在早产婴儿的疼痛暴露和大脑连接
Thiviya Selvanathan1,2, Steven Ufkes1,3, Ting Guo2
1Department of Pediatrics, BC Children's Hospital Research Institute and University of British Columbia, Vancouver, British Columbia, Canada.
JAMA network open
|March 15, 2024
概括
在早产婴儿早期的疼痛暴露会影响大脑连接的成熟,特别是在女性中. 这些大脑变化与后来的神经发育结果有关.
科学领域:
- 新生儿神经科学 新生儿神经科学
- 发展心理学是发展心理学.
- 儿科神经学 儿科神经学
背景情况:
- 在早产婴儿的早期痛苦的手术可能会影响大脑发育和神经发育结果.
- 这些影响的性别特异性差异尚未得到充分理解.
研究的目的:
- 为了研究早期疼痛暴露,新生儿大脑结构连接和非常早产婴儿18个月神经发育之间的性别特异关联.
主要方法:
- 对193名非常早产婴儿进行前性队列研究.
- 使用磁共振成像和扩散张力成像评估的结构连接性.
- 在18个月时使用贝利婴幼儿发展尺度评估神经发育,第三版.
主要成果:
- 观察到的性别特异性影响:更大的早期疼痛与女性婴儿的全球和局部大脑效率的成熟速度较慢有关.
- 在整个队列中,增加的疼痛暴露与降低的全球和本地效率以及区域连接强度相关.
- 纹状体连接强度的特定变化与认知结果有关.
结论:
- 早期的疼痛暴露与非常早产婴儿的大脑结构连接性成熟的改变有关,女性有显著的性别差异.
- 这些连接性改变与神经发育结果有关,这表明潜在的区域影响.
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