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麻疹、腮腺炎和风疹疫苗接种与自闭症:因果关联的证据是什么?

MMR vaccination and autism : what is the evidence for a causal association?

作者信息

Madsen Kreesten M, Vestergaard Mogens

机构信息

Department of Epidemiology and Social Medicine, The Danish Epidemiology Science Centre, Aarhus, Denmark.

出版信息

Drug Saf. 2004;27(12):831-40. doi: 10.2165/00002018-200427120-00001.

Abstract

It has been suggested that vaccination with the measles-mumps-rubella (MMR) vaccine causes autism. The wide-scale use of the MMR vaccine has been reported to coincide with the apparent increase in the incidence of autism. Case reports have described children who developed signs of both developmental regression and gastrointestinal symptoms shortly after MMR vaccination.A review of the literature revealed no convincing scientific evidence to support a causal relationship between the use of MMR vaccines and autism. No primate models exist to support the hypothesis. The biological plausibility remains questionable and there is a sound body of epidemiological evidence to refute the hypothesis. The hypothesis has been subjected to critical evaluation in many different ways, using techniques from molecular biology to population-based epidemiology, and with a vast number of independent researchers involved, none of which has been able to corroborate the hypothesis.

摘要

有人认为,接种麻疹-腮腺炎-风疹(MMR)疫苗会导致自闭症。据报道,MMR疫苗的广泛使用与自闭症发病率的明显上升同时出现。病例报告描述了一些儿童在接种MMR疫苗后不久出现发育倒退和胃肠道症状的迹象。对文献的回顾显示,没有令人信服的科学证据支持使用MMR疫苗与自闭症之间存在因果关系。不存在支持该假设的灵长类动物模型。其生物学合理性仍然存疑,并且有大量流行病学证据反驳该假设。该假设已经通过多种不同方式进行了严格评估,运用了从分子生物学到基于人群的流行病学等技术,并且有大量独立研究人员参与其中,但没有一项研究能够证实该假设。

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