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怀孕期间的血清水平与分娩结果之间的剂量反应关系
Lisanne Schrijver1,2, Astrid M Kamperman1, Hilmar Bijma3
1Department of Psychiatry, Erasmus University Medical Center, Rotterdam, The Netherlands.
Acta psychiatrica Scandinavica
|January 18, 2024
概括
怀孕期间母亲的血清水平与怀孕时间缩短和早产风险增加有关. 这项研究表明了剂量与反应的关系,突出显示了监测双相情感障碍孕妇的水平的重要性.
科学领域:
- 围产阶段精神病学 围产阶段精神病学
- 生殖毒理学 生殖毒理学
- 产科 产科 产科 产科 产科
背景情况:
- 是有效的预防情绪发作在怀孕妇女双相情感障碍.
- 关于对出生结果的影响的先前研究对剂量-反应关系是不确定的.
- 了解母体血清水平对新生儿结局的影响至关重要.
研究的目的:
- 为了研究母体血清水平与怀孕持续时间之间的关联.
- 为了检查暴露与出生体重,早产和妊娠年龄大 (LGA) 的出生之间的关系.
- 探索甲状腺激素 (TSH,T4) 的潜在调解.
主要方法:
- 以治疗的双相情绪障碍101例怀孕的回顾性观察队列研究.
- 计算每次怀孕和三个月的加权平均血清水平.
- 使用线性和逻辑回归来分析与怀孕持续时间和新生儿结果的关联.
主要成果:
- 在平均血清水平和怀孕持续时间之间发现了负相关性.
- 较高的水平与早产有关.
- 没有观察到与出生体重百分位数或LGA.有意义的关联.
- 甲状腺刺激激素 (TSH) 和甲状腺素 (T4) 并没有调解这些关联.
结论:
- 怀孕期间母亲的血清水平与怀孕持续时间之间存在剂量反应关系.
- 监测水平对于优化怀孕期间双相情感障碍的孕产妇和新生儿结果很重要.
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