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对婴儿血管瘤发生及严重程度具有重要意义的母体和围产期因素。

Maternal and Perinatal Factors of Importance for Occurrence and Severity of Infantile Haemangioma.

作者信息

Kim Eun Jee, Park Hyun Sun, Yoon Hyun-Sun, Cho Soyun

机构信息

Department of Dermatology, Seoul National University Boramae Hospital, Boramae-Ro 5-Gil, Dongjak-Gu, Seoul, 156-707, Korea.

出版信息

Acta Derm Venereol. 2015 Jul;95(6):696-9. doi: 10.2340/00015555-2042.

Abstract

To determine which patient and maternal factors are associated with the occurrence and the severity of infantile haemangioma (IH), a single-centre retrospective observational study was conducted with 96 haemangioma patients and 143 age-matched control babies, born in the same hospital between March 2012 and March 2013. The IH patients were selected according to diagnosis from dermatologists, either consulted from the department of paediatrics or in outpatient setting. Unplanned female children whose mothers smoked and/or consumed alcohol when pregnant was more likely to have IH (p < 0.0.05). The higher the birth weight, the more superficial the haemangioma (p = 0.023), and localised lesions were more common in singleton babies (p = 0.023) and babies conceived by normal fertilisation (p = 0.002). The occurrence and severity of IH is not only influenced by patient factors but also by maternal factors especially care during pregnancy period. By controlling these factors, the incidence and severity of IH may be lowered.

摘要

为确定哪些患者因素和母体因素与婴儿血管瘤(IH)的发生及严重程度相关,我们进行了一项单中心回顾性观察研究,研究对象为96例血管瘤患者及143例年龄匹配的对照婴儿,这些婴儿均于2012年3月至2013年3月在同一家医院出生。IH患者是根据皮肤科医生的诊断选取的,这些诊断要么来自儿科部门的会诊,要么来自门诊。母亲在孕期吸烟和/或饮酒的非计划内出生的女童更易患IH(p<0.005)。出生体重越高,血管瘤越表浅(p = 0.023),单胎婴儿(p = 0.023)及正常受精受孕的婴儿(p = 0.002)中局限性病变更为常见。IH的发生及严重程度不仅受患者因素影响,还受母体因素尤其是孕期护理的影响。通过控制这些因素,可能降低IH的发病率及严重程度。

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