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吲哚美辛治疗早产的新生儿结局

Neonatal outcome after indomethacin treatment for preterm labor.

作者信息

Niebyl J R, Witter F R

出版信息

Am J Obstet Gynecol. 1986 Oct;155(4):747-9. doi: 10.1016/s0002-9378(86)80012-6.

DOI:10.1016/s0002-9378(86)80012-6
PMID:3766630
Abstract

Forty-six infants exposed to indomethacin in utero for treatment for preterm labor were compared with infants from two control groups. In one control group the next consecutive patient treated with a tocolytic agent was used, and the other control group was formed by picking the next consecutive patient matched by gestational age who did not receive any tocolytic agent. There was no significant difference in Apgar scores, birth weight, or gestational age in the three groups. The incidence of neonatal complications including hypocalcemia, hypoglycemia, respiratory distress syndrome, patient ductus arteriosus, sepsis, and neonatal mortality were not significantly different in the three groups. No cases of premature closure of the ductus arteriosus or persistent fetal circulation were seen.

摘要

将46例因早产接受宫内吲哚美辛治疗的婴儿与两个对照组的婴儿进行比较。在一个对照组中,使用下一个连续接受宫缩抑制剂治疗的患者,另一个对照组则选取下一个连续的、孕周匹配且未接受任何宫缩抑制剂治疗的患者。三组的阿氏评分、出生体重或孕周均无显著差异。三组中包括低钙血症、低血糖、呼吸窘迫综合征、动脉导管未闭、败血症和新生儿死亡率在内的新生儿并发症发生率无显著差异。未观察到动脉导管过早关闭或持续胎儿循环的病例。

相似文献

1
Neonatal outcome after indomethacin treatment for preterm labor.吲哚美辛治疗早产的新生儿结局
Am J Obstet Gynecol. 1986 Oct;155(4):747-9. doi: 10.1016/s0002-9378(86)80012-6.
2
Fetal and neonatal effects of indomethacin used as a tocolytic agent.吲哚美辛作为宫缩抑制剂使用时对胎儿及新生儿的影响。
Am J Obstet Gynecol. 1985 Jan 15;151(2):181-4. doi: 10.1016/0002-9378(85)90008-0.
3
Neonatal complications after the administration of indomethacin for preterm labor.吲哚美辛用于早产治疗后的新生儿并发症。
N Engl J Med. 1993 Nov 25;329(22):1602-7. doi: 10.1056/NEJM199311253292202.
4
Preterm delivery after indomethacin. A risk factor for neonatal complications?吲哚美辛治疗后的早产。是新生儿并发症的一个危险因素吗?
J Reprod Med. 1996 Dec;41(12):903-6.
5
Indomethacin tocolysis increases postnatal patent ductus arteriosus severity.吲哚美辛抑制宫缩会增加出生后动脉导管未闭的严重程度。
Pediatrics. 1998 Nov;102(5):E56. doi: 10.1542/peds.102.5.e56.
6
The inhibition of premature labor with indomethacin.吲哚美辛对早产的抑制作用。
Am J Obstet Gynecol. 1980 Apr 15;136(8):1014-9. doi: 10.1016/0002-9378(80)90629-8.
7
Effect of antenatal tocolysis on neonatal outcomes.产前抑制宫缩对新生儿结局的影响。
J Matern Fetal Neonatal Med. 2012 Dec;25(12):2778-81. doi: 10.3109/14767058.2012.714819. Epub 2012 Aug 20.
8
Neonatal outcome after exposure to indomethacin in utero: a retrospective case cohort study.宫内暴露于吲哚美辛后的新生儿结局:一项回顾性病例队列研究。
Am J Obstet Gynecol. 2003 Sep;189(3):782-5. doi: 10.1067/s0002-9378(03)00662-8.
9
Recent indomethacin tocolysis is not associated with neonatal complications in preterm infants.近期使用吲哚美辛进行宫缩抑制与早产儿的新生儿并发症无关。
Am J Obstet Gynecol. 1999 Nov;181(5 Pt 1):1083-6. doi: 10.1016/s0002-9378(99)70085-2.
10
Safety and efficacy of long-term tocolysis with indomethacin.吲哚美辛长期用于安胎的安全性与有效性
Am J Perinatol. 1990 Jan;7(1):71-4. doi: 10.1055/s-2007-999450.

引用本文的文献

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Landscape of Preterm Birth Therapeutics and a Path Forward.早产治疗的现状与未来发展方向
J Clin Med. 2021 Jun 29;10(13):2912. doi: 10.3390/jcm10132912.
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Giants in Obstetrics and Gynecology Series: A profile of Jennifer Niebyl, MD.妇产科巨擘系列:医学博士詹妮弗·尼比尔简介
Am J Obstet Gynecol. 2017 Dec;217(6):627-632.e4. doi: 10.1016/j.ajog.2017.10.021.
3
Metaanalysis of the effect of antenatal indomethacin on neonatal outcomes.产前使用吲哚美辛对新生儿结局影响的荟萃分析。
Am J Obstet Gynecol. 2007 Nov;197(5):486.e1-10. doi: 10.1016/j.ajog.2007.04.019.
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NSAID-induced nephrotoxicity from the fetus to the child.从胎儿到儿童的非甾体抗炎药诱导的肾毒性。
Drug Saf. 2001 Jan;24(1):9-18. doi: 10.2165/00002018-200124010-00002.
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Hormonal and local regulation of uterine activity during parturition: Part II--The prostaglandin and adrenergic systems.分娩期间子宫活动的激素和局部调节:第二部分——前列腺素和肾上腺素能系统。
J Endocrinol Invest. 1994 Oct;17(9):757-70. doi: 10.1007/BF03347772.
6
Renal failure in the neonate associated with in utero exposure to non-steroidal anti-inflammatory agents.
Pediatr Nephrol. 1994 Dec;8(6):700-4. doi: 10.1007/BF00869093.
7
Neonatal renal dysfunction and intrauterine exposure to prostaglandin synthesis inhibitors.新生儿肾功能障碍与宫内暴露于前列腺素合成抑制剂
Eur J Pediatr. 1989 Jan;148(4):371-3. doi: 10.1007/BF00444137.