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近期关于宫内生长受限对神经系统结构和功能影响的研究。

Recent research on the influence of intrauterine growth restriction on the structure and function of the nervous system.

机构信息

Department of Pediatrics, Peking University Third Hospital, Beijing 100191, China.

出版信息

Zhongguo Dang Dai Er Ke Za Zhi. 2021 Nov 15;23(11):1184-1189. doi: 10.7499/j.issn.1008-8830.2108044.

Abstract

Intrauterine growth restriction (IUGR) is caused by many factors, and most newborns with IUGR are small for gestational age (SGA). SGA infants have a relatively high risk of death and disease in the perinatal period, and the nervous system already has structural changes in the uterus, including the reduction of brain volume and gray matter volume, accompanied by abnormal imaging and pathological changes. IUGR fetuses undergo intrauterine blood flow redistribution to protect brain blood supply, and there are still controversies over the clinical effect of brain protection mechanism. SGA infants have a relatively high risk of abnormal cognitive, motor, language, and behavioral functions in the neonatal period and childhood, and preterm infants tend to have a higher degree of neurological impairment than full-term infants. Early intervention may help to improve the function of the nervous system.

摘要

胎儿宫内生长受限(IUGR)是由多种因素引起的,大多数 IUGR 新生儿为小于胎龄儿(SGA)。SGA 新生儿在围生期死亡和患病的风险相对较高,其神经系统在子宫内就已经发生了结构改变,包括脑容量和灰质体积减少,同时伴有影像学和病理学的异常改变。IUGR 胎儿在宫内会重新分配血流以保护脑血供,而对于脑保护机制的临床效果仍存在争议。SGA 新生儿在新生儿期和儿童期有较高的认知、运动、语言和行为功能异常风险,早产儿的神经功能损害程度比足月儿高。早期干预可能有助于改善神经系统功能。

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