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[病情改善药物对患有多发性硬化症母亲所生孩子发育的影响]

[An effect of disease-modifying drugs on the development of children born to mothers with multiple sclerosis].

作者信息

Kasatkin D S, Spirin N N, Vinogradova T V, Shytova A S

机构信息

Yaroslavl State Medical University, Yaroslavl, Russia.

出版信息

Zh Nevrol Psikhiatr Im S S Korsakova. 2017;117(2. Vyp. 2):85-91. doi: 10.17116/jnevro20171172285-91.

Abstract

AIM

To evaluate an effect of mother's treatment with disease-modifying drugs (DMD) on the mental and physical development of the child in the first year of life.

MATERIAL AND METHODS

Thirty pregnancies resulted in birth of live babies in patients with multiple sclerosis (MS) were studied. The diagnosis of MS was made to the mother before conception of the child. Seven mothers did not receive DMD at the moment of conception (controls), 13 mother were treated with interferon-beta (IFN) and 10 with glatiramer acetate. A structure interview, examination of the child with the assessment of common anthropometric indices, the WHO scale for achievement of six milestones, medical history and statistical analysis were used.

RESULTS AND CONCLUSION

The data on the negative effect of MS on the growth and development of the fetus and the positive impact of treatment of the mother with DMD in the early stages of pregnancy on anthropometric indices and development of the child in the first year of life were confirmed. It has been concluded that DMD positively influence the disease course of the female patient and potentially improve the prognosis for her future offspring.

摘要

目的

评估母亲使用疾病修正药物(DMD)治疗对其孩子出生后第一年身心发育的影响。

材料与方法

对30例患有多发性硬化症(MS)的孕妇所生活产婴儿进行研究。母亲在怀孕前被诊断为MS。7名母亲在怀孕时未接受DMD治疗(对照组),13名母亲接受了β-干扰素(IFN)治疗,10名母亲接受了醋酸格拉替雷治疗。采用结构化访谈、对儿童进行检查并评估常见人体测量指标、使用世界卫生组织的六项发育里程碑达成量表、病史记录及统计分析。

结果与结论

证实了MS对胎儿生长发育有负面影响,以及母亲在妊娠早期使用DMD治疗对儿童人体测量指标和出生后第一年发育有积极影响。得出结论:DMD对女性患者的病程有积极影响,并可能改善其未来后代的预后。

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