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母亲慢性疾病与先天性心脏缺陷之间的关联:基于人口的队列研究
Shiliang Liu1, K S Joseph, Sarka Lisonkova
1Centre for Chronic Disease Prevention, Public Health Agency of Canada, Room 405A2, AL 8604A, 785 Carling Ave, Ottawa, ON, Canada K1A 0K9. sliu@uottawa.ca
Circulation
|July 2, 2013
概括
糖尿病,高血压和先天性心脏病等产妇疾病显著增加婴儿先天性心脏缺陷 (CHD) 的风险. 这项以人口为基础的研究强调了CHD的主要风险因素.
科学领域:
- 心脏病学 心脏病学
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 公共卫生 公共卫生
背景情况:
- 先天性心脏缺陷 (CHD) 是婴儿健康的一个重大问题.
- 了解母亲健康和婴儿冠状动脉疾病之间的联系对于预防和早期干预至关重要.
研究的目的:
- 量化母体疾病与婴儿心血管疾病发生之间的关联.
- 识别特定的孕产妇疾病,这些疾病会增加患心血管疾病的风险.
主要方法:
- 一项基于人口的研究分析了加拿大的超过220万个母婴对 (2002-2010年).
- 婴儿心血管疾病的分类是使用国际疾病和相关健康问题的统计分类,第10版,加拿大代码.
- 经过对母性因素进行调整的后勤回归模型被用于评估关联.
主要成果:
- 整体心脏病发病率为每1万活产婴儿中有116.2例.
- 与心脏病风险增加显著相关的孕产妇疾病包括多胎儿妊娠,糖尿病 (1和2型),高血压,甲状腺疾病,孕产妇先天性心脏病,结缔组织疾病和/情绪障碍.
- 母亲年龄≥40岁也是一个显著的风险因素.
结论:
- 慢性孕产妇疾病,如糖尿病,高血压,结缔组织疾病和先前存在的先天性心脏病,与后代患心脏病的风险更高有关.
- 这些发现强调了孕产妇健康管理在预防婴儿心血管疾病方面的重要性.
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