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母体系统性红斑狼疮、类风湿关节炎与后代孤独症谱系障碍风险:一项荟萃分析。

Maternal Systemic Lupus Erythematosus, Rheumatoid Arthritis, and Risk for Autism Spectrum Disorders in Offspring: A Meta-analysis.

机构信息

Mental Health Center, Renmin Hospital of Wuhan University, Jiefang Road 238#, Wuchang District, Wuhan, 430060, People's Republic of China.

Jingzhou Mental Health Center, Taqiao Road 47#, Shashi District, Jingzhou, 434023, People's Republic of China.

出版信息

J Autism Dev Disord. 2020 Aug;50(8):2852-2859. doi: 10.1007/s10803-020-04400-y.

Abstract

This study assessed the relationships between maternal systemic lupus erythematosus (SLE) or rheumatoid arthritis (RA) and risk for autism spectrum disorders (ASDs) in offspring. Seven observational studies, including 25,005 ASD cases and 4,543,321 participants, were included for meta-analysis. Pooled results by using random-effects models suggested that maternal RA was associated with an increased risk for ASDs [odds ratio (OR) 1.39, 95% confidence interval (CI) 1.16-1.67], while maternal SLE was associated with an increased risk for ASDs only in western population (OR 1.91, 95% CI 1.02-3.57). Further study is warranted to confirm these results.

摘要

本研究评估了母体系统性红斑狼疮 (SLE) 或类风湿性关节炎 (RA) 与后代自闭症谱系障碍 (ASD) 风险之间的关系。纳入了 7 项观察性研究,共包括 25005 例 ASD 病例和 4543321 名参与者,进行荟萃分析。采用随机效应模型的汇总结果表明,母亲 RA 与 ASD 风险增加相关(比值比 [OR] 1.39,95%置信区间 [CI] 1.16-1.67),而母体 SLE 仅与西方人群的 ASD 风险增加相关(OR 1.91,95%CI 1.02-3.57)。需要进一步的研究来证实这些结果。

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