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母亲和父亲危险因素与婴儿先天性心脏病风险的关联:病例对照研究。

Association of maternal and paternal risk factors with risk of congenital heart disease in infants: a case-control study.

机构信息

Department of Preventive Health Care, Heping Hospital Affiliated to Changzhi Medical College, Changzhi, Shanxi, China.

出版信息

Ir J Med Sci. 2024 Feb;193(1):95-99. doi: 10.1007/s11845-023-03409-3. Epub 2023 May 30.

Abstract

OBJECTIVE

We aimed to explore maternal and paternal risk factors with risk of congenital heart disease in infants.

METHODS

A total of 125 congenital heart disease (CHD) infants and 125 controls were included in Heping Hospital Affiliated to Changzhi Medical College, Shanxi, China. Subjects were diagnosed between Jan 1, 2016 and Dec 31, 2021 in the present study. All the characteristics were collected with questionnaire by face-to-face interview, including maternal and paternal risk factors. Conditional logistic regression was conducted to explore the risk factors with risk of congenital heart disease in infants.

RESULTS

For maternal risk factors, we found that age, number of pregnancies, systolic blood pressure (SBP), diastolic blood pressure (DBP), and body mass index (BMI) were risk factors for CHD infants, and the ORs (95%CIs) were 1.15 (1.06-1.23) for age, 1.13 (1.02-1.29) for SBP, 1.06 (1.02-1.18) for DBP, 1.22 (1.16-1.31) for BMI. Compared with one pregnancy, the ORs (95%CIs) were 1.17 (1.05-1.29) for two pregnancies and 1.25 (1.16-1.47) for more pregnancies. For paternal risk factors, we found that age (OR = 1.07, 95%CI = 1.01-1.19), smoking (OR = 1.11, 95%CI = 1.03-1.27), drinking (OR = 1.04, 95%CI = 1.02-1.19), and BMI (OR = 1.15, 95%CI = 1.03-1.28) were risk factors for CHD infants.

CONCLUSION

We found that age, number of pregnancies, SBP, DBP, and BMI are maternal risk factors for CHD infants. And age, smoking, drinking, and BMI are paternal risk factors for CHD infants.

摘要

目的

探讨母亲和父亲的危险因素与婴儿先天性心脏病的风险。

方法

本研究纳入了 125 名先天性心脏病(CHD)患儿和 125 名对照,均来自中国山西长治医学院附属和平医院。所有特征均通过面对面访谈的问卷调查收集,包括母亲和父亲的危险因素。采用条件 logistic 回归探讨婴儿先天性心脏病的危险因素。

结果

对于母亲的危险因素,我们发现年龄、妊娠次数、收缩压(SBP)、舒张压(DBP)和体重指数(BMI)是 CHD 患儿的危险因素,OR(95%CI)分别为年龄 1.15(1.06-1.23)、SBP 1.13(1.02-1.29)、DBP 1.06(1.02-1.18)、BMI 1.22(1.16-1.31)。与一次妊娠相比,OR(95%CI)分别为两次妊娠 1.17(1.05-1.29)和多次妊娠 1.25(1.16-1.47)。对于父亲的危险因素,我们发现年龄(OR=1.07,95%CI=1.01-1.19)、吸烟(OR=1.11,95%CI=1.03-1.27)、饮酒(OR=1.04,95%CI=1.02-1.19)和 BMI(OR=1.15,95%CI=1.03-1.28)是 CHD 患儿的危险因素。

结论

我们发现,年龄、妊娠次数、SBP、DBP 和 BMI 是婴儿 CHD 的母亲危险因素。年龄、吸烟、饮酒和 BMI 是婴儿 CHD 的父亲危险因素。

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