妊娠 30 至 34 周时的产前静脉注射镁与后代的神经发育结果:MAGENTA 随机临床试验

C. Crowther, P. Ashwood, P. F. Middleton, A. McPhee, T. Tran, J.E. Harding
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引用次数: 0

摘要

(美国医学会杂志。2023;330(7):603-614)早产儿患脑瘫的风险更大,而脑瘫是一种常见的运动障碍,目前尚无根治的方法。因此,初级预防尤为重要。随机临床试验表明,孕妇在怀孕期间服用硫酸镁对有早产风险的孕妇很有帮助,可提高婴儿的存活率,避免出现脑瘫。因此,硫酸镁被推荐用于胎儿神经保护。然而,关于产前使用硫酸镁的理想孕龄还缺乏相关数据。
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Prenatal Intravenous Magnesium at 30 to 34 Weeks’ Gestation and Neurodevelopmental Outcomes in Offspring: The MAGENTA Randomized Clinical Trial
(JAMA. 2023;330(7):603–614) Preterm infants have a greater risk of cerebral palsy, a common motor disability for which there is no cure. As such, primary prevention is especially important. The use of magnesium sulfate while pregnant has been shown in randomized clinical trials to be helpful for those at risk of early preterm delivery by improving an infant’s chance of survival without cerebral palsy. As a result, magnesium sulfate is recommended for fetal neuroprotection. However, there is a lack of data surrounding the ideal gestational age for using it prenatally.
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