在满期和近期婴儿中发生的胆 ?? 膜炎和脑
Yvonne W Wu1, Gabriel J Escobar, Judith K Grether
1Department of Neurology, University of California, San Francisco 94143, USA. wuy@peds.ucsf.edu
JAMA
|December 4, 2003
概括
临床膜炎是大脑麻 (CP) 的独立风险因素,适时和近期的婴儿. 这一发现凸显了治疗胆肌炎的重要性,以减少CP发生率.
科学领域:
- 神经学 神经学
- 产科 产科 产科 产科 产科
- 儿科 儿科 儿科
背景情况:
- 大脑麻 (CP) 影响了许多满期婴儿,但风险因素仍然不清楚.
- 新出现的证据表明,胆肌炎可能在CP发育中起作用.
研究的目的:
- 调查临床胆肌炎与期内和近期婴儿中CP风险之间的关联.
主要方法:
- 在一个大群单子婴儿中进行了一项病例对照研究,这些婴儿出生在怀孕≥36周.
- 病例是中度至重度CP的儿童;对照组是随机选择的.
- 临床膜炎是由治疗医生诊断的.
主要成果:
- 胆膜炎存在于14%的CP病例,而对照病例只有4% (OR,3.8).
- 脑膜炎的独立风险因素包括胆肌炎 (OR,4.1),子宫内生长限制,母亲的种族,母亲的年龄和无双性.
- 胆肌炎占CP人口可归因部分的11%.
结论:
- 临床膜炎是术期和近期婴儿脑的独立危险因素.
- 这些发现强调了针对胆肌炎的干预措施的必要性,以预防CP.
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