Houck Philipp, Naus Claire, Croen Lisa, Sun Lena S
Columbia University, Department of Anesthesiology, New York, NY.
Texas Children's Hospital, Baylor College of Medicine, Houston, TX.
J Neurosurg Anesthesiol. 2023 Jan 1;35(1):127-129. doi: 10.1097/ANA.0000000000000879. Epub 2022 Dec 6.
Epidural analgesia is frequently used during labor among pregnant people in the United States. Different factors have been associated with the development of autism spectrum disorder in the epidemiological literature: maternal health, infectious and pharmacological etiologies, social factors, and environmental exposures. Current data indicates no clear association between the use of epidural labor analgesia and the development of autism spectrum disorder in the offspring. This review presents the public health perspective on the postulated association between perinatal anesthesia exposure and autism spectrum disorders.
在美国,硬膜外镇痛常用于孕妇分娩期间。在流行病学文献中,不同因素与自闭症谱系障碍的发生有关:孕产妇健康、感染和药理学病因、社会因素以及环境暴露。目前的数据表明,硬膜外分娩镇痛的使用与后代自闭症谱系障碍的发生之间没有明确关联。本综述从公共卫生角度阐述了围产期麻醉暴露与自闭症谱系障碍之间的假定关联。