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围产期窒息的关键炎症生物标志物:全面综述。

Key Inflammatory Biomarkers in Perinatal Asphyxia: A Comprehensive Review.

机构信息

Division of Neonatal-Perinatal Medicine, Department of Pediatrics, University of Texas Southwestern Medical Center, Dallas, TX 75235, USA.

Department of Pediatrics, Women & Infants Hospital of Rhode Island; The Alpert Medical School of Brown University, Barrington, RI 02806, USA.

出版信息

Clin Perinatol. 2024 Sep;51(3):617-628. doi: 10.1016/j.clp.2024.04.004. Epub 2024 May 22.

Abstract

This article summarizes the current evidence regarding inflammatory biomarkers (placental and postnatal) and provides a comprehensive understanding of their roles: (1) diagnostic accuracy to predict the severity of hypoxic-ischemia encephalopathy (HIE), (2) value in assessing treatment responses, and (3) prediction of both short- and long-term neurodevelopmental outcomes. In the early critical stages of perinatal asphyxia, inflammatory biomarkers may guide clinical decision-making. Additional research is required to increase our understanding of the optimal utility of biomarkers to predict the severity, evolution, and developmental outcomes after exposure to HIE.

摘要

本文总结了目前关于炎症生物标志物(胎盘和产后)的证据,并提供了对其作用的全面理解:(1)预测缺氧缺血性脑病(HIE)严重程度的诊断准确性,(2)评估治疗反应的价值,以及(3)预测短期和长期神经发育结果。在围产期窒息的早期关键阶段,炎症生物标志物可能有助于指导临床决策。需要进一步研究以增加我们对生物标志物最佳用途的理解,以预测 HIE 暴露后的严重程度、演变和发育结果。

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