孕妇喘和婴儿肺功能受损之间的关联因在怀孕期间吸入皮质类固醇使用而减少
Gabriela Martins Costa Gomes1,2, Adam M Collison1,2, Wilfried J J Karmaus3
1Asthma and Breathing Research Program, The University of Newcastle Hunter Medical Research Institute, Newcastle, New South Wales, Australia.
Thorax
|November 9, 2025
概括
母亲喘与婴儿肺功能减弱有关. 然而,在怀孕期间使用吸入性皮质类固醇 (ICS) 改善了后代的肺功能,减轻了喘的负面影响. 这表明ICS可能会保护婴儿的呼吸系统健康.
科学领域:
- 儿科肺病学 儿科肺病学
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 呼吸系统健康 呼吸系统健康
背景情况:
- 患有喘的母亲生下的婴儿通常表现为肺功能减弱.
- 怀孕期间母亲吸入皮质类固醇 (ICS) 对婴儿肺功能的影响尚不清楚.
研究的目的:
- 调查孕妇在怀孕期间使用ICS与婴儿肺功能之间的联系.
主要方法:
- 用多变量回归分析来评估婴儿肺功能.
- 测量包括潮呼吸流量循环和产后4-6周的功能残留容量 (FRC).
- 分析将这些措施与孕妇在怀孕期间使用ICS相关联.
主要成果:
- 在怀孕期间使用ICS的母亲的婴儿显示出时间到峰值潮呼吸流到呼吸时间 (tPTEF:tE) 的比率有所改善,对FRC进行了校正.
- 不使用ICS的喘母亲的婴儿与非喘对照相比,tPTEF:tE与FRC比率较低.
- 与对照组相比,使用ICS的喘母亲的婴儿没有表现出这种损伤.
结论:
- 在怀孕期间母亲使用ICS似乎减少了母亲喘和婴儿肺功能受损之间的联系.
- 这表明,在母亲喘的背景下,ICS对婴儿呼吸系统发育具有保护作用.
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