Meller César Hernán, Izbizky Gustavo, Otaño Lucas
Servicio de Obstetricia y Unidad de Medicina Fetal, Hospital Italiano, Buenos Aires.
Arch Argent Pediatr. 2015 Aug;113(4):345-51. doi: 10.5546/aap.2015.eng.345.
The administration of magnesium sulphate to mothers at risk for preterm birth for fetal neuroprotection has demonstrated to reduce the risk of cerebral palsy and gross motor dysfunction by 30-40%. Although there is controversy regarding the regimen of administration of magnesium sulphate, the gestational age limit, the extent of its potential benefit or even if it provides any benefit, current evidence is enough to support the use of magnesium sulphate in women at imminent risk for preterm delivery before 32 weeks of gestation. The objective of this study is to describe available evidence and current recommendations regarding neuroprotection with magnesium sulphate.
给有早产风险的母亲使用硫酸镁进行胎儿神经保护已证明可将脑瘫和严重运动功能障碍的风险降低30%-40%。尽管在硫酸镁的给药方案、孕周限制、其潜在益处的程度甚至它是否提供任何益处方面存在争议,但目前的证据足以支持在妊娠32周前有即将早产风险的妇女中使用硫酸镁。本研究的目的是描述关于硫酸镁神经保护的现有证据和当前建议。