Developmental Outcomes after Opioid Exposure in the Fetus and Neonate.

Q2 Medicine
NeoReviews Pub Date : 2024-06-01 DOI:10.1542/neo.25-6-e325
Jeanette Fong, Juanita Lewis, Melanie Lam, Kalpashri Kesavan
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引用次数: 0

Abstract

The overall prevalence of opiate use has been increasing, currently affecting approximately 0.6% of the global population and resulting in a significant proportion of infants being born with prenatal opioid exposure. Animal and human models of prenatal opioid exposure demonstrate detrimental effects on brain anatomy as well as neurodevelopment. Less is known about the neurologic sequelae of postnatal opioid exposure in hospitalized infants. In this review, we summarize our current understanding of the impact of prenatal and postnatal opioid exposure on the brain and on neurodevelopment outcomes. We also identify resources and management strategies that may help mitigate neurodevelopmental delays and deficits associated with opioid exposure in this vulnerable population.

胎儿和新生儿接触阿片类药物后的发育结果
使用阿片类药物的总体流行率一直在上升,目前约占全球人口的 0.6%,导致相当一部分婴儿在出生前接触过阿片类药物。产前接触阿片类药物的动物模型和人体模型均显示出对大脑解剖结构和神经发育的不利影响。而对于住院婴儿产后接触阿片类药物后的神经系统后遗症,目前还知之甚少。在本综述中,我们总结了目前对产前和产后阿片类药物暴露对大脑和神经发育结果的影响的认识。我们还确定了一些资源和管理策略,这些资源和策略可能有助于减轻这一弱势群体因接触阿片类药物而导致的神经发育迟缓和缺陷。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
NeoReviews
NeoReviews Medicine-Pediatrics, Perinatology and Child Health
CiteScore
2.20
自引率
0.00%
发文量
110
期刊介绍: Co-edited by Alistair G.S. Philip, MD, FAAP, and William W. Hay Jr., MD, FAAP, NeoReviews each month delivers 3 to 4 clinical reviews, case discussions, basic science insights and "on the horizon" pieces. Written and edited by experts, these concise reviews are available to NeoReviews subscribers at http://neoreviews.aappublications.org. Since January 2009, all clinical articles have been mapped to the American Board of Pediatrics (ABP) content specifications in neonatology.
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