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产科并发症与轻度至中度智力残疾

Obstetric complications and mild to moderate intellectual disability.

作者信息

Sussmann Jessika E, McIntosh Andrew M, Lawrie Stephen M, Johnstone Eve C

机构信息

Division of Psychiatry, University of Edinburgh, Royal Edinburgh Hospital, Edinburgh EH10 5HF, UK.

出版信息

Br J Psychiatry. 2009 Mar;194(3):224-8. doi: 10.1192/bjp.bp.106.033134.

Abstract

BACKGROUND

Mild to moderate intellectual disability affects 2.5% of the general population and is associated with an increased risk of several psychiatric disorders. Most cases are of unknown aetiology although genetic factors have an important role.

AIMS

To investigate the role of obstetric and neonatal complications in the aetiology of mild to moderate intellectual disability.

METHOD

Obstetric and neonatal complications recorded at the time of pregnancy and delivery were compared between participants with mild to moderate intellectual disability, age-matched siblings and unrelated controls using logistic regression.

RESULTS

Admission to a special care baby unit and not being breastfed on discharge were more common in people with mild to moderate intellectual disability. Not being breastfed on discharge was also more common in those with intellectual disability than unaffected siblings. Foetal distress was more common among controls than among those with mild to moderate intellectual disability.

CONCLUSIONS

Admission to a special care baby unit and not being breastfed on discharge may be related to the aetiology of intellectual disability, although the direction of this association is unclear.

摘要

背景

轻度至中度智力残疾影响着2.5%的普通人群,且与多种精神疾病风险增加相关。尽管遗传因素起着重要作用,但大多数病例病因不明。

目的

调查产科和新生儿并发症在轻度至中度智力残疾病因中的作用。

方法

使用逻辑回归,比较了患有轻度至中度智力残疾的参与者、年龄匹配的兄弟姐妹以及无关对照组在怀孕和分娩时记录的产科和新生儿并发症情况。

结果

轻度至中度智力残疾者入住特殊护理婴儿病房以及出院时未进行母乳喂养的情况更为常见。出院时未进行母乳喂养在智力残疾者中也比未受影响的兄弟姐妹更为常见。胎儿窘迫在对照组中比在轻度至中度智力残疾者中更为常见。

结论

入住特殊护理婴儿病房以及出院时未进行母乳喂养可能与智力残疾的病因有关,尽管这种关联的方向尚不清楚。

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