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子宫内暴露于抗癫痫药物:致畸性与新生儿发病率。

In utero exposure to antiepileptic drugs: teratogenicity and neonatal morbidity.

作者信息

Lateef Tarannum Musvee, Nelson Karin B

机构信息

Department of Neurology, Children's National Medical Center, Washington, DC 20010, USA.

出版信息

Curr Neurol Neurosci Rep. 2007 Mar;7(2):133-8. doi: 10.1007/s11910-007-0008-4.

DOI:10.1007/s11910-007-0008-4
PMID:17324364
Abstract

Clinical studies have extensively documented the various risks posed by in utero exposure to antiepileptic drugs (AEDs). However, it is difficult to sort out the extent to which any given AED is responsible for a particular outcome, given the disparities in patients taking the drugs, their type and severity of epilepsy, and the various possible AEDs, as well as the vast number of outcomes that could be assessed. This review focuses on AED exposure during pregnancy and how it affects the risks of neonatal morbidity and major congenital malformations.

摘要

临床研究已广泛记录了子宫内接触抗癫痫药物(AEDs)所带来的各种风险。然而,鉴于服用这些药物的患者存在差异、癫痫的类型和严重程度不同、可用的AED种类繁多,以及可评估的结果数量众多,很难确定任何一种特定的AED对特定结果的影响程度。本综述重点关注孕期接触AEDs的情况及其对新生儿发病风险和主要先天性畸形的影响。

相似文献

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In utero exposure to antiepileptic drugs: teratogenicity and neonatal morbidity.子宫内暴露于抗癫痫药物:致畸性与新生儿发病率。
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2
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引用本文的文献

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Curing epilepsy: progress and future directions.癫痫治疗:进展与未来方向
Epilepsy Behav. 2009 Mar;14(3):438-45. doi: 10.1016/j.yebeh.2009.02.036.

本文引用的文献

1
In utero antiepileptic drug exposure: fetal death and malformations.子宫内抗癫痫药物暴露:胎儿死亡与畸形
Neurology. 2006 Aug 8;67(3):407-12. doi: 10.1212/01.wnl.0000227919.81208.b2.
2
The frequency of neonatal morbidity after exposure to antiepileptic drugs in utero: a retrospective population-based study.子宫内暴露于抗癫痫药物后新生儿发病的频率:一项基于人群的回顾性研究。
Wien Klin Wochenschr. 2006;118 Suppl 2:12-6. doi: 10.1007/s00508-006-0539-8.
3
Pregnancy, delivery, and neonatal complications after treatment with antiepileptic drugs.
抗癫痫药物治疗后的妊娠、分娩及新生儿并发症。
Acta Obstet Gynecol Scand. 2006;85(6):643-6. doi: 10.1080/00016340600604625.
4
Malformation risks of antiepileptic drugs in pregnancy: a prospective study from the UK Epilepsy and Pregnancy Register.孕期抗癫痫药物的致畸风险:来自英国癫痫与妊娠登记处的一项前瞻性研究。
J Neurol Neurosurg Psychiatry. 2006 Feb;77(2):193-8. doi: 10.1136/jnnp.2005.074203. Epub 2005 Sep 12.
5
Antiepileptic drug use of women with epilepsy and congenital malformations in offspring.癫痫女性使用抗癫痫药物与后代先天性畸形
Neurology. 2005 Jun 14;64(11):1874-8. doi: 10.1212/01.WNL.0000163771.96962.1F.
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Levetiracetam use and pregnancy outcome.左乙拉西坦的使用与妊娠结局。
Reprod Toxicol. 2005 May-Jun;20(1):175-8. doi: 10.1016/j.reprotox.2004.12.001.
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Increased rate of major malformations in offspring exposed to valproate during pregnancy.孕期接触丙戊酸盐的后代中严重畸形发生率增加。
Neurology. 2005 Mar 22;64(6):961-5. doi: 10.1212/01.WNL.0000154516.43630.C5.
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Lamotrigine and the risk of malformations in pregnancy.拉莫三嗪与妊娠期间的致畸风险。
Neurology. 2005 Mar 22;64(6):955-60. doi: 10.1212/01.WNL.0000154515.94346.89.
9
Effects of seizures and their treatment on fetal brain.癫痫发作及其治疗对胎儿大脑的影响。
Epilepsia. 2004;45 Suppl 8:48-52. doi: 10.1111/j.0013-9580.2004.458007.x.
10
Critical relationship between sodium valproate dose and human teratogenicity: results of the Australian register of anti-epileptic drugs in pregnancy.丙戊酸钠剂量与人类致畸性之间的关键关系:澳大利亚孕期抗癫痫药物登记处的结果
J Clin Neurosci. 2004 Nov;11(8):854-8. doi: 10.1016/j.jocn.2004.05.003.