JAMA Intern Med:孕妇心理健康对胎儿脑发育的影响

2020-03-04 MedSci MedSci原创

研究发现,患有先天性心脏病胎儿母亲普遍存在心理问题,导致胎儿小脑和海马发育受损

产妇心理疾病危害母婴结局。研究发现产妇压力增加导致胎儿先天性心脏病(CHD)风险增加,近日研究人员考察了产妇心理问题对CHD新生儿大脑发育的影响。

2016年1月至2018年9月,48名CHD胎儿产妇以及92名志愿者产妇参与研究,对胎儿CHD、母亲压力、焦虑和抑郁情况进行评估,对胎儿全脑、大脑、左右海马、小脑和脑干体积进行MRI扫描

研究对孕21-40周胎儿进行了223次MRI扫描,其中CHD胎儿74次,健康胎儿149次。48名怀有CHD胎儿的孕妇中,31名(65%)的压力测试阳性,21名存在(44%)焦虑,14名(29%)存在抑郁。92名健康胎儿的孕妇中,25名(27%)压力测试呈阳性,24名(26%)存在焦虑,8名(9%)存在抑郁。17名单心室CHD胎儿孕妇的抑郁评分高于31名双心室CHD胎儿孕妇(3.8)。母亲的压力和焦虑与左海马(-0.003 cm3)、右海马(-0.004)和小脑体积(-0.06)减少有关,且仅存在CHD胎儿的妇女中,上述胎儿在左侧海马区头部内侧和右侧海马区头部和体下方存在可见受损,小脑的受损区在vermal和paravermal区的前上部和左侧小脑叶。

研究发现,患有先天性心脏病胎儿母亲普遍存在心理问题,导致胎儿小脑和海马发育受损。

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    2020-03-06 neurowu
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    2020-03-04 旺医

    顶刊就是顶刊,谢谢梅斯带来这么高水平的研究报道,我们科里同事经常看梅斯,分享梅斯上的信息

    0

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