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孕期使用他汀类药物的临床影响:文献综述

Clinical repercussions of statin use during pregnancy: a review of the literature.

作者信息

Lins Serafim Joan, Lucas Santos de Menezes Teles Pedro, Souza Lima Amanda Katharinne, Dos Santos Coelho Jéssica, Luna Maranhão Conrado Paloma, Luna Valda Lúcia Moreira, Galvão Pauliana Valéria Machado, Conrado George Alessandro Maranhão

机构信息

Universidade de Pernambuco RecifePE Brazil Universidade de Pernambuco, Recife, PE, Brazil.

出版信息

Rev Bras Ginecol Obstet. 2025 Mar 17;47. doi: 10.61622/rbgo/2025rbgo2. eCollection 2025.

DOI:10.61622/rbgo/2025rbgo2
PMID:40242012
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12002716/
Abstract

Statins are the most widely used pharmacological class for treating hyperlipidemia, although they are contraindicated during pregnancy. This study aims to demonstrate the clinical effects of statins in pregnant women through an interactive review. Fifteen original articles were selected, in English or Portuguese, within of five years. Statins have not been associated with the development of fetal malformations and their use may be useful in preventing unfavorable cardiovascular outcomes, with the potential to reduce oxidative stress and angiogenic dysfunction. However, the use of statins to prevent pre-eclampsia in humans has not been properly clarified and further studies are needed. Pravastatin is considered safer than statins for use during pregnancy.

摘要

他汀类药物是治疗高脂血症最广泛使用的一类药物,尽管在怀孕期间禁用。本研究旨在通过交互式综述来证明他汀类药物在孕妇中的临床效果。在五年内选择了15篇英文或葡萄牙文的原创文章。他汀类药物与胎儿畸形的发生无关,其使用可能有助于预防不良心血管结局,有可能减轻氧化应激和血管生成功能障碍。然而,他汀类药物在人类中预防先兆子痫的应用尚未得到充分阐明,需要进一步研究。普伐他汀在孕期使用被认为比其他他汀类药物更安全。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b705/12002716/7e63763e622a/1806-9339-rbgo-47-e-rbgo2-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b705/12002716/7e63763e622a/1806-9339-rbgo-47-e-rbgo2-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b705/12002716/7e63763e622a/1806-9339-rbgo-47-e-rbgo2-gf01.jpg

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1
Clinical repercussions of statin use during pregnancy: a review of the literature.孕期使用他汀类药物的临床影响:文献综述
Rev Bras Ginecol Obstet. 2025 Mar 17;47. doi: 10.61622/rbgo/2025rbgo2. eCollection 2025.
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本文引用的文献

1
Statins and Pregnancy - New FDA Recommendations.他汀类药物与妊娠——美国食品药品监督管理局的新建议
Arq Bras Cardiol. 2022 Jul;119(1):1-2. doi: 10.36660/abc.20220413.
2
Pregnancy outcomes following maternal exposure to statins: A systematic review and meta-analysis.他汀类药物暴露对母代妊娠结局的影响:系统评价和荟萃分析。
Br J Clin Pharmacol. 2022 Sep;88(9):3962-3976. doi: 10.1111/bcp.15423. Epub 2022 Jun 10.
3
Perinatal Outcomes After Statin Exposure During Pregnancy.妊娠期他汀类药物暴露的围产结局。
JAMA Netw Open. 2021 Dec 1;4(12):e2141321. doi: 10.1001/jamanetworkopen.2021.41321.
4
A systematic review and meta-analysis on the effects of statins on pregnancy outcomes.他汀类药物对妊娠结局影响的系统评价和荟萃分析。
Atherosclerosis. 2021 Nov;336:1-11. doi: 10.1016/j.atherosclerosis.2021.09.010. Epub 2021 Sep 10.
5
Pravastatin Versus Placebo in Pregnancies at High Risk of Term Preeclampsia.普伐他汀与安慰剂在有发生足月子痫前期高危风险的妊娠中的应用比较。
Circulation. 2021 Aug 31;144(9):670-679. doi: 10.1161/CIRCULATIONAHA.121.053963. Epub 2021 Jun 24.
6
A randomized pilot clinical trial of pravastatin versus placebo in pregnant patients at high risk of preeclampsia.一项普伐他汀与安慰剂治疗子痫前期高危孕妇的随机先导临床试验。
Am J Obstet Gynecol. 2021 Dec;225(6):666.e1-666.e15. doi: 10.1016/j.ajog.2021.05.018. Epub 2021 May 24.
7
Pravastatin alleviates oxidative stress and decreases placental trophoblastic cell apoptosis through IL-6/STAT3 signaling pathway in preeclampsia rats.普伐他汀通过 IL-6/STAT3 信号通路减轻子痫前期大鼠氧化应激和减少胎盘滋养层细胞凋亡。
Eur Rev Med Pharmacol Sci. 2020 Dec;24(24):12955-12962. doi: 10.26355/eurrev_202012_24199.
8
Pravastatin plus L-arginine prevents adverse pregnancy outcomes in women with uteroplacental vascular dysfunction.普伐他汀联合 L-精氨酸可预防胎盘血管功能障碍女性的不良妊娠结局。
Vascul Pharmacol. 2021 Apr;137:106824. doi: 10.1016/j.vph.2020.106824. Epub 2020 Nov 27.
9
Protective effects of pravastatin on the embryonic cardiovascular system during hypoxic development.普伐他汀在缺氧发育过程中对胚胎心血管系统的保护作用。
FASEB J. 2020 Dec;34(12):16504-16515. doi: 10.1096/fj.202001743R. Epub 2020 Oct 23.
10
The role of statins in the prevention of preeclampsia.他汀类药物在子痫前期预防中的作用。
Am J Obstet Gynecol. 2022 Feb;226(2S):S1171-S1181. doi: 10.1016/j.ajog.2020.08.040. Epub 2020 Aug 17.