与产前酒精暴露相关的出生缺陷-一篇评论
Katarzyna Anna Dyląg1,2, Florencia Anunziata3, Gretchen Bandoli3
1Department of Pathophysiology, Jagiellonian University Medical College, Czysta 18, 31-121 Krakow, Poland.
Children (Basel, Switzerland)
|May 27, 2023
概括
产前酒精暴露与严重的出生缺陷有关,如胃,腹,口腔裂和心脏问题. 其他缺陷的证据不太一致,没有发现门缩,胆道缩或脚的联系.
科学领域:
- 医学研究 医学研究
- 甲状腺学 甲状腺学
- 公共卫生 公共卫生
背景情况:
- 酒精是已知的人类病原体,但其与主要先天性异常的特定关联仍然不完全理解.
- 胎儿酒精综合征 (FAS) 强调了风险,但需要对酒精对各种出生缺陷的影响进行全面的概述.
研究的目的:
- 系统地审查和总结有关产前酒精暴露 (PAE) 与重大出生缺陷之间的联系的现有数据.
- 为了确定特定的先天性异常与强烈,中度,或没有证据的PAE的关联.
主要方法:
- 进行了全面的文献审查.
- 主要的出生缺陷使用ICD-10系统进行分类.
- 评估了PAE与这些缺陷之间的关联证据.
主要成果:
- 最强有力的证据将PAE与缺陷 (胃,腹腔),口腔裂 (口唇/口腔裂) 和心脏缺陷联系在一起.
- 较不一致的证据支持PAE与胃肠道,腹膜,尿道和神经管缺陷有关.
- 没有发现PAE和门缩,胆道缩或脚之间有显著的关联.
结论:
- 产前酒精暴露明显与特定的重大先天性异常有关,特别是,口腔裂和心脏缺陷.
- 对其他缺陷类别的证据是可变的,这强调了需要进一步研究的必要性.
- 某些疾病,如门缩症,胆汁缩症和脚症,似乎与PAE无关.
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