个性化产前皮质类固醇治疗和中枢神经系统发育:对胎儿母亲治疗的黄金标准的思考
Ivana R Babović1,2, Radmila Sparić1,2, Snežana D Plešinac1,2
1Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia.
Diseases (Basel, Switzerland)
|December 27, 2024
概括
产前皮质类固醇暴露可能会影响大脑发育,对最佳时间和剂量的数据有限. 需要进一步的研究来了解胎儿编程和神经发育结果.
科学领域:
- 神经科学是一个神经科学.
- 发展生物学 发展生物学
- 内分泌学 在内分泌学.
背景情况:
- 胎儿编程描述了产前皮质类固醇暴露如何影响大脑发育和下丘脑-垂体-上腺轴.
- 世界卫生组织在高风险妊娠中提供了产前皮质类固醇的指导方针,以预防早产并发症.
研究的目的:
- 审查产前皮质类固醇药物对胎儿神经发育的影响.
- 识别有关时间,模式和剂量对长期神经结果的影响的知识差距.
主要方法:
- 在PubMed,Scopus,Cochrane图书馆和科学网上进行了全面的文献搜索.
- 包括1990年至2023年的全文英语出版物.
主要成果:
- 产前皮质类固醇的使用可能对人类大脑发育和功能产生长期不良影响.
- 关于特定治疗参数如何影响以后的神经健康的证据有限.
结论:
- 对量身定制的产前皮质类固醇治疗进行进一步调查是有必要的.
- 了解胎儿编程的分子机制对于优化神经发育结果至关重要.
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