文献

J-GLOBAL ID：202202268368236380   整理番号：22A1026545

北京における周産期脳卒中の発生率と特徴:多施設研究【JST・京大機械翻訳】

The Incidence and Characteristics of Perinatal Stroke in Beijing: A Multicenter Study

著者 (51件)： Xia Qianqian (Pediatric Department, Peking University First Hospital, Beijing, China) ,  Yang Zhao (Pediatric Department, Peking University First Hospital, Beijing, China) ,  Xie Yao (Pediatric Department, Peking University First Hospital, Beijing, China) ,  Zhu Ying (Pediatric Department, Peking University First Hospital, Beijing, China) ,  Yang Zixin (Beijing Children’s Hospital, Capital Medical University, National Center for Children’s Health, Beijing, China) ,  Hei Mingyan (Beijing Children’s Hospital, Capital Medical University, National Center for Children’s Health, Beijing, China) ,  Ding Yingxue (Beijing Friendship Hospital, Capital Medical University, Beijing, China) ,  Kong Weijing (Beijing Friendship Hospital, Capital Medical University, Beijing, China) ,  Kang Limin (Department of Neonatology, Children’s Hospital, Capital Institute of Pediatrics, Beijing, China) ,  Yang Shengnan (Department of Neonatology, Children’s Hospital, Capital Institute of Pediatrics, Beijing, China) ,  Mei Yabo (Neonatal Intensive Care Unit of Faculty of Pediatrics, Chinese People’s Liberation Army (PLA) General Hospital, Beijing, China) ,  Feng Zhichun (Neonatal Intensive Care Unit of Faculty of Pediatrics, Chinese People’s Liberation Army (PLA) General Hospital, Beijing, China) ,  Zhang Li (Pediatric Department, Haidian Maternal and Child Health Hospital, Beijing, China) ,  Lei Yanzhe (Pediatric Department, Haidian Maternal and Child Health Hospital, Beijing, China) ,  Wang Ping (Department of Neonatology, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing, China) ,  Dong Jingyu (Pediatric Department, Tongzhou Maternal and Child Health Hospital, Beijing, China) ,  Yang Li (Pediatric Department, Tongzhou Maternal and Child Health Hospital, Beijing, China) ,  Ju Jun (Pediatric Department, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, China) ,  Chang Hesheng (Pediatric Department, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, China) ,  Zhan Shina (Pediatric Department, Shunyi Maternal and Children’s Hospital of Beijing Children’s Hospital, Beijing, China) ,  Yu Jinqian (Pediatric Department, Shunyi Maternal and Children’s Hospital of Beijing Children’s Hospital, Beijing, China) ,  Zhang Peng (Pediatric Department, Beijing Miyun Maternal and Child Health Hospital, Beijing, China) ,  Wang Ran (Pediatric Department, Beijing Miyun Maternal and Child Health Hospital, Beijing, China) ,  Guo Hui (Pediatric Department, Fengtai Maternal and Child Health Hospital, Beijing, China) ,  Liu Xinli (Pediatric Department, Fengtai Maternal and Child Health Hospital, Beijing, China) ,  Tan Huaqing (Pediatric Department, Beijing Daxing Maternal and Child Care Hospital, Beijing, China) ,  Liu Yakun (Pediatric Department, Beijing Daxing Maternal and Child Care Hospital, Beijing, China) ,  Zhang Zhenzong (Pediatric Department, The First Hospital of Fangshan, Beijing, China) ,  Zhen Lixia (Pediatric Department, The First Hospital of Fangshan, Beijing, China) ,  Yan Jinting (Pediatric Department, Beijing Mentougou Hospital, Beijing, China) ,  Liu Zhan (Pediatric Department, Beijing Mentougou Hospital, Beijing, China) ,  Yang Chunxia (Pediatric Department, Changping Women and Children Health Care Hospital, Beijing, China) ,  Wang Qingqing (Pediatric Department, Changping Women and Children Health Care Hospital, Beijing, China) ,  Wang Jinfeng (Beijing Pinggu Maternal and Child Health Hospital, Beijing, China) ,  Sun Lifang (Beijing Pinggu Maternal and Child Health Hospital, Beijing, China) ,  Zeng Huihui (Pediatric Department, Huairou Maternal and Child Health Care Hospital, Beijing, China) ,  Li Jing (Pediatric Department, Huairou Maternal and Child Health Care Hospital, Beijing, China) ,  Qu Wenwen (Department of Pediatrics, Peking University Shougang Hospital and Capital Medical University, Beijing, China) ,  Wang Xuemei (Department of Pediatrics, Peking University Shougang Hospital and Capital Medical University, Beijing, China) ,  Wang Xuemei (General Respiratory Department of Beijing Jingdu Children’s Hospital, Beijing, China) ,  Liu Guiying (Department of Pediatrics, Beijing Anzhen Hospital, Capital Medical University, Beijing, China) ,  Yang Xi (Department of Pediatrics, Beijing Anzhen Hospital, Capital Medical University, Beijing, China) ,  Liu Xinxin (Pediatric Department, Fifth Medical Center of Chinese People’s Liberation Army (PLA) General Hospital, Beijing, China) ,  Zhang Xuefeng (Pediatric Department, Fifth Medical Center of Chinese People’s Liberation Army (PLA) General Hospital, Beijing, China) ,  Xu Xiaojing (Pediatric Department, The First Hospital of Tsinghua University, Beijing, China) ,  Gu Yanan (Pediatric Department, The First Hospital of Tsinghua University, Beijing, China) ,  Long Hui (Department of Pediatrics, Chinese People’s Liberation Army (PLA) General Hospital, Beijing, China) ,  Zhang Li (Department of Pediatrics, Chinese People’s Liberation Army (PLA) General Hospital, Beijing, China) ,  Liu Lili (Pediatric Department, Peking University First Hospital, Beijing, China) ,  Tang Zezhong (Pediatric Department, Peking University First Hospital, Beijing, China) ,  Hou Xinlin (Pediatric Department, Peking University First Hospital, Beijing, China)
資料名： Frontiers in Public Health (Web)  (Frontiers in Public Health (Web))
巻： 10  ページ： 783153  発行年： 2022年 
JST資料番号： U7097A  ISSN： 2296-2565  資料種別： 逐次刊行物 (A)
記事区分： 短報  発行国： スイス (CHE)  言語： 英語 (EN)

抄録/ポイント： 【目的】北京における周産期脳卒中の発生率,危険因子,および臨床的特徴を評価する。方法:この多施設前向き研究は,北京の17の代表的な母性分娩病院から,2020年3月1日から2020年2月29日までの全ての出生を含んだ。脳卒中の新生児を研究群に割り当てた。一般情報,臨床症状および危険因子を含む臨床データを収集した。生後18か月まで,新生児を年齢とステージアンケート(ASQ)および/またはBayleyスケールに従って日常的に評価した。統計解析は,カイ二乗検定,t検定,およびSPSSバージョン26.0を用いたロジスティック回帰分析を用いて行った。結果:合計27症例を同定し,北京における周産期脳卒中の発生率は,虚血性脳卒中の1/5,985,出血性脳卒中の1/4788を含む1/2,660の生児出生であった。急性症候性脳卒中の17症例(62.96%)と72時間以内の痙攣(10症例,37.04%)が最も一般的な症状であった。10人の患者は神経学的症状を示さず,非神経疾患のために入院後,ルーチンの頭蓋超音波検査により脳卒中を有することを見出した。危険因子は,初産性,胎盤または子宮突然/急性絨毛膜炎,子宮内 distress迫,仮死,および重症感染症を含む。研究群において,患者の11.1%(3/27)は,有害な神経発達転帰を有した。研究群の患者は,コミュニケーション,肉眼的,および微細な運動次元において,対照群におけるそれらよりASQのスコアが低かった。結論:北京における周産期脳卒中の発生率は,他の国におけるそれと一致した。危険因子を有する乳児のルーチン神経イメージングは,より多くの患者における無症候性脳卒中の同定を可能にする可能性がある。脳卒中に罹患した患者は神経学的後遺症を有する可能性がある。したがって,早期検出,治療および定期的追跡調査は,それらの回復結果を改善するために有益である。Copyright 2022 The Author(s) All rights reserved. Translated from English into Japanese by JST.【JST・京大機械翻訳】

シソーラス用語： 痙攣 ,  子宮 ,  新生児 ,  胎盤 ,  分娩 ,  病院 ,  乳児 ,  *脳卒中 ,  入院 ,  予後 ,  *周産期 ,  危険因子 ,  前向きコホート研究
準シソーラス用語： t検定 ,  出生 , 【Automatic Indexing@JST】

著者キーワード (5件)： 新生児脳卒中 ,  発生率 ,  診断 ,  臨床的特徴 ,  予後

分類 (5件)： 神経系疾患の薬物療法  (GN05020Y) ,  神経系疾患の外科療法  (GN05030J) ,  応急処置  (GC03014I) ,  神経系疾患の治療一般  (GN05010N) ,  血液・体液作用薬の臨床への応用  (GW14020X)

引用文献 (31件)：

• Nelson KB, Lynch JK. Stroke in newborn infants. Lancet Neurol. (2004) 3:150-8. doi: 10.1016/S1474-4422(04)00679-9
• Dunbar M, Kirton A. Perinatal stroke: mechanisms, management, and outcomes of early cerebrovascular brain injury. Lancet Child Adolesc Health. (2018) 2:666-76. doi: 10.1016/S2352-4642(18)30173-1
• Laugesaar R, Kolk A, Tomberg T, Metsvaht T, Lintrop M, Varendi H, et al. Acutely and retrospectively diagnosed perinatal stroke: a population-based study. Stroke. (2007) 38:2234-40. doi: 10.1161/STROKEAHA.107.483743
• Chabrier S, Husson B, Dinomais M, Landrieu P, Nguyen S. New insights (and new interrogations) in perinatal arterial ischemic stroke. Thromb Res. (2011) 127:13-22. doi: 10.1016/j.thromres.2010.10.003
• Lynch JK. Epidemiology and classification of perinatal stroke. Semin Fetal Neonatal Med. (2009) 14:245-9. doi: 10.1016/j.siny.2009.07.001

タイトルに関連する用語 (6件)： 北京 ,  周産期 ,  脳卒中 ,  発生率 ,  施設 ,  研究