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夏威夷孕妇甲基苯丙胺使用:病例系列研究。

Methamphetamine Use in Pregnant Women in Hawai'i: A Case Series.

机构信息

Department of Obstetrics, Gynecology, and Women's Health, John A. Burns School of Medicine, University of Hawai'i, Honolulu, HI.

出版信息

Hawaii J Health Soc Welf. 2020 May 1;79(5 Suppl 1):40-43.

PMID:32490384
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7260879/
Abstract

Methamphetamine use is widespread among pregnant and reproductive-aged women in Hawai'i. Women who use methamphetamine require comprehensive care that is gender specific and tailored to their needs. In Hawai'i, more services are needed to solve this serious public health problem. The authors present three cases of methamphetamine use with negative maternal and fetal outcomes. The first case describes a pregnant woman with daily methamphetamine use who experienced cardiac arrest with subsequent preterm delivery and maternal death due to global anoxic brain injury. The second case describes a pregnant woman with daily methamphetamine use which exacerbated her chronic hypertension and led to intrauterine fetal demise. The third case describes a pregnant woman with current methamphetamine use who experienced preeclampsia and a cerebrovascular accident necessitating preterm delivery. Methamphetamine remains a serious public health concern for the United States and especially in the state of Hawai'i.

摘要

在夏威夷,怀孕和育龄妇女中冰毒的使用非常普遍。使用冰毒的女性需要接受专门针对其性别和需求的全面护理。在夏威夷,需要更多的服务来解决这一严重的公共卫生问题。作者介绍了三例冰毒使用导致母婴不良结局的病例。第一个病例描述了一位每日使用冰毒的孕妇,她经历了心脏骤停,随后早产,因全身缺氧性脑损伤而死亡。第二个病例描述了一位每日使用冰毒的孕妇,她的慢性高血压病情加重,导致宫内胎儿死亡。第三个病例描述了一位目前正在使用冰毒的孕妇,她患有子痫前期并发生了脑血管意外,需要早产。冰毒仍然是美国,特别是夏威夷州的一个严重的公共卫生问题。

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本文引用的文献

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Drugs Most Frequently Involved in Drug Overdose Deaths: United States, 2011-2016.2011 - 2016年美国药物过量致死中最常涉及的药物
Natl Vital Stat Rep. 2018 Dec;67(9):1-14.
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Insights in Public Health: Substance Use in Pregnant Women in Hawai'i: Extending Our Capacity and Compassion.公共卫生洞察:夏威夷孕妇的物质使用情况:拓展我们的能力与同情心
Hawaii J Med Public Health. 2016 Nov;75(11):348-352.
3
The profile of psychiatric symptoms exacerbated by methamphetamine use.使用甲基苯丙胺加剧的精神症状概况。
Drug Alcohol Depend. 2016 Apr 1;161:104-9. doi: 10.1016/j.drugalcdep.2016.01.018. Epub 2016 Jan 30.
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Methamphetamine addiction: involvement of CREB and neuroinflammatory signaling pathways.甲基苯丙胺成瘾:CREB与神经炎症信号通路的关联
Psychopharmacology (Berl). 2016 May;233(10):1945-62. doi: 10.1007/s00213-016-4235-8. Epub 2016 Feb 12.
5
Methamphetamine-Associated Congestive Heart Failure: Increasing Prevalence and Relationship of Clinical Outcomes to Continued Use or Abstinence.甲基苯丙胺相关充血性心力衰竭:患病率上升及临床结局与持续使用或戒断的关系
Cardiovasc Toxicol. 2016 Oct;16(4):381-9. doi: 10.1007/s12012-015-9350-y.
6
Treatment of toxicity from amphetamines, related derivatives, and analogues: a systematic clinical review.苯丙胺类、相关衍生物及类似物中毒的治疗:一项系统的临床综述。
Drug Alcohol Depend. 2015 May 1;150:1-13. doi: 10.1016/j.drugalcdep.2015.01.040. Epub 2015 Feb 18.
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Adverse childhood experiences: assessing the impact on health and school engagement and the mitigating role of resilience.童年不良经历:评估其对健康和学校参与度的影响以及复原力的缓解作用。
Health Aff (Millwood). 2014 Dec;33(12):2106-15. doi: 10.1377/hlthaff.2014.0914.
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Outcomes in pregnancies complicated by methamphetamine use.孕期使用甲基苯丙胺所致并发症的结局。
Am J Obstet Gynecol. 2014 Oct;211(4):429.e1-7. doi: 10.1016/j.ajog.2014.06.005. Epub 2014 Jun 4.
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Extent of illicit drug use and dependence, and their contribution to the global burden of disease.非法药物使用和依赖的程度及其对全球疾病负担的贡献。
Lancet. 2012 Jan 7;379(9810):55-70. doi: 10.1016/S0140-6736(11)61138-0.
10
Methamphetamine use during pregnancy: maternal and neonatal implications.孕期使用甲基苯丙胺:对母体和新生儿的影响。
Obstet Gynecol. 2010 Aug;116(2 Pt 1):330-334. doi: 10.1097/AOG.0b013e3181e67094.