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孕期使用麻醉药品。

Narcotic use in pregnancy.

作者信息

Hoegerman G, Schnoll S

机构信息

Department of Internal Medicine, Medical College of Virginia, Richmond.

出版信息

Clin Perinatol. 1991 Mar;18(1):51-76.

PMID:2040118
Abstract

Narcotic use in pregnancy remains a critical problem in 1990. Maternal and neonatal morbidity and mortality are increased significantly in pregnancies complicated by opioid addiction. Methadone maintenance is an important component of the management of many pregnant opioid addicts. The unavailability in most communities of specialized services dealing with perinatal addiction contributes to the dismal outcome frequently observed. The helpless fetus does not get the opportunity to just say no to drugs. As a society, we must just say no to continuing to ignore this problem.

摘要

1990年,孕期使用麻醉药品仍是一个关键问题。在并发阿片类药物成瘾的妊娠中,孕产妇和新生儿的发病率和死亡率显著增加。美沙酮维持疗法是许多孕期阿片类药物成瘾者治疗的重要组成部分。大多数社区缺乏处理围产期成瘾的专门服务,这导致了经常观察到的糟糕结局。无助的胎儿没有机会对毒品说“不”。作为一个社会,我们必须对继续忽视这个问题说“不”。

相似文献

1
Narcotic use in pregnancy.孕期使用麻醉药品。
Clin Perinatol. 1991 Mar;18(1):51-76.
2
Methadone in the management of narcotic addiction in pregnancy.美沙酮在孕期麻醉品成瘾管理中的应用
Curr Opin Obstet Gynecol. 1998 Dec;10(6):435-40. doi: 10.1097/00001703-199812000-00001.
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Clinical management of methadone dependence during pregnancy.孕期美沙酮依赖的临床管理
J Perinat Neonatal Nurs. 2001 Mar;14(4):26-45. doi: 10.1097/00005237-200103000-00004.
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Methadone maintenance program in a Swiss perinatal center: (I): Management and outcome of 89 pregnancies.瑞士围产期中心的美沙酮维持治疗项目:(I):89例妊娠的管理与结局
Acta Obstet Gynecol Scand. 2005 Feb;84(2):140-4. doi: 10.1111/j.0001-6349.2005.00497.x.
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Treatment of opioid dependence in the setting of pregnancy.妊娠期阿片类药物依赖的治疗。
Psychiatr Clin North Am. 2012 Jun;35(2):441-60. doi: 10.1016/j.psc.2012.03.008. Epub 2012 Apr 11.
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Methadone treatment during pregnancy.孕期美沙酮治疗。
J Psychoactive Drugs. 1994 Apr-Jun;26(2):155-61. doi: 10.1080/02791072.1994.10472263.
7
Chronic opioid use during pregnancy: maternal and fetal implications.孕期慢性阿片类药物使用:对母体和胎儿的影响。
Clin Perinatol. 2013 Sep;40(3):337-50. doi: 10.1016/j.clp.2013.05.015. Epub 2013 Jul 4.
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[Opiate dependent pregnant patients and mothers. What must be regarded in drug substitution and detoxification].[阿片类药物依赖的孕妇和母亲。药物替代和戒毒时必须考虑的因素]
MMW Fortschr Med. 2001 May 28;143 Suppl 2:84-6.
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Methadone maintenance treatment.美沙酮维持治疗
Int J Addict. 1985 Jun-Jul;20(6-7):803-21. doi: 10.3109/10826088509047754.
10
[Methadone treatment during pregnancy and its effect on the child. Better than continuing drug abuse, should be monitored by a specialized antenatal care center].[孕期美沙酮治疗及其对儿童的影响。优于持续药物滥用,应由专业的产前护理中心进行监测]
Lakartidningen. 2000 May 3;97(18):2182-4, 2187-8, 2190.

引用本文的文献

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Development and validation of a liquid chromatography mass spectrometry assay for the simultaneous quantification of methadone, cocaine, opiates and metabolites in human umbilical cord.一种用于同时定量人脐带中美沙酮、可卡因、阿片类药物及其代谢物的液相色谱-质谱分析法的开发与验证
J Chromatogr B Analyt Technol Biomed Life Sci. 2009 Oct 1;877(27):3065-71. doi: 10.1016/j.jchromb.2009.07.028. Epub 2009 Jul 24.
2
Maternal methadone dosing schedule and fetal neurobehaviour.母亲美沙酮给药方案与胎儿神经行为
J Matern Fetal Neonatal Med. 2009 Jan;22(1):29-35. doi: 10.1080/14767050802452291.
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Substance abuse in pregnancy: opioid substitution in a northern Ireland maternity unit.
孕期药物滥用:北爱尔兰一家产科病房的阿片类药物替代疗法
Ulster Med J. 2006 Sep;75(3):187-91.
4
Hyperphagia in neonates withdrawing from methadone.美沙酮戒断新生儿的摄食过多。
Arch Dis Child Fetal Neonatal Ed. 1999 May;80(3):F178-82. doi: 10.1136/fn.80.3.f178.
5
Congenital hypothyroidism and neonatal withdrawal syndrome.先天性甲状腺功能减退症和新生儿戒断综合征。
Eur J Pediatr. 1996 Nov;155(11):937-8. doi: 10.1007/BF02282882.