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孕期母亲病毒及药物暴露史对胎儿先天性心脏病的影响。

The influence of maternal exposure history to virus and medicine during pregnancy on congenital heart defects of fetus.

作者信息

Liang Qianhong, Gong Wei, Zheng Dongming, Zhong Risheng, Wen Yunjie, Wang Xiaodan

机构信息

Department of Ultrasound, Panyu He Xian Memorial Hospital, No. 2 East Qinghe Road, Panyu District, Guangzhou City, Guangdong Province, China.

Guangzhou Huayin Medical Laboratory Center. CO. Ltd, Guangzhou, 510663, China.

出版信息

Environ Sci Pollut Res Int. 2017 Feb;24(6):5628-5632. doi: 10.1007/s11356-016-8198-4. Epub 2016 Dec 30.

DOI:10.1007/s11356-016-8198-4
PMID:28039625
Abstract

Congenital heart disease (CHD) is the most common birth defect. It is due to dysfunction of the heart and great vessels during embryo development stage, or the channel was not closed after birth. This study focuses on investigating the influence of virus infection and medicine history during pregnancy on the incidence rate of CHD of fetus. We conducted a retrospective birth cohort study of infant born in the maternal and child health hospital of Fanyu district in Guangzhou. Five thousand three hundred eighty one cases with complete medical records, including mothers, fathers, and infants, were enrolled. The exposure history of mothers to virus and medicine from 6 months before pregnancy to prenatal examination was investigated, including mflu, mumps, measles, rubella, chickenpox, and hepatitis and antibiotics, tocolytic agent, anticonvulsants, antipyretic and analgesic, antitumor drug, folic acid supplement, and contraceptive. The relationship between virus infection and medicine history during pregnancy and CHD was analyzed. There was statistical difference between a normal group and a defected group in influenza infection and tocolytic agent and contraceptive pill. The exposure history to influenza and medicines, such as tocolytic agent and contraceptive pill, during pregnancy influenced the incidence rate of CHD of fetus.

摘要

先天性心脏病(CHD)是最常见的出生缺陷。它是由于胚胎发育阶段心脏和大血管功能异常,或出生后通道未闭合所致。本研究着重调查孕期病毒感染和用药史对胎儿CHD发病率的影响。我们对广州市番禺区妇幼保健院出生的婴儿进行了一项回顾性出生队列研究。纳入了5381例有完整病历的病例,包括母亲、父亲和婴儿。调查了母亲从怀孕前6个月到产前检查期间的病毒和药物接触史,包括流感、腮腺炎、麻疹、风疹、水痘、肝炎以及抗生素、宫缩抑制剂、抗惊厥药、解热镇痛药、抗肿瘤药、叶酸补充剂和避孕药。分析了孕期病毒感染和用药史与CHD之间的关系。正常组与缺陷组在流感感染、宫缩抑制剂和避孕药方面存在统计学差异。孕期流感及宫缩抑制剂、避孕药等药物的接触史影响胎儿CHD的发病率。

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