JAMA Neurol:孕期丙戊酸钠暴露导致后代学业能力降低

2018-02-26 zhangfan MedSci原创

研究认为,孕期母亲服用丙戊酸盐与后代学龄期学业成绩差有关

丙戊酸钠是用于治疗孕期癫痫和其他神经精神障碍的常用药,但孕期丙戊酸钠暴露与儿童认知发展异常之间的关系尚未完全阐明。近日研究人员考察了孕期服用丙戊酸盐和其他抗癫痫药物对儿童学业表现的影响。

1997-2016年间,656496名丹麦新生儿参与研究,479027名儿童参与结果分析,研究的主要终点是比较孕期服用丙戊酸钠、拉莫三嗪、其他抗癫痫药以及未服用癫痫药物女性其后代6年级丹麦语及数学成绩的差异。

参与研究的儿童中253人丙戊酸钠孕期暴露、86人鲁米那暴露、236人奥卡西平暴露、拉莫三嗪暴露396人、氯硝西泮暴露188人、卡马西平暴露294人。完成6年级丹麦语测试年龄为12.9岁,男孩占50.3%。研究发现,相比于未暴露于癫痫药物和拉莫三嗪暴露儿童,丙戊酸盐暴露儿童丹麦语(差异-0.27SD)以及数学(-0.33SD)测试成绩最差,氯硝西泮暴露儿童丹麦语成绩较差(-0.07SD),而卡马西平、拉莫三嗪、苯巴比妥和奥卡西平暴露儿童与未暴露儿童相比学业能力无显著差异。

研究认为,孕期母亲服用丙戊酸盐与后代学龄期学业成绩差有关。

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    2019-02-02 yinhl1978
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    2018-03-10 owlhealth

    有意思了.学习了

    0

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    2018-02-27 虈亣靌

    学习了.获益匪浅.感谢分享

    0

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