学前儿童单次吸入麻醉剂暴露和神经心理发展:前性研究和门德尔随机化分析
Jinghong Zhang1,2,3, Haixia Deng1,2,3, Xilu Huang1,2,3
1Department of Anesthesiology, Stomatological Hospital of Chongqing Medical University, Chongqing, China.
Frontiers in neurology
|June 27, 2024
概括
对于患有严重幼儿牙的儿童进行牙科全身麻醉,在手术后两年不会对神经认知发育产生不利影响. 这种治疗也改善了儿童的营养不良率,麻醉和智力之间没有发现因果关系.
科学领域:
- 儿科牙科 儿科牙科
- 麻醉学 麻醉学
- 神经科学是一个神经科学.
背景情况:
- 牙科全身麻醉 (DGA) 是对患有严重牙焦虑的儿童进行儿童牙治疗的安全选择.
- 以前的研究表明评估DGA的神经认知和生长影响,但仍然需要确定因果关系.
研究的目的:
- 为了评估DGA对儿童的神经认知和生长影响,手术后2年.
- 使用孟德尔随机化 (MR) 建立全身麻醉 (GA) 和神经认知功能变化之间的因果关系.
主要方法:
- 在接受DGA和局部麻醉的学前儿童中,比较神经认知结果和身体发育 (身高,体重,BMI).
- 利用孟德尔的随机化分析与大规模的GWAS数据来评估GA和认知发展之间的因果关系.
主要成果:
- 在DGA和局部麻醉组之间,全尺度智商 (FSIQ) 评分没有显著差异.
- 营养不良的发病率在DGA组的术后显著下降 (27.93%至15.32%).
- 核磁共振分析发现麻醉和儿童智力之间没有统计学上显著的因果关系 (p=0.99).
结论:
- 严重的早期儿童 (S-ECC) 的DGA在手术后2年不会导致不良的神经认知结果.
- 在GA下的S-ECC治疗可以改善儿童的营养不良.
- 目前的证据不支持对麻醉的遗传敏感性和儿童智力变化之间的相关性.
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