Breast-Feeding Analgesia in Infants An Update on the Current State of Evidence
Breast-Feeding Analgesia in Infants An Update on the Current State of Evidence
复制标题
DOI：
10.1097/jpn.0000000000000253
复制
发表时间：
2017-04-01
影响因子：
1.3
通讯作者：
Campbell-Yeo, Marsha
中科院分区：
文献类型：
--
作者：
Benoit, Britney;Martin-Misener, Ruth;Campbell-Yeo, Marsha
为母乳喂养和表达母乳喂养在减少早产儿和足月婴儿的程序性疼痛方面的有效性提供最新的综合证据。系统检索了主要电子数据库PubMed、CINAHL、EMBASE。在筛选的1032篇摘要中，有21篇符合纳入条件。15项研究报告了足月婴儿使用母乳喂养或母乳表达，6项研究报告了早产儿。直接母乳喂养比母亲抱着、母亲皮肤接触、局部麻醉和音乐疗法更有效，对足月婴儿的效果与甜味溶液一样或更有效。在足月或早产婴儿中，表达母乳并没有一致地减少疼痛反应。研究通常有中度到高度的偏倚风险。有足够的证据建议直接母乳喂养足月婴儿的程序性疼痛管理。根据目前的证据，单靠母乳喂养不应被认为是一种适当的干预措施。
To provide an updated synthesis of the current state of the evidence for the effectiveness of breast-feeding and expressed breast milk feeding in reducing procedural pain in preterm and full-term born infants. A systematic search of key electronic databases (PubMed, CINAHL, EMBASE) was completed. Of the 1032 abstracts screened, 21 were found eligible for inclusion. Fifteen studies reported on the use of breast-feeding or expressed breast milk in full-term infants and 6 reported on preterm infants. Direct breast-feeding was more effective than maternal holding, maternal skin-to-skin contact, topical anesthetics, and music therapy, and was as or more effective than sweet tasting solutions in full-term infants. Expressed breast milk was not consistently found to reduce pain response in full-term or preterm infants. Studies generally had moderate to high risk of bias. There is sufficient evidence to recommend direct breast-feeding for procedural pain management in full-term infants. Based on current evidence, expressed breast milk alone should not be considered an adequate intervention.