护理标准。进行了三次评估：入选研究时（随机化后）; 48小时后; 7天后。在每个时间间隔，收集与疼痛和创伤有关的数据。疼痛变量采用数字/语言分类量表，创伤变量采用乳头创伤评分。使用卡方检验、Fisher精确检验、Student t检验和Kolmogorov-Smirnov检验对结果进行统计分析。使用STATA 12统计软件包（StataCorp LLC，学院站，TX，USA）和IBM SPSS Statistics for Windows，版本20.0（IBM Corp，阿尔蒙克，NY，USA）计算广义估计方程。结果使用HPA羊毛脂的组从第二次到第三次评估疼痛有所改善，而母乳组在这两个时期之间疼痛保持不变（p < 0.001）。 在创伤方面，从第一次评估到第三次评估，在创伤的广度和深度方面均有所改善，HPA羊毛脂组的改善程度高于母乳组（p = 0.025）。结论HPA羊毛脂治疗疼痛和乳头外伤的疗效优于母乳，疗程为7天。
Objective To compare two different treatments—the use of highly purified anhydrous (HPA) lanolin and expressed breast milk—for women with pain and nipple trauma during the breastfeeding process. Method A total of 180 puerperal women were randomly assigned to 2 groups: one was treated with HPA lanolin and the other with their own expressed breast milk. All of the participants received the same breastfeeding technique instructions and therapeutic care standard. Three assessments were performed: at the time of inclusion in the study (after randomization); after 48 hours; and after 7 days. At each interval, data was collected in relation to pain and trauma. A numerical/verbal category scale was used for the pain variable, and the nipple trauma score for the trauma variable. The results were subjected to statistical analysis using the chi-squared test, the Fisher exact test, the student t-test, and the Kolmogorov-Smirnov test. Generalized estimating equations were calculated using the STATA 12 statistical software package (StataCorp LLC, College Station, TX, USA) and IBM SPSS Statistics for Windows, Version 20.0 (IBM Corp, Armonk, NY, USA). Results There was pain improvement from the second to the third assessment in the group that used HPA lanolin, while the pain remained unchanged between these two periods (p < 0.001) in the breast milk group. In terms of trauma, improvement was identified in its extension and depth from the first to the third assessment, and it was higher in the HPA lanolin group than in the breast milk group (p = 0.025). Conclusion The treatment of pain and nipple trauma with HPA lanolin achieved better results than the one with breast milk, based on a 7-day treatment period.
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影响因子：
2.7
作者：
Abou-Dakn, M.;Fluhr, J. W.;Woeckel, A.
通讯作者：
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影响因子：
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影响因子：
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作者：
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通讯作者：
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