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孕期使用羟氯喹的最新情况。

Update on hydroxychloroquine use in pregnancy.

作者信息

Nori Wassan, Akram Nabeeha Najatee, Al-Ani Raid M

机构信息

Department of Obstetrics and Gynecology, Mustansiriyah University, Baghdad 10052, Iraq.

Department of Pediatrics, Mustansiriyah University, Baghdad 10052, Iraq.

出版信息

World J Exp Med. 2023 Sep 20;13(4):99-101. doi: 10.5493/wjem.v13.i4.99.

DOI:10.5493/wjem.v13.i4.99
PMID:37767540
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10520759/
Abstract

It is well-known that hydroxychloroquine (HCQ) treats malaria, systemic lupus erythematosus, and rheumatoid arthritis in women for its immunomodulatory and anti-inflammatory action. Additionally, HCQ was used in cases with refractory antiphospholipid syndrome. HCQ safety was reinforced in pregnant women owing to insignificant reports of adverse pregnancy outcomes and major congenital malformation. Recently, HCQ was tested in cases with chronic placental inflammation with a promising result of increased life birth; however, its benefit needs further validation. We aimed to highlight the recent updates for HCQ use in various conditions in pregnancy.

摘要

众所周知,羟氯喹(HCQ)因其免疫调节和抗炎作用,可用于治疗女性疟疾、系统性红斑狼疮和类风湿性关节炎。此外,HCQ还用于治疗难治性抗磷脂综合征。由于关于不良妊娠结局和主要先天性畸形的报告较少,HCQ在孕妇中的安全性得到了加强。最近,HCQ在慢性胎盘炎症病例中进行了测试,结果显示活产率有所提高,前景乐观;然而,其益处仍需进一步验证。我们旨在强调HCQ在孕期各种情况下使用的最新进展。

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Update on hydroxychloroquine use in pregnancy.孕期使用羟氯喹的最新情况。
World J Exp Med. 2023 Sep 20;13(4):99-101. doi: 10.5493/wjem.v13.i4.99.
2
The effects of hydroxychloroquine and its promising use in refractory obstetric antiphospholipid syndrome.羟氯喹及其在难治性产科抗磷脂综合征中的应用前景。
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The use of hydroxychloroquine in pregnancy and its effect on perinatal outcomes in a population with autoimmune abnormalities.羟氯喹在孕期的使用及其对自身免疫异常人群围产期结局的影响。
Clin Rheumatol. 2023 Apr;42(4):1137-1150. doi: 10.1007/s10067-022-06462-y. Epub 2022 Dec 12.
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J Cell Mol Med. 2022 Aug;26(15):4357-4370. doi: 10.1111/jcmm.17459. Epub 2022 Jun 29.
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Therapy and pharmacological properties of hydroxychloroquine and chloroquine in treatment of systemic lupus erythematosus, rheumatoid arthritis and related diseases.羟氯喹和氯喹在治疗系统性红斑狼疮、类风湿关节炎及相关疾病中的治疗和药理学特性。
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Int J Mol Sci. 2024 Sep 6;25(17):9681. doi: 10.3390/ijms25179681.

本文引用的文献

1
Neonatal and maternal adverse outcomes and exposure to nonsteroidal anti-inflammatory drugs during early pregnancy in South Korea: A nationwide cohort study.韩国孕早期使用非甾体抗炎药与母婴不良结局的关系:一项全国性队列研究。
PLoS Med. 2023 Feb 27;20(2):e1004183. doi: 10.1371/journal.pmed.1004183. eCollection 2023 Feb.
2
Effect of Hydroxychloroquine on Lupus Activity, Preeclampsia and Intrauterine Growth Restriction in Pregnant Women with Systemic Lupus Erythematosus and/or Antiphospholipid Syndrome: A Systematic Review and Meta-Analysis.羟氯喹对患有系统性红斑狼疮和/或抗磷脂综合征的孕妇狼疮活动、先兆子痫和胎儿生长受限的影响:一项系统评价和荟萃分析
J Clin Med. 2023 Jan 6;12(2):485. doi: 10.3390/jcm12020485.
3
The use of hydroxychloroquine in pregnancy and its effect on perinatal outcomes in a population with autoimmune abnormalities.羟氯喹在孕期的使用及其对自身免疫异常人群围产期结局的影响。
Clin Rheumatol. 2023 Apr;42(4):1137-1150. doi: 10.1007/s10067-022-06462-y. Epub 2022 Dec 12.
4
Protection by hydroxychloroquine prevents placental injury in obstetric antiphospholipid syndrome.羟氯喹的保护作用可预防产科抗磷脂综合征的胎盘损伤。
J Cell Mol Med. 2022 Aug;26(15):4357-4370. doi: 10.1111/jcmm.17459. Epub 2022 Jun 29.
5
Use of hydroxychloroquine and azithromycin combination to treat the COVID-19 infection.使用羟氯喹和阿奇霉素联合治疗新冠病毒感染。
World J Exp Med. 2022 May 20;12(3):44-52. doi: 10.5493/wjem.v12.i3.44.
6
Can Fetal Heart Lie? Intrapartum CTG Changes in COVID-19 Mothers.胎儿心率会说谎吗?新冠病毒感染母亲分娩期的产时电子胎心监护变化
J Obstet Gynaecol India. 2022 Dec;72(6):479-484. doi: 10.1007/s13224-022-01663-6. Epub 2022 May 24.
7
Chronic Inflammatory Placental Disorders Associated With Recurrent Adverse Pregnancy Outcome.慢性炎症性胎盘病与复发性不良妊娠结局相关。
Front Immunol. 2022 Apr 22;13:825075. doi: 10.3389/fimmu.2022.825075. eCollection 2022.
8
Hydroxychloroquine in the pregnancies of women with lupus: a meta-analysis of individual participant data.羟氯喹在狼疮孕妇中的应用:一项个体参与者数据的荟萃分析。
Lupus Sci Med. 2022 Mar;9(1). doi: 10.1136/lupus-2021-000651.
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The Potential Benefit of Hydroxychloroquine in Chronic Placental Inflammation of Unknown Etiology Associated with Adverse Pregnancy Outcomes.羟氯喹在病因不明的慢性胎盘炎症伴不良妊娠结局中的潜在益处。
Healthcare (Basel). 2022 Jan 17;10(1):168. doi: 10.3390/healthcare10010168.
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Front Med (Lausanne). 2021 Oct 18;8:753220. doi: 10.3389/fmed.2021.753220. eCollection 2021.