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本文引用的文献

1
Pregnancy outcome after in utero exposure to local anesthetics as part of dental treatment: A prospective comparative cohort study.孕期接受牙科治疗时子宫内接触局部麻醉剂后的妊娠结局:一项前瞻性比较队列研究。
J Am Dent Assoc. 2015 Aug;146(8):572-580. doi: 10.1016/j.adaj.2015.04.002.
2
Anaesthetic challenges and management during pregnancy: Strategies revisited.孕期麻醉挑战与管理:策略再探讨
Anesth Essays Res. 2013 May-Aug;7(2):160-7. doi: 10.4103/0259-1162.118945.
3
New insights into gestational glucose metabolism: lessons learned from 21st century approaches.妊娠期葡萄糖代谢的新见解:从21世纪的方法中学到的经验教训。
Diabetes. 2015 Feb;64(2):327-34. doi: 10.2337/db14-0877.
4
Hormones and hemodynamics in pregnancy.孕期的激素与血液动力学
Int J Endocrinol Metab. 2014 Apr 1;12(2):e14098. doi: 10.5812/ijem.14098. eCollection 2014 Apr.
5
Roles of the circulating renin-angiotensin-aldosterone system in human pregnancy.循环肾素-血管紧张素-醛固酮系统在人类妊娠中的作用。
Am J Physiol Regul Integr Comp Physiol. 2014 Jan 15;306(2):R91-101. doi: 10.1152/ajpregu.00034.2013. Epub 2013 Oct 2.
6
Renal physiology of pregnancy.妊娠的肾脏生理学。
Adv Chronic Kidney Dis. 2013 May;20(3):209-14. doi: 10.1053/j.ackd.2013.01.012.
7
How do dental and prenatal care practitioners perceive dental care during pregnancy? Current evidence and implications.牙科和产前护理从业者如何看待妊娠期的牙科护理?现有证据及其影响。
Birth. 2012 Sep;39(3):238-47. doi: 10.1111/j.1523-536X.2012.00553.x. Epub 2012 Jun 27.
8
Practices and opinions of Connecticut general dentists regarding dental treatment during pregnancy.康涅狄格州普通牙医关于孕期牙科治疗的做法和观点。
Gen Dent. 2011 Jan-Feb;59(1):e25-31.
9
Prenatal dental care: a review.产前口腔护理:综述
Gen Dent. 2010 May-Jun;58(3):176-80.
10
Oral hygiene practices and dental service utilization among pregnant women.孕妇的口腔卫生习惯和牙科服务利用情况。
J Am Dent Assoc. 2010 May;141(5):553-61. doi: 10.14219/jada.archive.2010.0228.

孕期牙科治疗中局部麻醉剂的使用;对产妇的安全性。

Use of local anesthetics for dental treatment during pregnancy; safety for parturient.

作者信息

Lee Ji Min, Shin Teo Jeon

机构信息

Department of Pediatric Dentistry and Dental Research Institute, School of Dentistry, Seoul National University, Seoul, Republic of Korea.

出版信息

J Dent Anesth Pain Med. 2017 Jun;17(2):81-90. doi: 10.17245/jdapm.2017.17.2.81. Epub 2017 Jun 29.

DOI:10.17245/jdapm.2017.17.2.81
PMID:28879335
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5564152/
Abstract

Pregnancy induces significant anatomical and physiological changes in the mother. Many pregnant women need dental treatment due to poor oral hygiene related to pregnancy. However, most dentists are reluctant to provide, and most pregnant women are reluctant to receive, dental treatment during pregnancy. Theoretically, maternally administered drugs are transferred to the fetus. Depending on the types of drugs and the stage of pregnancy, the effects of drugs on the mother, as well as the fetus, may vary. Local anesthetics are the most widely used in dental treatment. It is, therefore, important to understand the potential effects of local anesthetics during pregnancy. In this review, we will focus on the maternal and fetal effects of local anesthetics widely used in dental treatment with consideration of the use of local anesthetics during pregnancy.

摘要

怀孕会使母亲的身体结构和生理机能发生显著变化。许多孕妇由于与怀孕相关的口腔卫生不良而需要牙科治疗。然而,大多数牙医不愿提供,大多数孕妇也不愿在孕期接受牙科治疗。理论上,母体使用的药物会传递给胎儿。根据药物种类和孕期阶段,药物对母亲以及胎儿的影响可能有所不同。局部麻醉剂是牙科治疗中使用最广泛的药物。因此,了解孕期局部麻醉剂的潜在影响很重要。在本综述中,我们将在考虑孕期局部麻醉剂使用情况的基础上,重点关注牙科治疗中广泛使用的局部麻醉剂对母体和胎儿的影响。