种族背景作为永久臂出生损伤的危险因素:一个基于人口的研究
Petra Grahn1, Mika Gissler2,3,4, Yrjänä Nietosvaara1,5
1Department of Pediatric Orthopedics and Traumatology, New Children's Hospital, Helsinki University Hospital, University of Helsinki, Helsinki, Finland.
Acta obstetricia et gynecologica Scandinavica
|March 12, 2024
概括
肩膀缩和辅助分娩是永久臂出生损伤的关键风险因素. 黑人种族与新生儿高发病率和更严重的伤害有关.
科学领域:
- 产科和妇科 产科和妇科
- 儿科神经学 儿科神经学
- 公共卫生 公共卫生
背景情况:
- 臂出生损伤 (BPBI) 是芬兰永久残疾的主要原因.
- 这项研究调查了永久性BPBI的风险因素和发病率.
研究的目的:
- 为了评估永久的手臂出生损伤的风险因素.
- 计算芬兰南部永久臂发育损伤的发病率.
主要方法:
- 芬兰南部以人口为基础的回顾性研究 (2006-2022年).
- 从国家登记处收集的关于出生,产科因素和移民身份的数据.
- 使用3个月多伦多测试得分评估受伤严重程度.
主要成果:
- 永久性BPBI的发生率为每1000例出生0.34.
- 风险因素包括较高的孕产妇BMI,糖尿病,肩膀缩和辅助分娩.
- 移民母亲的孩子 (0.61/1000),特别是来自非洲的黑人移民 (1.53/1000) 的发生率更高.
- 黑人母亲的孩子遭受的伤害更严重.
结论:
- 肩膀缩和辅助分娩是永久性BPBI的重要危险因素.
- 黑人种族与BPBI发病率和严重程度的增加有关.
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