在注意力缺陷多动障碍和注意力缺陷障碍之间比较产科结果:基于人口的研究
Uri Amikam1,2, Ahmad Badeghiesh3, Haitham Baghlaf4
1Department of Obstetrics and Gynecology, McGill University, Montréal, QC H3A 0G4, Canada.
Journal of clinical medicine
|June 26, 2025
概括
与注意力缺陷多动障碍 (ADHD) 患者相比,患有注意力缺陷多动障碍 (ADHD) 的妇女面临更高的妊娠高血压障碍,早产和怀孕年龄较小的新生儿的风险. 这突显了这些神经发育条件的围产期结果的关键差异.
科学领域:
- 产科和妇科 产科和妇科
- 神经发育障碍 神经发育障碍
- 围产期健康 围产期健康
背景情况:
- 注意缺陷多动症 (ADHD) 在生育年龄的女性中很普遍.
- 以前的研究没有区分ADHD和ADD症状集群.
- 了解这些差异对于管理患有多动症的生殖年龄妇女至关重要.
研究的目的:
- 为了比较被诊断患有ADHD的妇女和被诊断患有ADD的妇女之间的围产期结果.
- 研究ADHD症状集群与孕产妇/新生儿并发症之间的关联.
- 在怀孕期间识别与ADHD相关的特定风险.
主要方法:
- 基于人口的回顾性研究,使用从2004年至2014年的全国性住院患者样本 (HCUP-NIS) 的医疗保健成本和利用项目.
- 对分娩和孕产妇死亡的分析,比较ADD和ADHD诊断的结果.
- 多变量逻辑回归用于控制混因素.
主要成果:
- 患有多动症的女性年轻,更有可能是黑人,社会经济地位较低,并在怀孕期间使用烟草/非法药物.
- 诊断ADHD与妊娠高血压障碍 (HDPs),早产,孕妇感染和妊娠年龄较小 (SGA) 新生儿的增加率有关.
- 在所有比较结果中观察到统计学意义 (p < 0.05).
结论:
- 与ADD的女性相比,患有ADHD的女性的孕产妇和新生儿并发症的发生率更高.
- 怀孕,早产和SGA新生儿的高血压障碍是患有多动症的孕妇的重大风险.
- 对于患有多动症的孕妇,需要进一步的研究和有针对性的干预措施.
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