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产前接触大麻的影响。

Effects of prenatal exposure to marijuana.

作者信息

Kozer E, Koren G

机构信息

Hospital for Sick Children, Toronto.

出版信息

Can Fam Physician. 2001 Feb;47:263-4.

Abstract

QUESTION

I am treating a 27-year-old woman who is now in her 10th week of pregnancy. She smokes marijuana two to three times a week, but does not use other drugs. She also smokes 20 cigarettes a day. I am concerned about the effects of marijuana exposure on her baby.

ANSWER

It is not always possible to isolate the effect of marijuana exposure from other possible confounders on pregnancy outcome. Although marijuana is not an established human teratogen, recent well conducted studies suggest it might have subtle negative effects on neurobehavioural outcomes, including sleep disturbances, impaired visual problem solving, hyperactivity, impassivity, inattention, and increased delinquency.

摘要

问题

我正在治疗一名27岁的女性,她现在处于怀孕第10周。她每周吸食大麻两到三次,但不使用其他毒品。她每天还吸20支烟。我担心接触大麻会对她的宝宝产生影响。

答案

要将接触大麻的影响与其他可能的混杂因素对妊娠结局的影响区分开来并不总是可行的。虽然大麻并非公认的人类致畸物,但最近开展的一些良好研究表明,它可能对神经行为结局有微妙的负面影响,包括睡眠障碍、视觉问题解决能力受损、多动、冷漠、注意力不集中以及犯罪行为增加。

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本文引用的文献

1
Drug therapy for breast-feeding women.哺乳期妇女的药物治疗。
N Engl J Med. 2000 Jul 13;343(2):118-26. doi: 10.1056/NEJM200007133430208.
6
Substance abuse in pregnancy.
Curr Opin Obstet Gynecol. 1993 Feb;5(1):16-23.

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