Jessica L Chee-Williams, Kelly Nett Cordero, Nancy J Scherer, Lauren L Madhoun
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引用次数: 0
Abstract
Purpose: A common intervention to address aspiration and reflux in infants is thickening milk. However, thickening milk may further complicate feeding management for infants with cleft palate using adaptive feeding methods. The purpose of this scoping review was to identify and describe the types of milk thickener used for infants with cleft palate (with or without cleft lip) and the feeding modalities through which thickened milk is administered.
Method: A comprehensive scoping review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews guidelines. Five databases were searched: PubMed, Scopus, CINAHL, Google Scholar, and EBSCO Open Dissertations, in addition to citation searching. Records were limited to English-language publications with no date restrictions. Both peer-reviewed and gray-literature sources were included. After removing 868 duplicates, 2,282 records were screened by title and abstract. Sixty-four full-text articles were assessed for eligibility.
Results: One study met the inclusion criteria. Milk thickening was used as an intervention for infants with isolated Pierre Robin sequence and cleft palate. The thickener used was a modified corn-based flour at approximately 3% concentration to achieve a thicker liquid consistency. The thickened milk was offered via a bottle with latex nipples of varying hole sizes (original, intermediate, and 1-mm) depending on the infant's needs. Despite only one study meeting the inclusion criteria by specifying thickener type and/or feeding modality, 11 tutorial and seminar articles that discussed milk thickening as an intervention strategy in this population were identified. However, these articles lacked any information on the type of thickener and feeding modality, and none implemented the intervention with infants.
Conclusion: Although milk thickening is described as a strategy in several tutorial and seminar articles, there is a paucity of empirical evidence to support milk thickening as a feeding intervention strategy for infants using cleft-adapted feeding methods.
目的：解决婴儿误吸和反流的常见干预措施是增稠牛奶。然而，增稠奶可能会进一步复杂化喂养管理的婴儿腭裂腭裂采用适应性喂养方法。本综述的目的是确定和描述用于腭裂婴儿（伴或不伴唇裂）的乳汁增稠剂的类型，以及增稠乳汁的喂养方式。方法：根据系统评价的首选报告项目和范围评价的元分析扩展指南进行全面的范围评价。除引文检索外，还检索了PubMed、Scopus、CINAHL、b谷歌Scholar和EBSCO Open Dissertations等5个数据库。记录仅限于英文出版物，没有日期限制。包括同行评审和灰色文献来源。在删除868条重复记录后，按标题和摘要筛选了2282条记录。对64篇全文文章进行了合格性评估。结果：1项研究符合纳入标准。乳汁增稠是孤立性Pierre Robin序列合并腭裂婴儿的干预措施。使用的增稠剂是一种约3%浓度的改性玉米基面粉，以达到更浓的液体稠度。根据婴儿的需要，加厚的牛奶通过带有不同孔大小（原始，中间和1毫米）的乳胶奶嘴的瓶子提供。尽管只有一项研究通过指定增稠剂类型和/或喂养方式符合纳入标准，但确定了11篇讨论牛奶增稠作为该人群干预策略的教程和研讨会文章。然而，这些文章缺乏任何关于增稠剂类型和喂养方式的信息，并且没有对婴儿实施干预。结论：尽管牛奶增稠在一些教程和研讨会文章中被描述为一种策略，但缺乏经验证据支持牛奶增稠作为婴儿使用腭裂适应喂养方法的喂养干预策略。
期刊介绍：
Mission: AJSLP publishes peer-reviewed research and other scholarly articles on all aspects of clinical practice in speech-language pathology. The journal is an international outlet for clinical research pertaining to screening, detection, diagnosis, management, and outcomes of communication and swallowing disorders across the lifespan as well as the etiologies and characteristics of these disorders. Because of its clinical orientation, the journal disseminates research findings applicable to diverse aspects of clinical practice in speech-language pathology. AJSLP seeks to advance evidence-based practice by disseminating the results of new studies as well as providing a forum for critical reviews and meta-analyses of previously published work.
Scope: The broad field of speech-language pathology, including aphasia; apraxia of speech and childhood apraxia of speech; aural rehabilitation; augmentative and alternative communication; cognitive impairment; craniofacial disorders; dysarthria; fluency disorders; language disorders in children; speech sound disorders; swallowing, dysphagia, and feeding disorders; and voice disorders.
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