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早产儿伴或不伴脑室内出血性脑室内出血的海马亚区体积减小和记忆表现下降。

Reduced hippocampal subfield volumes and memory performance in preterm children with and without germinal matrix-intraventricular hemorrhage.

机构信息

Department of Methods and Experimental Psychology, Faculty of Psychology and Education, University of Deusto, Bilbao, Basque Country, Spain.

Medical Psychology Unit, Department of Medicine, Institute of Neuroscience, University of Barcelona, Barcelona, Catalonia, Spain.

出版信息

Sci Rep. 2021 Jan 28;11(1):2420. doi: 10.1038/s41598-021-81802-7.

Abstract

Preterm newborns with germinal matrix-intraventricular hemorrhage (GM-IVH) are at a higher risk of evidencing neurodevelopmental alterations. Present study aimed to explore the long-term effects that GM-IVH have on hippocampal subfields, and their correlates with memory. The sample consisted of 58 participants, including 36 preterm-born (16 with GM-IVH and 20 without neonatal brain injury), and 22 full-term children aged between 6 and 15 years old. All participants underwent a cognitive assessment and magnetic resonance imaging study. GM-IVH children evidenced lower scores in Full Intelligence Quotient and memory measures compared to their low-risk preterm and full-term peers. High-risk preterm children with GM-IVH evidenced significantly lower total hippocampal volumes bilaterally and hippocampal subfield volumes compared to both low-risk preterm and full-term groups. Finally, significant positive correlations between memory and hippocampal subfield volumes were only found in preterm participants together; memory and the right CA-field correlation remained significant after Bonferroni correction was applied (p = .002). In conclusion, memory alterations and both global and regional volumetric reductions in the hippocampus were found to be specifically related to a preterm sample with GM-IVH. Nevertheless, results also suggest that prematurity per se has a long-lasting impact on the association between the right CA-field volume and memory during childhood.

摘要

患有脑室内出血(GM-IVH)的早产儿发生神经发育改变的风险更高。本研究旨在探讨 GM-IVH 对海马亚区的长期影响,及其与记忆的相关性。该样本包括 58 名参与者,其中 36 名早产儿(16 名 GM-IVH,20 名无新生儿脑损伤)和 22 名足月出生的儿童(6-15 岁)。所有参与者都接受了认知评估和磁共振成像研究。与低风险早产儿和足月儿童相比,GM-IVH 早产儿的总体智力商数和记忆测试得分较低。高风险 GM-IVH 早产儿的双侧海马总容积和海马亚区容积明显低于低风险早产儿和足月组。最后,只有在早产儿参与者中,记忆与海马亚区体积之间才存在显著的正相关;在应用 Bonferroni 校正后,记忆与右侧 CA 场的相关性仍然显著(p=0.002)。总之,发现记忆改变以及海马的整体和区域性体积减少与 GM-IVH 的早产儿样本有关。然而,结果还表明,早产儿本身对儿童时期右侧 CA 场容积与记忆之间的关联具有持久影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b359/7844245/8f4a6445732d/41598_2021_81802_Fig1_HTML.jpg

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