日本出生队伍中剖腹产和神经发育障碍之间的关联:日本环境和儿童研究
Taketoshi Yoshida1, Kenta Matsumura2,3, Takehiro Hatakeyama3
1Division of Neonatology, Maternal and Perinatal Center, Toyama University Hospital, 2630 Sugitani, Toyama City, 930-0194, Japan. ytake@med.u-toyama.ac.jp.
BMC pediatrics
|June 18, 2023
概括
剖腹产与幼儿患自闭症谱系障碍 (ASD) 的风险更高有关. 这种关联在女性中尤为明显,这表明她们对CS产生的影响可能更敏感.
科学领域:
- 儿科神经发育 儿童神经发育
- 产科和妇科 产科和妇科
- 流行病学 流行病学
背景情况:
- 对剖腹产对儿童神经发育的长期影响越来越感兴趣.
- 以前的研究表明,神经发育障碍的发生率存在基于性别的差异,例如自闭症谱系障碍 (ASD).
研究的目的:
- 为了检查分娩方式 (CS与阴道) 与幼儿神经发育障碍之间的关联.
- 在考虑性别特异性风险的情况下,在男婴和女婴中分别调查这些关联.
主要方法:
- 来自日本环境和儿童研究的65,701对母婴对的分析.
- 后勤回归模型用于计算3岁时神经发育障碍 (运动延迟,智力障碍,自闭症) 的调整几率比率 (aOR).
- 按性别分层分析以确定与CS分娩相关的性别特异性风险.
主要成果:
- 与阴道分娩相比,通过CS分娩的幼儿观察到更高的ASD发病率 (aOR 1.38).
- 对于运动延迟或智力障碍总体而言,没有发现与CS相关的显著差异.
- 在女性中,CS与运动延迟 (aOR 1.88) 和ASD (aOR 1.82) 的风险增加有关;在男性中没有发现这种关联.
结论:
- 有证据表明,分娩方式与儿童早期神经发育障碍之间存在显著的关联.
- 与男性相比,女婴似乎更容易受到剖腹产的潜在神经发育影响.
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