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致畸剂最新情况:麻醉剂

Teratogen update: anesthetic agents.

作者信息

Friedman J M

机构信息

Department of Medical Genetics, University of British Columbia, Vancouver, Canada.

出版信息

Teratology. 1988 Jan;37(1):69-77. doi: 10.1002/tera.1420370111.

Abstract

Although many pregnant women undergo anesthesia and many others are occupationally exposed to anesthetics every year, assessment of the teratogenic risk of anesthetic agents in humans must currently be made on the basis of very limited data. Available studies suggest that administration of an anesthetic to a pregnant woman will usually not have a deleterious effect on embryonic or fetal development. The risk of congenital anomalies does not appear to be substantially increased among children of women who have chronic occupational exposure to anesthetic gases during pregnancy, either, but miscarriages may occur more frequently than expected among such women. There is an urgent need for publication of good human epidemiologic and experimental animal studies on the teratogenicity of anesthetics.

摘要

尽管每年有许多孕妇接受麻醉,还有许多其他人在职业上接触麻醉剂,但目前对人类麻醉剂致畸风险的评估必须基于非常有限的数据。现有研究表明,给孕妇使用麻醉剂通常不会对胚胎或胎儿发育产生有害影响。在孕期长期职业接触麻醉气体的女性所生子女中,先天性异常的风险似乎也没有大幅增加,不过这类女性流产的发生率可能比预期更高。迫切需要发表关于麻醉剂致畸性的高质量人类流行病学和实验动物研究。

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