与自闭症谱系障碍相关的新生儿风险因素:一个总体审查
Amir Mohammad Salehi1, Erfan Ayubi2, Salman Khazaei3
1Student Research Committee, Hamadan University of Medical Sciences School of Medicine, Hamadan, Iran.
Clinical and experimental pediatrics
|July 26, 2024
概括
新生儿风险因素,如先天性心脏病,巨,低出生体重,黄和男性性别与自闭症谱系障碍 (ASD) 有关. 建议对患有这些风险因素的婴儿进行早期查.
科学领域:
- 神经发育障碍 神经发育障碍
- 儿科医学 儿科医学 儿科医学
- 遗传学和表观遗传学
背景情况:
- 自闭症谱系障碍 (ASD) 是一种复杂的神经发育状况,其特点是社会沟通缺陷和重复行为.
- 早期识别风险因素对于及时干预和支持至关重要.
研究的目的:
- 进行对元分析和系统审查的总体审查.
- 评估与自闭症谱系障碍发展相关的新生儿风险因素.
主要方法:
- 在国际数据库 (PubMed,Scopus,Web of Science) 进行系统搜索,截至2022年4月.
- 使用随机效应模型计算赔率比率 (OR) 和95%置信区间 (CI).
- 使用A测量工具来评估系统审查 (AMSTAR2) 检查清单评估研究质量.
主要成果:
- 包括6个元分析,包括207,221名患有自闭症儿童和超过2200万名神经类型儿童.
- 有关证据表明,先天性心脏病,巨,低出生体重,非常低出生体重,对于妊娠年龄来说小,黄,男性性别和低1分钟的阿巴格分数与ASD风险增加有关.
- 包含的元分析的方法质量各不相同,其中3项被评为非常低,2项被评为低,1项被评为中等.
结论:
- 几种新生儿因素与自闭症谱系障碍的风险增加有关.
- 临床医生应在儿科查期间考虑这些已识别的风险因素.
- 可能需要进一步的研究来澄清因果途径,并完善风险评估.
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