母乳亲喂婴儿吸吮-吞咽-呼吸机制的研究进展  

Latest Findings on the Suck-Swallow-Breathe Mechanism of Direct Breastfeeding From the Breast to an Infant

作　　者：裘梦凡 胡晓静 QIU Mengfan;HU Xiaojing(School of Nursing,Fudan University,Shanghai 200032,China;Children's Hospital of Fudan University,Shanghai 201102,China;Nursing Department,Children's Hospital of Fudan University,Shanghai 201102,China)

机构地区：[1]复旦大学护理学院,上海200032 [2]复旦大学附属儿科医院,上海201102 [3]复旦大学附属儿科医院护理部,上海201102

出　　处：《四川大学学报（医学版）》2023年第6期1306-1311,共6页Journal of Sichuan University(Medical Sciences)

基　　金：国家重点研发计划(No.2021YFC2701000);上海市“科技创新行动计划”长三角科技创新共同体领域项目(No.21002411900)资助。

摘　　要：母乳是婴儿的最佳营养食品,母乳不仅可以提供充足的营养,还可以适应婴儿未成熟的消化功能,从而促进生长发育和器官成熟。母乳喂养6个月可以满足婴儿全部营养、能量和液体的需求。母乳亲喂是最佳喂养方式,但母乳亲喂困难现状不可忽视。约1/3母乳亲喂的母亲存在中度以上喂养困难。母乳亲喂困难会导致喂养效率降低,影响婴儿的生长发育,同时影响母婴情感交流。目前许多相关研究重点关注母亲心理、家庭社会支持、婴儿自身发育不成熟的问题。但是很少研究母乳亲喂过程中婴儿吸吮-吞咽-呼吸这一生理机制,因此,本文梳理归纳了婴儿该机制的内容、研究参数、测量工具以及物理干预方法,帮助早期识别母乳喂养困难以便早期提供干预措施,同时帮助早期判断婴儿脑神经功能等发育异常。A mother's breast milk is the best nourishing food for infants.No only does it provide sufficient nutrition,but it is also well suited to infants'immature digestive function,thus promoting their growth and organ maturation.A 6-month period of breastfeeding can provide infants with the necessary nutrients,energy,and fluids.The best feeding method is direct breastfeeding from the breast to an infant,yet the difficulties involved in breastfeeding should not be overlooked.Approximately 1/3 the mothers who are performing direct breastfeeding from the breast to an infant experience moderate or higher levels of feeding difficulties.Difficulties in direct breastfeeding from the breast to an infant can lead to decreased feeding efficiency,hamper the growth and development of infants,and affect the emotional communication between mothers and infants.At present,many relevant studies have focused on topics such as the mothers'psychology,family and social support,and the immature development of infants.However,little research has been done to investigate suck-swallow-breathe,a physiological mechanism that infants undertake during the process of direct breastfeeding from the breast to an infant.In this paper,we summarized published literature,research parameters,measurement instruments,and physical intervention methods of the suck-swallow-breathe mechanism in infants,aiming to facilitate the early identification of breastfeeding difficulties and the subsequently provision of early intervention measures and to promote the early identification of neurodevelopmental abnormalities and other developmental abnormalities in infants.

关 键 词：母乳喂养 婴儿 吸吮 吞咽 呼吸 综述 

分 类 号：R174.4[医药卫生—妇幼卫生保健]