脑瘫——流行病学趋势及疾病产前发病机制、治疗与预防的最新进展
Cerebral Palsy-Trends in Epidemiology and Recent Development in Prenatal Mechanisms of Disease, Treatment, and Prevention.
作者信息
Stavsky Moshe, Mor Omer, Mastrolia Salvatore Andrea, Greenbaum Shirley, Than Nandor Gabor, Erez Offer
机构信息
Faculty of Health Sciences, School of Medicine, Ben Gurion University of the Negev , Beer Sheva , Israel.
Department of Obstetrics and Gynecology, University of Bari Aldo Moro , Bari , Italy.
出版信息
Front Pediatr. 2017 Feb 13;5:21. doi: 10.3389/fped.2017.00021. eCollection 2017.
Cerebral palsy (CP) is the most common motor disability in childhood. This syndrome is the manifestation of intrauterine pathologies, intrapartum complications, and the postnatal sequel, especially among preterm neonates. A double hit model theory is proposed suggesting that an intrauterine condition along with intrapartum or postnatal insult lead to the development of CP. Recent reports demonstrated that treatment during the process of preterm birth such as magnesium sulfate and postnatal modalities such as cooling may prevent or reduce the prevalence of this syndrome. Moreover, animal models demonstrated that postnatal treatment with anti-inflammatory drugs coupled with nanoparticles may affect the course of the disease in pups with neuroinflammation. This review will describe the changes in the epidemiology of this disease, the underlying prenatal mechanisms, and possible treatments that may reduce the prevalence of CP and alter the course of the disease.
脑瘫(CP)是儿童期最常见的运动障碍。这种综合征是子宫内病变、分娩期并发症及产后后遗症的表现,在早产儿中尤为常见。有人提出了双打击模型理论,认为子宫内状况加上分娩期或产后损伤会导致脑瘫的发生。最近的报告表明,早产过程中的治疗(如硫酸镁)以及产后治疗方法(如降温)可能会预防或降低这种综合征的患病率。此外,动物模型表明,用抗炎药物联合纳米颗粒进行产后治疗可能会影响患有神经炎症的幼崽的病程。本综述将描述该疾病流行病学的变化、潜在的产前机制以及可能降低脑瘫患病率并改变疾病进程的治疗方法。