银质乳头保护器在治疗乳头创伤中的作用:一项非随机比较试验。

IF 2.1 4区 医学 Q2 NURSING
Maya Nakamura, Hiroyuki Sugimori, Yoko Asaka, Yasuhiko Ebina
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引用次数: 0

摘要

背景:母乳喂养对婴儿健康至关重要,但乳头创伤仍然是一个常见的挑战。特别是,乳头创伤可导致乳腺炎的发作和心理困扰的母亲。银质乳头保护器已被建议用于缓解这一问题,但还需要详细的研究。研究目的:探讨银质乳头保护器治疗日本女性乳头外伤的疗效。方法:采用非随机对照试验,将47名使用银质乳头保护器的患者(94个乳头)与50名使用历史资料的对照组(100个乳头)进行比较。评估包括乳头状况的时间变化、乳头疼痛程度和安全性等因素。数据收集时间为2023年至2024年。结果:使用银保护器组的乳头严重创伤病例较少,愈合模式频率较高。许多这些模式涉及从轻度红斑或肿胀到愈合状态的过渡。具体来说,产后第4天的乳头疼痛程度明显降低。没有注意到使用银保护器的安全问题。结论:本研究提示银质乳头保护器可预防严重乳头外伤的发生,对日本妇女安全有益。未来的研究应集中在银保护剂的作用机制、长期效果、区域差异、实施的实际挑战以及与其他常见治疗方法的比较。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Role of Silver Nipple Protectors in Treating Nipple Trauma: A Non-Randomized Comparative Trial.

Background: Breastfeeding is crucial for infant health, but nipple trauma remains a common challenge. In particular, nipple trauma can lead to the onset of mastitis and psychological distress for mothers. Silver nipple protectors have been suggested to alleviate this issue, but detailed research is needed.

Research aim: This study aims to clarify the effectiveness of silver nipple protectors in treating nipple trauma in Japanese women.

Methods: A non-randomized comparative trial compared 47 participants (94 nipples) using silver nipple protectors with a control group of 50 participants (100 nipples) from historical data. The assessment included chronological changes in nipple condition, level of nipple pain, and safety, among other factors. Data collection spanned from 2023 to 2024.

Results: The group using silver protectors experienced fewer instances of severe nipple trauma and showed a higher frequency of healing patterns. Many of these patterns involved a transition from mild erythema or swelling toward a healing state. Specifically, the level of nipple pain on the 4th postpartum day was significantly lower. No safety issues from the use of silver protectors were noted.

Conclusion: This study suggests that silver nipple protectors may prevent the occurrence of severe nipple trauma and are safe and beneficial for Japanese women. Future research should focus on the mechanism of silver protectors, their long-term effects, regional differences, practical challenges for implementation, and comparisons with other common treatments.

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来源期刊
Journal of Human Lactation
Journal of Human Lactation 医学-妇产科学
CiteScore
5.00
自引率
11.50%
发文量
100
审稿时长
6-12 weeks
期刊介绍: Committed to the promotion of diversity and equity in all our policies and practices, our aims are: To provide our readers and the international communities of clinicians, educators and scholars working in the field of lactation with current and quality-based evidence, from a broad array of disciplines, including the medical sciences, basic sciences, social sciences and the humanities. To provide student and novice researchers, as well as, researchers whose native language is not English, with expert editorial guidance while preparing their work for publication in JHL. In each issue, the Journal of Human Lactation publishes original research, original theoretical and conceptual articles, discussions of policy and practice issues, and the following special features: Advocacy: A column that discusses a ‘hot’ topic in lactation advocacy About Research: A column focused on an in-depth discussion of a different research topic each issue Lactation Newsmakers: An interview with a widely-recognized outstanding expert in the field from around the globe Research Commentary: A brief discussion of the issues raised in a specific research article published in the current issue Book review(s): Reviews written by content experts about relevant new publications International News Briefs: From major international lactation organizations.
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