Ultrasound Imaging of Infant Swallowing During Breast-Feeding

Ultrasound Imaging of Infant Swallowing During Breast-Feeding
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DOI:
10.1007/s00455-009-9241-0
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发表时间:
2010-09-01
期刊:
影响因子:
2.6
通讯作者:
Hartmann, Peter E.
Hartmann, Peter E.
中科院分区:
医学3区
文献类型:
--
作者:
Geddes, Donna T.;Chadwick, Lynda M.;Hartmann, Peter E.

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婴儿吮吸-吞咽-呼吸模式的协调对于安全和有效的喂养是不可或缺的。然而,对这些模式的评估是困难的,而且往往是侵入性的,特别是在4个月以下的母乳喂养婴儿中。这项研究的目的是开发一种超声方法来可视化足月母乳喂养婴儿的吞咽情况,并与呼吸诱导体积图(RIP)相比较,确定吞咽的超声成像的准确性。超声检查显示,乳汁团块呈明显的回声,向下移动。在超声检测到的388只燕子中,有379只与RIP检测到的燕子呼吸暂停相关(R(2)=0.98)。平均吞咽时间为0.63+/-A0.06 S。超声成像是一种无创、准确的检测吞咽的方法,通过观察乳丸在哺乳婴儿咽部的运动情况。这些技术可能会为经历母乳喂养困难的婴儿提供有用的信息。
Coordination of infants' suck-swallow-breathing patterns is integral to safe and efficient feeding. However, assessment of these patterns is difficult and often invasive, particularly in breast-fed infants less than 4 months of age. The aims of this study were to develop an ultrasound approach to visualize swallowing in term breast-feeding infants and to determine the accuracy of ultrasound imaging of swallowing compared to respiratory inductive plethysmography (RIP). On ultrasound, the breast milk bolus was observed as a predominantly echogenic area moving inferiorly. Of the 388 swallows detected with ultrasound, 379 correlated with the swallow apneas detected by RIP (R (2) = 0.98). The mean duration of the swallow was 0.63 +/- A 0.06 s. Ultrasound imaging is a noninvasive accurate method for detection of swallowing by visualization of movement of the milk bolus through the pharyngeal area of a breast-feeding infant. These techniques may potentially provide useful information for infants experiencing breast-feeding difficulties.