丰富环境对母婴分离认知功能障碍影响的研究进展
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1. 西南医科大学护理学院,四川泸州 646000;2. 西南医科大学附属医院护理部,四川泸州 646000

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Research progress on the effects of enriched environment on maternal separation cognitive dysfunction
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1. School of Nursing, Southwest Medical University, Luzhou 646000, China. 2. Department of Nursing, Affiliated Hospital of Southwest Medical University, Luzhou 646000

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    摘要:

    随着三孩政策的出台实施,我国高龄产妇生产率逐年增加。高龄产妇妊娠期和分娩期容易出现各种疑难和高危情况,高危新生儿出生率随之增加。高危新生儿出生后在新生儿重症监护室接受治疗与护理,与母亲分离。母婴分离会损伤认知功能,但在临床护理中尚未发现有效护理措施。大量动物实验表明,丰富环境能够改善阿尔兹海默症、抑郁症、缺血性脑卒中等疾病引起的认知功能障碍,但目前关于丰富环境在母婴分离模型中的作用和机制报道还较少且存在分歧。为此,本文就丰富环境对母婴分离大(小)鼠模型认知功能障碍的影响及氧化应激、表观遗传、突触可塑性、下丘脑-垂体-肾上腺轴等相关作用机制研究进展进行综述,为高危新生儿认知功能的改善及护理提供新的思路。

    Abstract:

    With the introduction and implementation of China’ s three-child policy, the productivity of elderly mothers in China has increased yearly. Advanced elderly mothers is prone to a variety of difficult and high-risk conditions during pregnancy and delivery, with a subsequent increase in the birth rate of high-risk neonates. High-risk neonates are treated and cared for in the neonatal intensive care unit after birth and separated from their mothers. Maternal separation impairs cognitive functions, but no effective care has been found in clinical care. Numerous animal experiments have shown that enriched environment can improve cognitive dysfunction caused by diseases such as alzheimer's disease, depression, and ischemic stroke, but there are few reports and disagreements about the role and mechanism of the enriched environment in the model of maternal separation. Therefore, we reviewed the research progress on the effects of an enriched environment on cognitive functions in rodent models of maternal separation and the mechanisms of action with oxidative stress, epigenetics, synaptic plasticity, and the hypothalamic-pituitary-adrenal axis to provide new ideas for the improvement and care of cognitive functions in high-risk neonates.

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李玲玉,李金玲,廖小雨,罗雯,孙鸿燕.丰富环境对母婴分离认知功能障碍影响的研究进展[J].中国实验动物学报,2023,31(7):963~968.

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  • 收稿日期:2023-01-10
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  • 在线发布日期: 2023-10-17
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