Research on the cleft lips and palate babies' bottle-feeding care

本研究旨在阐明母亲是如何用奶瓶喂养唇腭裂婴儿的。33名唇腭裂儿童的母亲接受了采访，以确定她们是如何在产科或儿科用奶瓶喂养孩子从出生到出院的。结果如下：1.在33名母亲中，36.4%的母亲在分娩后不久就可以用奶瓶喂养婴儿。2.在33名母亲中，42.3%的母亲能在出生后一天内用奶瓶喂养婴儿。3.使用橡胶乳头类型：窄口乳头占6.1%，特殊乳头占57.6%，规则乳头占36.4%。4.在单侧唇裂患儿的母亲中，奶瓶喂养时间在30分钟内的发生率为：N型乳头占25.0%，P型乳头占50.0%，规则乳头占37.5%。5.使用窄乳头或P型乳头的母亲没有奶瓶喂养困难。本研究的目的是探讨唇裂婴儿或唇裂婴儿面部肌肉运动的交互作用L…一方面，奶瓶喂养过程中的IP和味觉更多，另一方面，他们使用Hotz盘子和使用的乳头类型。一台摄像机从左边和右边记录了一个正常婴儿，一个唇裂婴儿和一个唇腭裂婴儿正在接受奶瓶喂养的脸。为了突出面部肌肉的运动，婴儿的脸上贴上了2到3毫米见方的筹码。从连续9到11个吸吮动作的录像带中，通过计算机处理获得了18到22个镜头，捕捉到了最低和最高位置的下巴。在这些照片的基础上，测量了粘在脸上的芯片之间的五个距离和这些距离的角度。结果表明：1.与正常婴儿相比，未佩戴Hotz钢板的灵巧唇儿患侧运动幅度较大。2.戴着Hotz钢板的唇裂婴儿患侧运动能力下降。3.未佩戴Hotz接骨板的唇腭裂儿在口轮匝肌的患侧较正常婴儿有更活跃的活动。4.戴Hotz钢板的唇腭裂婴儿患侧和健侧的活动度均下降，患侧和健侧的活动度均低于正常婴儿。5.唇裂及唇腭裂婴儿在吸吮过程中，无论是患侧还是健侧，使用唇裂乳头时，其面部肌肉的活动度均小于普通乳头。较少

The present study aimed to clarify how mothers bottle feed infants with cleft lip and palate. Thirty-three mothers of children with cleft lip and palate were interviewed to ascertain how they bottle fed their children from birth to discharge from an obstetrics or pediatrics department. Results were as follows : 1.Of the 33 mothers, 36.4% could bottle feed their baby soon after delivery. 2.Of the 33 mothers, 42.3% could bottle feed their baby within one day of birth. 3.The following types of rubber nipples were used : narrow-mouthed nipple 6.1%; special nipple 57.6%, and regular nipple 36.4%. 4.Among mothers of infants with unilateral cleft, bottle feeding in less than 30 minutes occurred as follows: N-type nipple, 25.0%; P-type nipple, 50.0%; and regular nipple, 37.5%. 5.While no mothers using a narrow or P-type nipple had trouble bottle feeding.The purpose of this study is to investigate the interaction between the movement of the facial muscles of babies with a cleft lip or a cleft l … More ip and palate during bottle-feeding on the one hand, and their use of a Hotz plate and the types of nipples they used on the other. A video camera recorded from the left and the right the faces of one normal baby, one cleft lip baby, and one cleft lip and palate baby being bottle-fed. In order to make the movement of the facial muscles prominent, 2- to 3-millimeter-square chips were stuck on the babies' faces. From the video tapes covering the nine to eleven sucking movements in a row, eighteen to twenty-two shots were obtained, through computer processing, which captured the chins at the lowest and the highest positions. Based on those shots, five distances between the chips stuck on the faces and the angles of those distances were measured. The results show what follows : 1.Compared with the normal baby, the deft lip baby without wearing a Hotz plate made larger movement on the affected side. 2.The cleft lip baby wearing a Hotz plate showed a decline in movement on the affected side. 3.The cleft lip and palate baby without wearing a Hotz plate made more active movement than the normal baby on the affected side at the orbicularis oris. 4.The cleft lip and palate baby wearing a Hotz plate showed a decline in movement both on the affected and unaffected sides, making less movement than the normal baby on the affected and unaffected sides. 5.The movements of the facial muscles of the cleft lip and the cleft lip and palate babies during sucking were smaller both on the affected and unaffected sides when the nipples for cleft palates were used than when ordinary nipples were used. Less