在患有产后细胞巨化病毒感染的非常早产婴儿的成长和认知结果
Elke Griesmaier1, Marlene Hammerl1, Maria Sappler1
1Department of Pediatrics II, Neonatology, Medical University of Innsbruck, Innsbruck, Austria.
Neonatology
|December 11, 2024
概括
产后细胞巨乳病毒 (CMV) 感染并没有对非常早产婴儿的生长或认知发育产生负面影响. 这些发现对于有关早产婴儿养实践的讨论很重要.
科学领域:
- 新生儿科学 新生儿科学
- 传染性疾病 传染性疾病
- 发育儿科 发育儿科
背景情况:
- 关于产后细胞巨乳病毒 (CMV) 感染对非常早产婴儿生长和认知结果的影响,存在相互矛盾的数据.
- 需要进行系统的评估,以在当代群体中澄清这种关联.
研究的目的:
- 评估出生后的CMV感染对生长参数 (头周长,体重,长度) 的影响,从出生到3个月的年龄进行校正.
- 评估出生后的CMV感染对12岁,24个月和5岁的认知发育的影响.
主要方法:
- 一组在妊娠32周之前 (2011-2018) 出生的婴儿进行了产后CMV感染查.
- 增长参数和认知结果 (使用贝利尺度,考夫曼评估电池和韦克斯勒尺度) 在患有和没有CMV感染的婴儿之间进行了比较.
主要成果:
- 在431名婴儿中,4.6%的婴儿在出生后感染了CMV.
- 在CMV感染组和未感染组之间,没有观察到生长 (头周长,体重,长度) 的显著差异,直到3个月的年龄被纠正.
- 12,24个月和5年的认知发育也显示,两组之间没有显著差异,包括28周妊娠年龄之前出生的婴儿的子组.
结论:
- 产后的CMV感染与非常早产婴儿的生长或认知发育不良影响无关.
- 这些发现对围绕使用生母乳在早产婴儿养方面的讨论有影响.
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