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一项关于产前乙醇治疗安全性的回顾性研究。

A retrospective study on the safety of prenatal ethanol treatment.

作者信息

Halmesmäki E, Ylikorkala O

机构信息

Department of Obstetrics and Gynecology, University of Helsinki, Finland.

出版信息

Obstet Gynecol. 1988 Oct;72(4):545-9.

PMID:3419733
Abstract

Present data on the harmful fetal effects of maternal alcohol use have seriously questioned the safety of ethanol treatment, as once prescribed for arresting premature uterine contractions. Therefore, we analyzed retrospectively the fate of infants whose mothers took ethanol for threatened first- or second-trimester abortion in 1968-1973. One hundred thirty-six patients were given an average of 38 g of ethanol (10-120 g) per day for two to 34 days, whereas 103 comparable patients received no ethanol treatment. The immediate and long-term effects on each woman's offspring were followed from birth to age 14. No infant had typical fetal alcohol effects. Fetal growth and the rates of fetal/neonatal deaths and anomalies were similar in both groups. Furthermore, there was no difference in postnatal growth and development. Thus, ethanol treatment as once prescribed for threatened abortion evidently did not cause fetal damage.

摘要

目前有关孕妇饮酒对胎儿有害影响的数据,严重质疑了乙醇治疗的安全性,因为乙醇治疗曾被用于抑制早产宫缩。因此,我们回顾性分析了1968年至1973年间,其母亲因先兆流产而服用乙醇的婴儿的情况。136例患者平均每天服用38克乙醇(10 - 120克),持续两至34天,而103例情况相当的患者未接受乙醇治疗。从出生到14岁,对每名女性的后代的近期和长期影响都进行了跟踪。没有婴儿出现典型的胎儿酒精效应。两组胎儿的生长情况以及胎儿/新生儿死亡和畸形率相似。此外,产后生长和发育也没有差异。因此,曾用于先兆流产的乙醇治疗显然不会造成胎儿损伤。

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