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产前超声与自闭症谱系障碍风险。

Antenatal ultrasound and risk of autism spectrum disorders.

机构信息

Environmental Health Investigations Branch, California Department of Public Health, Richmond, CA 94804, USA.

出版信息

J Autism Dev Disord. 2010 Feb;40(2):238-45. doi: 10.1007/s10803-009-0859-4. Epub 2009 Sep 1.

Abstract

We evaluated antenatal ultrasound (U/S) exposure as a risk factor for autism spectrum disorders (ASD), comparing affected singleton children and control children born 1995-1999 and enrolled in the Kaiser Permanente health care system. Among children with ASD (n = 362) and controls (n = 393), 13% had no antenatal exposure to U/S examinations; case-control differences in number of exposures during the entire gestation or by trimester were small and not statistically significant. In analyses adjusted for covariates, cases were generally similar to controls with regard to the number of U/S scans throughout gestation and during each trimester. This study indicates that antenatal U/S is unlikely to increase the risk of ASD, although studies examining ASD subgroups remain to be conducted.

摘要

我们评估了产前超声(U/S)检查作为自闭症谱系障碍(ASD)的危险因素,比较了 1995-1999 年出生并在 Kaiser 永久医疗保健系统注册的受影响的单胎儿童和对照儿童。在患有 ASD(n=362)和对照组(n=393)的儿童中,13%的儿童在整个妊娠期间或在每个妊娠期间没有进行产前 U/S 检查;病例对照之间整个妊娠期或每三个月的暴露次数差异较小,且无统计学意义。在调整协变量的分析中,病例与对照组在整个妊娠期和每个妊娠期间的 U/S 扫描次数基本相似。这项研究表明,产前 U/S 不太可能增加 ASD 的风险,尽管仍需要对 ASD 亚组进行研究。

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