在中等收入环境中,神经管缺陷患者的围产期结局
Berenice Velazquez-Torres1, Sandra I Pacheco-Ruiz1, Sandra Acevedo-Gallegos1
1Department of Maternal-Fetal Medicine, Instituto Nacional de Perinatologia, Mexico City, Mexico.
Birth defects research
|February 19, 2025
概括
神经管缺陷 (NTDs) 在墨西哥城影响9.8/1000个出生. 有效的管理需要怀孕前的护理,产前诊断,及时的手术和儿科康复,以改善结果.
科学领域:
- 产科和妇科 产科和妇科
- 儿科手术 儿科手术
- 公共卫生 公共卫生
背景情况:
- 神经管缺陷 (NTDs) 是一个重要的全球健康问题,排名第二最常见的类别的先天性形.
- 现有的干预措施侧重于孕期,产前和产周期间,以减轻NTD发病率并提高患者的生存率和生活质量.
研究的目的:
- 在特定人群中划分神经管缺陷 (NTD) 的患病率.
- 描述被诊断患有NTD的个体的干预措施,临床管理策略和围产期结果.
主要方法:
- 对所有产前诊断的神经管缺陷病例进行了回顾性分析.
- 数据是从2018年1月到2024年4月在墨西哥城的一个指定产周转诊中心收集的.
主要成果:
- 观察到的患病率为每1000例新生儿中有9.8例,其中骨髓髓瘤细胞是最常见的类型 (56.83%).
- 骨髓瘤结核病例显示出高存活率 (93.40%) 到出院,常见的相关缺陷包括双侧脚 (29.1%).
- 发现了糖尿病 (15.83%) 和 (4.32%) 等产妇因素,以及低于最佳的叶酸摄入量 (21.58%在怀孕8周后).
结论:
- 综合性NTD管理需要综合性预孕,产前和产后护理,包括及时的手术干预和早期儿科康复.
- 为管理并发症并改善受影响个体的短期和长期结果,有效的转诊系统至关重要.
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