妊娠剧吐是神经精神障碍吗?

IF 1.3 Q4 NEUROSCIENCES
Simon D Nicholson
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引用次数: 0

摘要

妊娠剧吐发生率高达2%。习惯上认为这种情况纯粹是产科问题。然而,有合理的理由将其重新定义为依赖于遗传因素和涉及中枢神经系统内活性肽的神经精神状态。神经系统异常也可由韦尼克脑病和再进食综合征的电解质异常引起。除了补液和止吐药物外,这种情况对某些精神药物和心理干预反应良好,因此将妊娠呕吐视为需要精神病学和医学专业知识进行综合管理可能是合理的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Is hyperemesis gravidarum a neuropsychiatric disorder?
Hyperemesis gravidarum occurs in up to 2 % of pregnancies. It is customary to regard the condition as purely an obstetric issue. However, there are reasonable grounds for reframing it as a neuropsychiatric state dependent upon genetic factors and involving peptides active within the central nervous system. Neurological abnormalities can also arise due to Wernicke's encephalopathy and the electrolyte abnormalities of refeeding syndrome. Aside from rehydration and antiemetic drugs, the condition can respond well to certain psychotropic medications and to psychological interventions, it may therefore be reasonable to regard hyperemesis of pregnancy as requiring both psychiatric and medical expertise for comprehensive management.
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来源期刊
CiteScore
1.70
自引率
8.30%
发文量
44
期刊介绍: Progress in Neurology and Psychiatry is published nine times a year, and is a journal for specialists in secondary care, GPs with an interest in neurology and psychiatry, community psychiatric nurses and other specialist healthcare professionals. Articles cover management, news updates and opinion in all areas of neurology and psychiatry.
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