母体甲状腺功能障碍与后代神经发育障碍之间的关联:基于人口的队列研究
Han-Ping Wu1,2, Vincent Chin-Hung Chen2,3,4, Yi-Lung Chen5
1Department of Pediatrics, Chiayi Chang Gung Memorial Hospital, Chiayi, Taiwan.
European child & adolescent psychiatry
|September 29, 2025
概括
怀孕期间母亲的甲状腺功能障碍会增加后代患ADHD和ASD的风险. 对甲状腺功能障碍的持续使用甲 (PTU) 可能会降低儿童的ADHD风险.
科学领域:
- 神经发育障碍 神经发育障碍
- 内分泌学 在内分泌学.
- 产科 产科 产科 产科 产科
背景情况:
- 注意缺陷/多动障碍 (ADHD) 和自闭症谱系障碍 (ASD) 是常见的神经发育障碍 (NDD).
- 母体甲状腺功能障碍与后代的NDD之间的联系尚未完全理解.
- 甲状腺激素在胎儿神经发育中起着至关重要的作用.
研究的目的:
- 调查母亲甲状腺功能障碍与后代NDD之间的关联.
- 检查母亲甲状腺功能障碍药物对NDD风险的影响.
主要方法:
- 基于人口的回顾性出生队列研究.
- 包括2004年至2020年间出生的300多万名儿童.
- 使用考克斯的比例危险回归模型协会.
主要成果:
- 孕产妇的甲状腺功能障碍和甲状腺功能低下与子女ADHD和ASD风险增加有关.
- 持续使用甲状腺功能障碍的propylthiouracil (PTU) 与ADHD和ASD风险降低有关.
- 此外,还检查了用于甲状腺功能低下的levothyroxine的使用.
结论:
- 怀孕期间母亲的甲状腺功能障碍与儿童患ADHD和ASD的风险更高有关.
- 对母亲甲状腺功能障碍的持续PTU治疗可能会对后代的ADHD和ASD产生保护作用.
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