National Center for Fetal Medicine, St. Olav University Hospital of Trondheim, Norway.
Ultrasound Obstet Gynecol. 2011 Sep;38(3):267-71. doi: 10.1002/uog.9055. Epub 2011 Jul 15.
To study the association between exposure to ultrasound in pregnancy and non-right handedness in children with available data from randomized trials.
Follow-up data of 8865 children aged 8-14 years from three randomized trials on routine ultrasonography at 15-20 weeks' gestation were available. Handedness was assessed through questionnaires to the parents and classified according to five, 10 or 11 questions. Children not classified as right handed were regarded as non-right handed.
There was a statistically significant increased prevalence of non-right handedness in ultrasonographically screened children compared with controls (odds ratio (OR) 1.15; 95% CI, 1.03-1.29). The results in subgroups according to gender are consistent with the overall results, with no significant differences between boys and girls. Among boys, the association became stronger when an exploratory analysis according to ultrasound exposure before 19-22 weeks' gestation was done (OR 1.30; 95% CI, 1.10-1.53).
There is a statistically significant-albeit weak-association between ultrasound screening during pregnancy and being non-right handed later in life.
利用随机试验的可用数据,研究孕期超声暴露与儿童非右利手之间的关联。
从三次 15-20 周妊娠常规超声检查的随机试验中获得了 8865 名 8-14 岁儿童的随访数据。通过向父母发放问卷评估利手情况,并根据 5、10 或 11 个问题进行分类。未被归类为右利手的儿童被视为非右利手。
与对照组相比,经超声筛查的儿童中非右利手的患病率有统计学显著增加(比值比 (OR) 1.15;95%可信区间,1.03-1.29)。根据性别进行的亚组分析结果与总体结果一致,男孩和女孩之间无显著差异。在男孩中,当根据妊娠 19-22 周前的超声暴露进行探索性分析时,相关性更强(OR 1.30;95%可信区间,1.10-1.53)。
虽然这种关联较弱,但孕期超声筛查与日后非右利手之间存在统计学显著关联。