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孕期孕妇唇疱疹与神经管缺陷

Maternal herpes labialis in pregnancy and neural tube defects.

作者信息

Nørgård Bente, Nørgaard Mette, Czeizel Andrew E, Puhó Erzsébet, Sørensen Henrik T

机构信息

Department of Clinical Epidemiology, Aarhus University Hospital, Denmark.

出版信息

Dev Med Child Neurol. 2006 Aug;48(8):674-6. doi: 10.1017/S0012162206001411.

DOI:10.1017/S0012162206001411
PMID:16836780
Abstract

According to previous case reports, some congenital abnormalities (CAs) of the brain, such as microcephaly, are a result of intrauterine herpes simplex virus infection. A population-based case-control study was conducted to determine the risk of neural tube defects (NTDs) after maternal herpes labialis infection during pregnancy. Data were taken from the Hungarian Case-Control Surveillance of Congenital Abnormalities from 1980 to 1996, which included 1202 children with NTDs and 21641 comparison children with CAs other than NTDs. The adjusted relative risks (odds ratio [OR]) for NTDs associated with maternal herpes labialis in the first trimester of pregnancy was OR 1.19 (95% confidence interval [CI] 0.68-2.06), and in the entire pregnancy was OR 0.94 (95% CI 0.61-1.44). Self-reported maternal herpes labialis during pregnancy was not associated with a substantially increased risk of NTDs in infants.

摘要

根据先前的病例报告,一些脑部先天性异常(CA),如小头畸形,是宫内单纯疱疹病毒感染的结果。开展了一项基于人群的病例对照研究,以确定孕期母体唇疱疹感染后神经管缺陷(NTD)的风险。数据取自1980年至1996年匈牙利先天性异常病例对照监测,其中包括1202名患有NTD的儿童和21641名患有除NTD之外其他CA的对照儿童。孕期头三个月母体唇疱疹相关NTD的调整后相对风险(比值比[OR])为OR 1.19(95%置信区间[CI] 0.68 - 2.06),整个孕期为OR 0.94(95% CI 0.61 - 1.44)。孕期自我报告的母体唇疱疹与婴儿NTD风险大幅增加无关。

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Birth Defects Res. 2018 Nov 15;110(19):1443-1454. doi: 10.1002/bdr2.1409. Epub 2018 Nov 6.
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Maternal genitourinary infections and the risk of gastroschisis.母体泌尿生殖系统感染与腹裂风险。
Am J Epidemiol. 2014 Sep 1;180(5):518-25. doi: 10.1093/aje/kwu157. Epub 2014 Jul 29.
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Maternal self-reported genital tract infections during pregnancy and the risk of selected birth defects.
孕期母亲自我报告的生殖道感染与特定出生缺陷的风险
Birth Defects Res A Clin Mol Teratol. 2011 Feb;91(2):108-16. doi: 10.1002/bdra.20749. Epub 2010 Dec 7.
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Case-control study of self reported genitourinary infections and risk of gastroschisis: findings from the national birth defects prevention study, 1997-2003.自我报告的泌尿生殖系统感染与腹裂风险的病例对照研究:1997 - 2003年国家出生缺陷预防研究的结果
BMJ. 2008 Jun 21;336(7658):1420-3. doi: 10.1136/bmj.39567.509074.25. Epub 2008 Jun 16.