在体外受精后出生的儿童的神经后果:基于人口的研究
B Strömberg1, G Dahlquist, A Ericson
1Department of Women and Child Health, University Children's Hospital, 751 85, Uppsala, Sweden. bo.stromberg@kbh.uu.se
Lancet (London, England)
|February 21, 2002
概括
在体外受精 (IVF) 后出生的孩子面临更高的神经问题风险,特别是脑. 这种增加的风险与多胎和早产有关,这表明单个胚胎移植可能是有益的.
科学领域:
- 神经学 神经学
- 生殖医学 生殖医学
- 儿科 儿科 儿科
背景情况:
- 有限的长期,基于人口的数据存在于通过体外受精 (IVF) 怀孕的儿童的神经后果.
- 了解这些风险对于临床指导和家长咨询至关重要.
研究的目的:
- 为了比较IVF后出生的儿童的神经问题发生率与对照组.
- 确定与试管婴儿怀孕相关的特定神经疾病和风险因素.
主要方法:
- 进行了以人口为基础的回顾性队列研究.
- 将5,680名通过试管婴儿受孕的儿童与11,360名匹配的对照进行了比较.
- 包括对试管婴儿双胞胎 (n=2,060) 与双胞胎对照 (n=4,120) 的单独分析,使用来自瑞典康复中心的数据.
主要成果:
- 在试管婴儿后出生的孩子更有可能需要康复服务 (OR 1.7).
- 在试管婴儿中观察到脑 (OR 3.7) 和怀疑发育迟缓 (4 倍增加) 的风险显著增加.
- 与对照双胞胎相比,试管婴儿双胞胎没有发现神经病变的风险增加;低出生体重和早产是重要因素.
结论:
- 通过试管婴儿受孕的儿童患神经系统疾病的风险较高,尤其是脑.
- 双胞胎怀孕的更高发病率,低出生体重和IVF分娩的早产严重导致这些风险.
- 建议在试管婴儿过程中转移单个胚胎,以减轻潜在的神经风险.
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